心力衰竭患者的患者激活、知识及健康素养与自我管理行为的关联
Patient activation, knowledge, and health literacy association with self-management behaviors in persons with heart failure.
作者信息
Jacobson Ann F, Sumodi Veronica, Albert Nancy M, Butler Robert S, DeJohn Lori, Walker Donna, Dion Kelly, Tai Hua-Li Lin, Ross Donna M
机构信息
Cleveland Clinic Hillcrest Chronic Care, 6801 Mayfield Rd., Mayfield Heights, OH 44124.
Cleveland Clinic Hillcrest Chronic Care, 6801 Mayfield Rd., Mayfield Heights, OH 44124.
出版信息
Heart Lung. 2018 Sep-Oct;47(5):447-451. doi: 10.1016/j.hrtlng.2018.05.021. Epub 2018 Jun 14.
BACKGROUND
More evidence is needed about factors that influence self-management behaviors in persons with heart failure.
OBJECTIVE
To test a correlational mediation model of the independent variables of health literacy, patient activation, and heart failure knowledge with heart failure self-management behaviors.
METHODS
The study used a prospective, cross-sectional, correlational design. Correlation and multiple regression were used to analyze associations among variables.
RESULTS
Of 151 participants, 57% were male, and mean age was 68 years. Heart failure self-management behaviors was positively correlated with patient activation level (p = .0008), but not with health literacy or heart failure knowledge.
CONCLUSIONS
Persons with heart failure may better manage their condition if sufficiently activated, regardless of their level of health literacy or knowledge of heart failure disease and management processes.
背景
需要更多关于影响心力衰竭患者自我管理行为因素的证据。
目的
检验健康素养、患者激活度和心力衰竭知识等自变量与心力衰竭自我管理行为之间的相关中介模型。
方法
本研究采用前瞻性、横断面、相关性设计。使用相关性分析和多元回归分析来分析变量之间的关联。
结果
151名参与者中，57%为男性，平均年龄为68岁。心力衰竭自我管理行为与患者激活水平呈正相关（p = .0008），但与健康素养或心力衰竭知识无关。
结论
心力衰竭患者如果得到充分激活，无论其健康素养水平或对心力衰竭疾病及管理过程的了解程度如何，都可能更好地管理自己的病情。
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