摘要
目的 调查造血干细胞移植术后患者疾病不确定感及健康素养的临床现状,并分析健康素养对疾病不确定感的影响.方法 采用方便抽样的方法,选择2015年1月—2017年3月在河南省人民医院血液科住院的造血干细胞移植术后患者为研究对象,采用健康素养调查量表及疾病不确定感量表（MUIS）实施横断面调查,通过单因素分析、相关分析和分层回归分析的方法探讨健康素养对疾病不确定感的影响.结果 造血干细胞移植术后患者的疾病不确定感得分为（76.69±27.65）分,超过80%的患者存在中高水平的疾病不确定感;健康素养得分为（92.33±14.58）分,超过90%的患者处于中低水平的健康素养;不同文化程度、平均月收入水平的患者疾病不确定感得分差异具有统计学意义（F值分别为4.243、5.746;P〈0.05）;健康素养总分及基本保健素养、疾病防控素养和急救素养均与疾病不确定感的总分及各维度得分呈负相关关系（r=-0.298^-0.363;P〈0.05）;分层回归分析显示,健康素养的各维度具备对疾病不确定感的单独预测力,可单独解释42.8%的方差变异量.结论 造血干细胞移植术后患者的疾病不确定感相对较高且健康素养水平较差,除文化程度及平均月收入外,健康素养对其疾病不确定感具有单独的影响作用.
Objective To investigate the clinical status of health literacy and uncertainty in illness among patients after hemopoietic stem cell transplantation and to analyze the influence of health literacy on uncertainty in illness. Methods Inpatients after hemopoietic stem cell transplantation in Hematology Department of He＇nan Provincial People＇s Hospital were selected as subjects by convenience sampling from January 2015 to March 2017. The cross-sectional study was conducted with the health literacy scale and Mishel uncertainty in illness scale （MUIS）. Simple correlation, correlation analysis and hierarchical regression analysis were used to explore the influence of health literacy on uncertainty in illness. Results The score of MUIS of patients after hemopoietic stem cell transplantation was （76.69±27.65） along with more than 80% of patients with a medium or a high level of uncertainty in illness. The score of health literacy was （92.33±14.58） with more than 90% of patients with a low or medium level of health literacy. There were significant differences in the score of uncertainty in illness among patients with different education levels and average monthly earnings （F=4.243, 5.746;P〈0.05）. The total score of health literacy as well as the score of basic health care literacy, disease control and prevention literacy and first aid literacy had negative correlations with the total score and scores of dimensions of uncertainty in illness （r=-0.298--0.363; P〈0.05）. Hierarchical regression analysis showed that dimensions of health literacy had a single predictive power on uncertainty in illness along with explaining 42.8% of the variance separately. Conclusions The uncertainty in illness among patients after hemopoietic stem cell transplantation is in a high level and the health literacy is in a bad level. Beyond education levels and average monthly earnings, health literacy has influence on uncertainty in illness separately.
出处
《中华现代护理杂志》
2017年第35期4455-4459,共5页
Chinese Journal of Modern Nursing
关键词
造血干细胞移植
健康素养
疾病不确定感
Hematopoietic stem cell transplantation
Health literacy
Uncertainty in illness
