[1]宗明灿,忻笑,倪雪萍,等.自我效能和治疗依从性在高血压患者电子健康素养和血压控制间的链式中介作用[J].军事护理,2022,39(09):45.[doi:10.3969/j.issn.1008-9993.2022.09.012]
　ZONG Mingcan,XIN Xiao,NI Xueping,et al.Chain-Mediating Effect of Self-Efficacy and Treatment Adherence between Electronic Health Literacy and Control of Blood Pressure among Hypertension Patients[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(09):45.[doi:10.3969/j.issn.1008-9993.2022.09.012]
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自我效能和治疗依从性在高血压患者电子健康素养和血压控制间的链式中介作用
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年09期
页码:
45
栏目:
论著
出版日期:
2022-09-15

文章信息/Info

Title:
Chain-Mediating Effect of Self-Efficacy and Treatment Adherence between Electronic Health Literacy and Control of Blood Pressure among Hypertension Patients
文章编号:
1008-9993(2022)09-0045-05
作者:
宗明灿1; 忻笑2; 倪雪萍2; 江雨露1; 李贤华2
(1.上海交通大学 护理学院,上海 200025; 2.上海交通大学附属瑞金医院 护理部,上海 200025)
Author(s):
ZONG Mingcan1; XIN Xiao2; NI Xueping2; JIANG Yulu1; LI Xianhua2
(1.School of Nursing,Shanghai JiaoTong University,Shanghai 200025,China; 2.Nursing Department,Ruijin Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200025,China)
关键词:
高血压;  电子健康素养;  血压控制;  中介作用
Keywords:
hypertension;  electronic health literacy;  control of blood pressure;  mediating effect
分类号:
R473.54
DOI:
10.3969/j.issn.1008-9993.2022.09.012
文献标志码:
A
摘要:
目的 探讨自我效能和治疗依从性在电子健康素养和血压控制间的链式中介作用。方法 便利抽样选取2021年10月至2022年3月就诊于某院高血压科门诊的254例高血压患者为研究对象,采用一般资料调查表、电子健康素养量表、一般自我效能量表、高血压治疗依从性量表对其进行调查并血压测量。结果 高血压患者电子健康素养得分为(27.60±6.44)分、自我效能得分为(26.49±6.35)分、治疗依从性得分(110.17±8.74)分,且相互间呈两两相关(r=0.417～0.613,均P<0.01),132例(52.0%)高血压患者血压控制达标。回归分析显示,电子健康素养(OR=1.324)、自我效能(OR=1.338)及治疗依从性(OR=1.189)越高的患者,血压控制越好。电子健康素养不但直接对血压控制产生影响,还可通过治疗依从性、自我效能的链式中介间接影响,中介效应占比52.17%。结论 电子健康素养与血压控制关系密切,医护人员应注意评估患者的电子健康素养,增强患者的自我效能感和治疗依从性,以更好控制血压。
Abstract:
Objective To explore the chain-mediating effect of self-efficacy and treatment adherence between electronichealth literacy and control of blood pressure.Methods By convenience sampling method,254 outpatients with hypertension from October 2021 to March 2022 were selected.The general information questionnaire,Electronic Health Literacy Scale,General Self-efficacy Scale and Therapeutic Adherence Scale for Hypertensive Patients were used for investigation and measured blood pressure.Results The scores of electronic health literacy,self-efficacy and treatment adherence were(27.60±6.44),(26.49±6.35)and(110.17±8.74), respectively.There were significant correlations among them(r=0.417 to 0.613,all P<0.01).There were 132(52.0%)patients with hypertension who maintained standard blood pressure. Logistic regression found that patients having higher scores on electronic health literacy(OR=1.324),self-efficacy(OR=1.338),treatment adherence(OR=1.189)had better control of blood pressure. Electronic health literacy not only directly controlled blood pressure,but was also indirectly influenced by the chain mediating effect of treatment adherence and self-efficacy, with the mesomeric effect accounting for 52.17%.Conclusions The electronic health literacy of hypertension patients is closely related to their blood pressure control.Medical staff should pay attention to evaluating the electronic health literacy of patients,and improve self-efficacy and treatment adherence to achieve good blood pressure control.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-05-24 【 修回日期 】 2022-07-29
【 基金项目 】 上海交通大学护理高原学科科研骨干项目(hlgy1904kygg)
【 作者简介 】 宗明灿,硕士在读,护士,从事心血管护理工作
【 通信作者 】 李贤华,电话:021-64370045
更新日期/Last Update: 2022-09-15