[1]刘梦如,梁发存,尹艳茹,等.脑卒中患者健康素养的潜在剖面分析及与健康行为差异比较[J].军事护理,2023,40(04):52-55,70.[doi:10.3969/j.issn.2097-1826.2023.04.013]
　LIU Mengru,LIANG Facun,YIN Yanru,et al.Latent Profile Analysis of Health Literacy and Comparison of Health Behavior Differences in Patients with Stroke[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(04):52-55,70.[doi:10.3969/j.issn.2097-1826.2023.04.013]
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脑卒中患者健康素养的潜在剖面分析及与健康行为差异比较
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年04期
页码:
52-55,70
栏目:
研究荟萃
出版日期:
2023-04-15

文章信息/Info

Title:
Latent Profile Analysis of Health Literacy and Comparison of Health Behavior Differences in Patients with Stroke
文章编号:
2097-1826(2023)04-0052-05
作者:
刘梦如1; 梁发存1; 尹艳茹1; 汪张毅2; 朱丽莎1; 夏梅1; 张程1; 姚婧婧3; 姜秀荣1
(1.湖州师范学院 护理学院,浙江 湖州 313000; 2.天津中医药大学 研究生院,天津 301617; 3.湖州市第一人民医院 神经内科,浙江 湖州 313000)
Author(s):
LIU Mengru1; LIANG Facun1; YIN Yanru1; WANG Zhangyi2; ZHU Lisha1; XIA Mei1; ZHANG Cheng1; YAO Jingjing3; JIANG Xiurong1
(1.School of Nursing,Huzhou University,Huzhou 313000,Zhejiang Province,China; 2.Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China; 3.Department of Neurology,The First People's Hospital of Huzhou,Huzhou 313000,Zhejiang Province,China)
关键词:
脑卒中;  健康素养;  潜在剖面分析;  健康行为
Keywords:
stroke;  health literacy;  latent profile analysis;  health behavior
分类号:
R473.5
DOI:
10.3969/j.issn.2097-1826.2023.04.013
文献标志码:
A
摘要:
目的 了解脑卒中患者健康素养的潜在类别及其与健康行为的关系。方法 选取在浙江省某三级甲等医院住院的脑卒中患者,采用一般资料调查表、慢性病患者健康素养量表、脑卒中患者健康行为量表对其进行调查。采用Mplus 8.3进行潜在剖面分析,SPSS 25.0软件比较不同类别健康素养在健康行为上的得分情况。结果 共纳入231例脑卒中患者,健康素养可分为3个潜在类别,分别为:低素养-低应对能力组(28.2%)、中等健康素养组(38.5%)、高素养-高改善意愿组(33.3%)。3个潜在类别健康行为比较,差异有统计学意义(F=839.731,P<0.001)。结论 脑卒中患者健康素养可分为3个类别,不同健康素养类别的脑卒中患者健康行为水平存在差异,建议基于脑卒中患者健康素养同质群体,有针对性地进行干预,以期改善其健康行为水平。
Abstract:
Objective To explore the latent classes of health literacy in patients with stroke and its relationship with health behaviors.Methods Patients with stroke hospitalized in the Department of Neurology of a tertiary A hospital in Zhejiang province were selected with the convenience sampling method and investigated with the general demographic information questionnaire,chronic disease health literacy management scale and health behavior scale.Mplus 8.3 was used to analyze the latent profile,and SPSS 25.0 software was used to compare the scores of different types of health literacy in health behavior.Results A total of 231 patients with stroke were enrolled.Health literacy could be divided into three latent classes,namely low literacy and low coping ability group(28.2%),medium health literacy group(39.5%),and high literacy and high willingness for improvement group(33.3%).There were significant differences in health behaviors among the three latent classes(F=839.731,P< 0.001).Conclusions The health literacy of patients with stroke can be divided into three levels,and there are differences in health behavior levels of these patients of different levels.It is suggested that targeted intervention should be carried out based on the health literacy group for better improvement.

