泌尿系统结石患者健康素养现况及影响因素分析OA
Health literacy status and analysis of influencing factors in patients with urinary system stones
目的 了解泌尿系统结石患者健康素养现况,并进行影响因素分析.方法 采用方便抽样法,选取2023年6月—2025年7月本院收治的190例泌尿系统结石患者作为调查对象.采用一般资料调查表、慢性病健康素养量表(HLMS)、成年人健康自我管理能力测评量表(AHSMSRS)、简易应对方式量表(SCSQ)对调查对象进行问卷调查.采用Pearson相关分析探讨调查对象健康素养与自我管理能力、应对方式的相关性;采用线性回归分析调查对象健康素养的影响因素.结果 调查对象HLMS总分为(102.75±11.38)分,AHSMSRS总分为(106.51±11.49)分,SCSQ中消极应对维度得分为(12.08±2.27)分,积极应对维度得分为(15.26±2.49)分.Pearson相关分析显示,调查对象HLMS得分与AHSMSRS得分、SCSQ积极应对维度得分呈正相关(r=0.602,0.537;P<0.001),与SCSQ消极应对维度得分呈负相关(r=-0.426,P<0.001).不同年龄、学历、家庭人均月收入、居住地、病程的调查对象 HLMS得分比较,差异均有统计学意义(P<0.05),具体表现为年龄<60岁、高中以上学历、家庭人均月收入≥4 000元、居住地为城镇、病程≥5年的调查对象 HLMS得分更高.回归分析结果显示,年龄、学历、家庭人均月收入、AHSMSRS得分、SCSQ各维度得分是调查对象 HLMS得分的影响因素(P<0.05).结论 泌尿系统结石患者健康素养处于中等水平,并且与年龄、学历、家庭人均月收入、自我管理能力、应对方式显著相关.
Objective To understand the health literacy status of patients with urinary system stones and analyze the influen-cing factors.Methods Using a convenience sampling method,190 patients with urinary system stones admitted to our hos-pital from June 2023 to July 2025 were selected as survey participants.The participants were surveyed using a general infor-mation questionnaire,the Health Literacy Management Scale(HLMS),the Adults Health Self-Management Skill Rating Scale(AHSMSRS),and the Simplified Coping Style Questionnaire(SCSQ).Pearson correlation analysis was used to ex-plore the correlations between health literacy,self-management ability,and coping styles;linear regression analysis was used to analyze the influencing factors of health literacy.Results The total HLMS score of the participants was(102.75±11.38)and the total AHSMSRS score was(106.51±11.49)points.The negative coping dimension score and positive cop-ing dimension score of the SCSQ were(12.08±2.27)points and(15.26±2.49)points,respectively.Pearson correlation a-nalysis showed that the HLMS score was positively correlated with the AHSMSRS score and the positive coping dimension score of the SCSQ(r=0.602,0.537;P<0.001),and negatively correlated with the negative coping dimension score of the SCSQ(r=-0.426,P<0.001).There were statistically significant differences in HLMS scores among participants of dif-ferent ages,educational levels,average monthly household income per capita,place of residence,and duration of disease(P<0.05),specifically showing that participants aged<60 years,with education level above high school,average monthly household income per capita≥4,000 yuan,living in urban areas,and with duration of disease≥5 years had higher HLMS scores.Regression analysis showed that age,educational level,average monthly household income per capita,AHSMSRS score,and each dimension score of the SCSQ were influencing factors for the HLMS score of the participants(P<0.05).Conclusion The health literacy of patients with urinary system stones is at a moderate level and is significantly correlated with age,educational level,average monthly household income per capita,self-management ability,and coping styles.
盛艳;苏敬怡;吕冬梅;吴芸芸;刁苏庆;化丹;刘绪忠
南京医科大学附属淮安第一医院/淮安市第一人民医院泌尿外科,江苏 淮安 223300南京医科大学附属淮安第一医院/淮安市第一人民医院泌尿外科,江苏 淮安 223300南京医科大学附属淮安第一医院/淮安市第一人民医院泌尿外科,江苏 淮安 223300南京医科大学附属淮安第一医院/淮安市第一人民医院泌尿外科,江苏 淮安 223300南京医科大学附属淮安第一医院/淮安市第一人民医院泌尿外科,江苏 淮安 223300南京医科大学附属淮安第一医院/淮安市第一人民医院泌尿外科,江苏 淮安 223300南京医科大学附属淮安第一医院/淮安市第一人民医院泌尿外科,江苏 淮安 223300
医药卫生
泌尿系统结石健康素养影响因素自我管理能力应对方式
Urinary system stonesHealth literacyInfluencing factorsSelf-management abilityCoping styles
《保健医学研究与实践》 2026 (2)
83-88,6
江苏省自然科学基金项目(BK20211064).
评论