上海交通大学学报（医学版）

上海交通大学学报（医学版） >

2022 , Vol. 42 >Issue 6: 805 - 812

DOI: https://doi.org/10.3969/j.issn.1674-8115.2022.06.016

论著 · 公共卫生

老年慢性病患者健康信息寻求行为现状及影响因素路径分析

  • 崔培荣 ,
  • 倪雪萍 ,
  • 宗明灿 ,
  • 忻笑 ,
  • 江雨露 ,
  • 李贤华
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  • 1.上海交通大学护理学院，上海 200025
    2.上海交通大学医学院附属瑞金医院护理质量控制办公室，上海 200025
    3.上海交通大学医学院附属瑞金医院肿瘤科，上海 200025
    4.上海交通大学医学院附属瑞金医院门诊办公室，上海 200025
崔培荣（1990—），女，硕士生；电子信箱：peirongcui@sjtu.edu.cn。
李贤华，电子信箱：eliana2005@126.com。

收稿日期: 2022-01-17

  录用日期: 2022-05-02

  网络出版日期: 2022-08-19

基金资助

上海交通大学护理学院护理高原学科建设专项基金(hlgy16031kygg)

收起

Status and path analysis of influencing factors on the health information seeking behavior in elderly patients with chronic diseases

  • Peirong CUI ,
  • Xueping NI ,
  • Mingchan ZONG ,
  • Xiao XIN ,
  • Yulu JIANG ,
  • Xianhua LI
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  • 1.Shanghai Jiao Tong University School of Nursing, Shanghai 200025, China
    2.Nursing Quality Control Office, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    3.Department of Oncology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    4.Outpatient Office, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
LI Xianhua, E-mail: eliana2005@126.com.

Received date: 2022-01-17

  Accepted date: 2022-05-02

  Online published: 2022-08-19

Supported by

Special Fund for the Construction of Nursing Plateau Discipline of Shanghai Jiao Tong University School of Nursing(hlgy16031kygg)

Fold

摘要

目的·了解老年慢性病患者健康信息寻求行为的现状、影响因素及其作用路径。方法·2020年10月—2021年9月采用目的抽样法选取上海交通大学医学院附属瑞金医院502例老年慢性病患者为调查对象，采用一般资料调查表、慢性病患者健康素养量表（Health Literacy Management Scale，HeLMS）、慢性病自我效能感量表（Chronic Disease Self-Efficacy Scale，CDSES）、健康信息寻求行为量表（Health Information Seeking Behavior，HISB）进行调查。采用IBM SPSS 26.0软件和Mplus 8.3软件对数据进行分析。结果·老年慢性病患者的健康信息寻求行为总均分为（3.30±0.40）分；单因素分析显示，不同年龄、居住地、学历、月收入、医保类型、健康信息的可理解程度和可信程度、自我效能感、健康素养和是否曾为亲友寻求信息的老年慢性病患者的健康信息寻求行为得分差异具有统计学意义（均P<0.05）；路径分析显示，健康信息的可理解程度、自我效能感、健康素养、健康信息的可信程度、学历、居住地、医保类型、月收入、曾为亲友寻求健康信息可直接影响健康信息寻求行为，直接效应依次为0.479、0.225、0.197、-0.197、0.154、0.145、-0.119、-0.085、0.070（均P<0.05）。月收入、健康信息的可理解程度、健康素养可通过健康信息的可信程度间接影响老年慢性病患者健康信息寻求行为，间接效应依次是-0.036、0.033、0.032（均P<0.05）。结论·老年慢性病患者健康信息寻求行为现状不佳，最重要的影响因素是健康信息的可理解程度，主要影响因素是健康素养、自我效能感、学历、健康信息的可信程度、居住地、医保类型、月收入和曾为亲友寻求健康信息。建议医务人员应了解健康信息寻求行为的特征及其影响因素，加强对健康信息寻求行为的评估并及时实施干预措施，以提高老年慢性病患者的健康信息寻求行为水平。

关键词： 健康信息寻求行为; 影响因素; 路径分析; 慢性病; 老年人

本文引用格式

崔培荣 , 倪雪萍 , 宗明灿 , 忻笑 , 江雨露 , 李贤华 . 老年慢性病患者健康信息寻求行为现状及影响因素路径分析[J]. 上海交通大学学报（医学版）, 2022 , 42(6) : 805 -812 . DOI: 10.3969/j.issn.1674-8115.2022.06.016

Abstract

Objective

·To understand the status quo, influencing factors and action paths of health information seeking behavior in elderly patients with chronic diseases.

Methods

·From October 2020 to September 2021, five hundred and two elderly patients with chronic diseases in Ruijin Hospital, Shanghai Jiao Tong University School of Medicine were selected by objective sampling method. General Information Questionnaire, Health Literacy Management Scale (HeLMS), Chronic Disease Self-Efficacy Scale (CDSES), Health Information Seeking Behavior Scale were used. IBM SPSS 26.0 software and Mplus 8.3 software were used for statistics analysis.

Results

·The total average score of health information seeking behavior of elderly patients with chronic diseases was (3.30±0.40) points. The univariate analysis showed that different ages, residence, education, incomes, types of medical insurance, comprehensibility of health information, credibility of health information, self-efficacy, health literacy, and seeking health information for family members had statistically significant differences (all P<0.05). The path analysis results showed that comprehensibility of health information, self-efficacy, health literacy, education, credibility of health information, residence, type of medical insurance, income, and seeking health information for friends and families can directly affect health information seeking behavior, and the direct effects was 0.479, 0.225, 0.197, -0.197, 0.154, 0.145, -0.119, -0.085, 0.070 (all P<0.05). Income, comprehensibility of health information, and health literacy can indirectly affect the health information seeking behavior of elderly patients with chronic diseases through the credibility of health information, and the indirect effects were -0.036, 0.033, 0.032 (all P<0.05).

Conclusions

·The current status of health information seeking behavior among elderly patients with chronic diseases is poor. The most important influencing factor is the understandability of health information, and the main influencing factors are health literacy, self-efficacy, education, credibility of health information, residence, type of medical insurance, income, and seeking health information for friends and family. It is suggested that medical staff should understand the characteristics and influencing factors of health information seeking behavior, strengthen the assessment of health information seeking behavior, and implement timely intervention measures to improve health information seeking behavior of elderly patients with chronic diseases.

Key words： health information seeking behavior; influencing factor; path analysis; chronic disease; the elderly

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