Mediating effect of life satisfaction on eHealth literacy and quality of life of elderly people in elderly care institutions

Abstract

Abstract: Objective To explore the mediating role of life satisfaction between e-health literacy and quality of life of elderly people in elderly care institutions,provide theoretical basis for improving the quality of life of elderly people in elderly care institutions. Methods Using the convenience sampling method,213 elderly people from 10 elderly care institutions in Baicheng City of Jilin Province were selected as the research subjects from June to August 2023. A survey was conducted using a general situation questionnaire,eHealth literacy scale（eHEALS）,satisfaction with life scale（SWLS）,and Chinese version of 36-item short from health survey（SF-36） to investigate the current status of eHealth literacy,life satisfaction,and quality of life of elderly people in elderly care institutions. Pearson correlation analysis was used to analyze the correlation between eHealth literacy,life satisfaction,and quality of life of elderly people in elderly care institutions. Mplus 8.3 software was used to establish a structural equation model and analyze the mediating effect of life satisfaction between eHealth literacy and quality of life of elderly people in elderly care institutions. Results The total score of eHealth literacy among 213 elderly people in elderly care institutions was （29.14±7.08）points, the score of life satisfaction scale was （27.39±5.12）points,and the Chinese version of SF-36 scored （47.57±8.19）points. The correlation analysis results showed that the eHealth literacy of elderly people in elderly care institutions was positively correlated with life satisfaction（r=0.524,P<0.01）,and life satisfaction was also positively correlated with quality of life（r=0.412,P<0.01）. The life satisfaction of elderly people in elderly care institutions plays a mediating role between eHealth literacy and quality of life,with the mediating effect accounting for 71% of the total effect. Conclusion The quality of life of elderly people in elderly care institutions is at a relatively low level,and improving the eHealth literacy level of elderly people in elderly care institutions can enhance their satisfaction with life,thereby improving their quality of life.

Key words: Elderly care institutions, Elderly people, eHealth literacy, Quality of life, Life satisfaction

CLC Number:

R181.3⁺7

SHA Siyuan, LI Yanming, LIU Sijia, TAN Chunyu, ZHAO Aizhong1b, LI Rui. Mediating effect of life satisfaction on eHealth literacy and quality of life of elderly people in elderly care institutions. [J]OCCUPATION AND HEALTH, 2025, 41(5): 646-650.

References

[1] 李少杰,徐慧兰,崔光辉.老年人电子健康素养及影响因素[J].中华疾病控制杂志,2019,23(11):1318-1322.
[2] HASANNEJADASL H,ROUMEN C,SMIT Y,et al.Health literacy and eHealth:Challenges and strategies[J].JCO Clin Cancer Inform,2022, 6:e2200005.
[3] 宋悦,吕康银,王丽娜.新常态下我国养老模式的创新[J].税务与经济,2019(2):21-28.
[4] ARCURY T A,SANDBERG J C,MELIUS K P,et al.Older adult internet use and ehealth literacy[J].J Appl Gerontol,2020,39(2):141-150.
[5] 徐金菊,倪梦琦,丰志培,等.基于不同养老模式的老年人生活质量满意度评价调查[J].哈尔滨学院学报,2023,44(4):46-50.
[6] NORMAN C D,SKINNER H A.eHealth literacy:Essential skills for consumer health in a networked world[J].J Med Internet Res,2006,8(2):e9.
[7] 郭帅军,余小鸣,孙玉颖,等.eHEALS健康素养量表的汉化及适用性探索[J].中国健康教育,2013,29(2):106-108,123
[8] DIENER E,EMMONS R A,LARSEN R J,et al.The satisfaction with life scale[J].J Pers Assess,1985,49(1):71-75.
[9] 李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):38-42.
[10] 温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014,22(5):731-745.
[11] 李少杰,徐慧兰,崔光辉.老年人电子健康素养及影响因素[J].中华疾病控制杂志,2019,23(11):1318-1322.
[12] 郝晨璐,胡铭.老年慢性病病人电子健康素养研究进展[J].护理研究,2023,37(3):506-510.
[13] 江悦妍,尹心红,王志敏,等.衡阳地区高血压患者电子健康素养现状及影响因素[J].职业与健康,2021,37(15):2074-2078.
[14] 陈莉,江悦妍,王志敏,等.电子健康素养研究热点与前沿的可视化分析[J].职业与健康,2021,37(16):2257-2260.
[15] 黄瑶. 更多层次更加精准更高质量“十四五”规划纲要描绘更加可期的幸福晚景[J].中国社会工作,2021(8):6-7.
[16] 李运,赵佳,唐启群,等.居住养老机构的老年人失能现状及失能老年人的生活质量影响因素[J].中国老年学杂志,2019,39(5):1213-1216.
[17] SEÇKIN G,HUGHES S,YEATTS D,et al.Digital pathways to positive health perceptions:Does age moderate the relationship between medical satisfaction and positive health perceptions among middle-aged and older internet users?[J].Innov Aging,2019,3(1):igy039.
[18] XU R H,ZHOU L M,WONG E L,et al.The Association between patients' ehealth literacy and satisfaction with shared decision-making and well-being:Multicenter cross-sectional study[J].J Med Internet Res, 2021,23(9):e26721.
[19] 孟卫平,张镜源,林光辉,等.老年人生活满意度与生存质量关系的探讨[J].中国行为医学科学,2000,9(3):180-182.
[20] 任海燕,孙宏玉,李燕京.农村敬老院老年人生活满意度与生活质量调查分析[J].中国民康医学,2006,18(11):493-494.