参考文献/References:

[1] MAGNANI J W,MUJAHID M S,ARONOW H D,et al.Health literacy and cardiovascular disease:fundamental relevance to primary and secondary prevention:a scientific statement from the American Heart Association[J].Circulation,2018,138(2):e48-e74.
[2] AABY A,FRIIS K,CHRISTENSEN B,et al.Health literacy is associated with health behaviour and self-reported health:a large population-based study in individuals with cardiovascular disease[J].Eur J Prev Cardiol,2017,24(17):1880-1888.
[3] 尹奎,彭坚,张君.潜在剖面分析在组织行为领域中的应用[J].心理科学进展,2020,28(7):1056-1070.
[4] 曾进胜,蒲传强.我国各类主要脑血管病诊断要点演变与更新[J].中华神经科杂志,2019:52(9):681-683.
[5] 陈彬.医学多因素分析设计样本例数估算——多因素分析设计样本例数综合估算法[J].伤害医学:电子版,2012,1(4): 58-60.
[6] 孙浩林.慢性病病人健康素养量表的研究及其初步应用[D].上海:复旦大学,2012.
[7] 万丽红,熊小妮,潘俊豪,等.脑卒中患者健康行为量表的编制及信效度检验[J].护理学杂志,2017,32(1):25-29.
[8] 毕向阳,王孟成.潜变量建模与Mplus应用·进阶篇[M].重庆:重庆大学出版社,2018:3.
[9] 汤丹丹,温忠麟.共同方法偏差检验:问题与建议[J].心理科学,2020,43(1):215-223.
[10]李媛,张振香,林蓓蕾,等.健康素养在脑卒中患者积极度与自我管理行为间的中介效应[J].现代预防医学,2021,48(19):3570-3573.
[11]LI Z,ZHANG X,WANG K,et al.Effects of early mobilization after acute stroke:a meta-analysis of randomized control trials[J].J Stroke Cerebrovasc Dis,2018,27(5):1326-1337.
[12]COUGHLIN S S,DATTA B,VERNON M,et al.Health literacy among cancer survivors:results from the 2016 behavioral risk factor surveillance system survey[J/OL].[2022-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8896449/.DOI:10.1097/MD.0000000000029010.
[13]MUSCAT D M,CVEJIC E,BELL K,et al.The impact of health literacy on psychosocial and behavioural outcomes among people at low risk of cardiovascular disease[J/OL].[2022-03-20].https://www.sciencedirect.com/science/article/pii/S0091743522000287?via%3Dihub.DOI:10.1016/j.ypmed.2022.106980.
[14]MADSEN T E,KHOURY J C,LEPPERT M,et al.Temporal trends in stroke incidence over time by sex and age in the GCNKSS[J].Stroke,2020,51(4):1070-1076.
[15]CHEN A,YEHLE K S,PLAKE K S,et al.The role of health literacy,depression,disease knowledge,and self-efficacy in self-care among adults with heart failure:an updated model[J].Heart Lung,2020,49(6):702-708.
[16]LOR M,KOLECK T A,BAKKEN S,et al.Association between health literacy and medication adherence among hispanics with hypertension[J].J Racial Ethn Health Disparities,2019,6(3):517-524.
[17]鲁晓娟,周路坦.老年糖尿病患者健康素养与治疗依从性现状及相关性[J].中国老年学杂志,2017,37(9):2299-2301.
[18]ELISABETH S U,KLOPSTAD W A,GUNNAR G L,et al.Health literacy in kidney disease:associations with quality of life and adherence[J].J Ren Care,2020,46(2):85-94.
[19]ARRIAGA M,FRANCISCO R,NOGUEIRA P,et al.Health literacy in portugal:results of the health literacy population survey project 2019-2021[J/OL].[2022-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998262/.DOI:10.3390/ijerph19074225.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-04-14 【 修回日期 】 2023-01-10
【 基金项目 】 湖州市应用基金项目(2019GYB09)
【 作者简介 】 刘梦如,硕士在读,护师,电话:0572-2320803
【 通信作者 】 姜秀荣,电话:0572-2320803
更新日期/Last Update: 2023-04-15