摘要
目的探索老年慢性心力衰竭患者的健康素养对其出院后健康行为和结局的影响。方法对231例住院慢性心力衰竭患者于出院前进行人口学变量、疾病相关资料和健康素养资料收集,于患者出院后30 d收集其社会支持、服药依从性、心理困扰、健康相关生活质量、非计划再入院资料。进行相关影响与中介作用分析。结果健康素养可直接影响服药依从性和健康相关生活质量(直接效应分别为0.281、-0.290),也可通过社会支持和心理困扰间接影响两者。出院后30 d非计划再入院率为14.29%;健康素养对非计划再入院有保护作用(直接效应为-0.304),可通过社会支持(间接效应为-0.128)和心理困扰(间接效应为-0.115)间接影响非计划再入院。结论健康素养是慢性心力衰竭患者健康行为和结局的保护因素,医护人员可采取有效方案提高患者健康素养,从而提高健康行为和避免非计划再入院。
Objective To explore the impact of health literacy on health behaviors and outcomes of elderly patients with chronic heart failure(CHF)after discharge from the hospital.Methods A prospective study was conducted on 231 CHF patients.The baseline data were collected before discharge,including demographic variables,disease-related information,and health literacy.Follow-up data were collected 1 month after discharge,including social support,medication adherence,psychological distress,health-related quality of life,and unplanned readmissions.The impact and mediation effect were analyzed.Results Health literacy had direct effect on medication adherence and health-related quality of life,with the direct effects being 0.281 and-0.290 respectively,and also had indirect effect through social support and psychological distress.The 30-day unplanned readmission rate was 14.29%.Health literacy had a protective effect on unplanned readmission,with the direct effect being-0.304,and also indirectly affected unplanned readmission via social support and psychological distress(indirect effect coefficients being-0.128 and-0.115 respectively).Conclusion Health literacy is a protective factor for health behavior and outcomes of CHF patients.Medical staff need to take effective interventions to improve patients′health literacy,thus to enhance their health behavior and avoid unplanned readmission.
作者
李雪冬
张晓楠
江思璇
杨伟玲
李燕婷
臧小英
Li Xuedong;Zhang Xiaonan;Jiang Sixuan;Yang Weiling;Li Yanting;Zang Xiaoying(School of Nursing,Tianjin Medical University,Tianjin 300070,China)
出处
《护理学杂志》
CSCD
北大核心
2022年第11期74-77,91,共5页
Journal of Nursing Science
基金
国家自然科学基金资助项目(71904143)。
关键词
老年人
慢性心力衰竭
健康素养
社会支持
心理困扰
服药依从性
生活质量
再入院
the elderly
chronic heart failure
health literacy
social support
psychological distress
medication adhe-rence
quality of life
readmission
