慢性肾脏病随访患者健康素养现状及影响因素分析-华西医学.PDF

华西医学 2019 年 7 月第 34 卷第 7 期 • 777 •   ·论　著· 慢性肾脏病随访患者健康素养现状 及影响因素分析 黄月阳，石运莹，陈懿，刁永书，马登艳，陈崇诚 四川大学华西医院肾脏内科（成都  610041 ） 【摘要】   目的    探讨慢性肾脏病随访患者健康素养水平及其影响因素。方法    2018 年 3 月— 12 月选取四川 大学华西医院慢性肾脏病随访管理中心 248 例患者为调查对象，采用基本资料问卷和慢性病健康素养量表进行调 查。对健康素养评分的影响因素进行单因素和多因素分析。结果    248 例慢性肾脏病随访患者健康素养得分为 （97.24±12.22 ）分，呈中等偏下水平；各维度条目均分从高到低依次为：信息获取能力（4.24±0.50 ）分，改善健康 意愿（4.17±0.66 ）分，交流互动能力（3.95±0.59）分，经济支持意愿（3.41±1.10）分。多重线性逐步回归分析显示，是 否按时随访、家庭人均月收入及患者年龄是健康素养评分的影响因素（P0.05）。结论    慢性肾脏病随访患者健康 素养水平有待提高，医务人员应注重慢性肾脏病患者是否按时随访，进行针对性的干预，提高患者对慢性肾脏病 的自我管理，以期延缓慢性肾脏病的病情进展。 【关键词】  慢性肾脏病；健康素养；影响因素 Current situation and influencing factors of health literacy among follow-up patients with chronic kidney disease HUANG Yueyang, SHI Yunying, CHEN Yi, DIAO Yongshu, MA Dengyan, CHEN Chongcheng Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China Corresponding author: SHI Yunying, Email: yyshi0130@163.com 【Abstract 】 Objective    To investigate the health literacy level and its influencing factors among follow-up patients with chronic kidney disease (CKD). Methods    From March to August 2018, 248 patients from the CKD Follow-up Management Center, West China Hospital, Sichuan University were included. Basic information questionnaire and chronic diseases health literacy scale were used. Analysis of variance and t test were used in univariate analysis, and multiple linear stepwise regression was used in multivariate analysis, to explore the influencing factors of health literacy score. Results    The average health literacy score of the 248 CKD patients (97.24±12.22) were in medium to low level. Listed from high to low, the score of each dimension was: ability to obtain information (