慢性阻塞性肺疾病病人健康素养、电子健康素养及疾病知识与生活质量的相关性分析

    Correlation analysis of health literacy, electronic health literacy, disease knowledge and quality of life in patients with chronic obstructive pulmonary disease

    • 摘要:
      目的探究慢性阻塞性肺疾病(COPD)健康素养、电子健康素养和疾病知识与COPD健康相关生活质量(HRQoL)的相关性。
      方法采用横断面调查方法,随机选取COPD成年病人120例,采用量表法调查社会人口学特征、合并症状况、COPD疾病知识、健康素养、电子健康素养和HRQoL,分析健康素养、电子健康素养、COPD疾病知识与一般/肺特异性HRQoL之间的关联性。分析健康素养、电子健康素养在COPD疾病知识与HRQoL之间有无调节效应。
      结果健康素养筛查问卷(HLSQ)平均得分为(4.52±0.62) 分,电子健康素养量表(eHEALS)平均得分为(3.63±0.71)分,COPD知识问卷(COPD-Q)平均得分为(9.81±1.63)分,EuroQol五维量表(EQ-5D)平均得分为(0.72±0.18)分,COPD评估测试(CAT)平均得分为(24.02±6.65) 分,HLSQ、eHEALS、COPD-Q与EQ-5D均呈正相关关系(P < 0.01),HLSQ、eHEALS、COPD-Q与CAT均呈负相关关系(P < 0.05~P < 0.01),EQ-5D指数得分与CAT得分呈负相关关系(P < 0.01)。COPD疾病知识水平越高,肺特异性HRQoL越低。健康素养、电子健康素养在COPD疾病知识与一般HRQoL之间起链式中介作用。健康素养、电子健康素养在COPD疾病知识与肺特异性HRQoL之间起链式中介作用。
      结论COPD病人制定生活质量提升计划时,不仅需要重视提高病人的疾病知识水平,还应考虑到健康素养和电子素养水平的重要性。

       

      Abstract:
      ObjectiveTo explore the correlation between health literacy, electronic health literacy, chronic obstructive pulmonary disease disease knowledge(COPD) and COPD health-related quality of life (HRQoL).
      MethodsThis study adopted the cross-sectional investigation method, randomly selected 120 adult patients with COPD, investigated the sociodemographic characteristics, comorbidity status, COPD disease knowledge, health literacy, electronic health literacy and HRQoL using the scale method, and used Spearman rank correlation to analyze the correlation between health literacy, electronic health literacy, COPD disease knowledge and general / lung specific HRQoL.Whether health literacy and electronic health literacy had regulatory effects on COPD disease knowledge and HRQoL was analyzed.
      ResultsThe average scores of HLSQ, eHEALS, COPD-Q, EQ-5Q, CAT were (4.52±0.62) points, (3.63±0.71) points, (9.81±1.63) points, (0.72±0.18) points, (24.02±6.65) points, respectively.The HLSQ, eHEALS, COPD-Q were positively correlated with EQ-5D (P < 0.01), and negatively correlated with CAT (P < 0.05 to P < 0.01).The score of EQ-5D index was negatively correlated with the score of CAT (P < 0.01).The higher the knowledge level of COPD disease, the lower the lung specific HRQoL.Health literacy and electronic health literacy played a chain intermediary role between COPD disease knowledge and general HRQoL.Health literacy and electronic health literacy played a chain intermediary role between COPD disease knowledge and lung specific HRQoL.
      ConclusionsWhen COPD patients make quality of life improvement plans, they should not only pay attention to improving the patients′ disease knowledge level, but also consider the importance of health literacy and electronic health literacy level.

       

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