健康素养与糖尿病自我护理活动：知识和患者激活的中介作用。
Health literacy and diabetes self-care activities: The mediating effect of knowledge and patient activation.
机构信息
College of Nursing, Kyungpook National University, Daegu, South Korea.
出版信息
Int J Nurs Pract. 2021 Aug;27(4):e12925. doi: 10.1111/ijn.12925. Epub 2021 Mar 23.
BACKGROUND
An association between health literacy and health outcomes has been widely reported in the literature. However, models exploring the links between health literacy and the outcomes of health literacy need further testing. The purpose of this study was to examine the pathways of health literacy on diabetes self-care activities amongst patients with Type 2 diabetes.
METHODS
A cross-sectional survey using secondary data analysis was conducted on 155 patients with Type 2 diabetes recruited from the diabetes clinics of two university hospitals in a metropolitan city in South Korea. Structural equation modelling analysis using bootstrapping was carried out using the AMOS software.
RESULTS
Health literacy had no significant direct effect on diabetes self-care activities. Rather, health literacy had a significant indirect effect on diabetes self-care activities mediated through diabetes knowledge and patient activation.
CONCLUSION
These findings indicate that interventions intended to improve self-care activity amongst older adults with low health literacy should include strategies to enhance patients' knowledge, as well as their activation for diabetes self-care.
背景
健康素养与健康结果之间的关联在文献中已有广泛报道。然而，探索健康素养与健康素养结果之间联系的模型仍需要进一步测试。本研究旨在探讨 2 型糖尿病患者的健康素养对其自我护理活动的影响途径。
方法
本研究采用横断面调查方法，对来自韩国一个大都市的两所大学医院的糖尿病诊所的 155 名 2 型糖尿病患者进行了二次数据分析。使用 AMOS 软件进行结构方程模型分析，并采用 bootstrap 进行检验。
结果
健康素养对糖尿病自我护理活动没有显著的直接影响。相反，健康素养通过糖尿病知识和患者激活对糖尿病自我护理活动有显著的间接影响。
结论
这些发现表明，旨在提高低健康素养的老年患者自我护理活动的干预措施应包括增强患者知识以及提高其对糖尿病自我护理积极性的策略。
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