School of Nursing, Wuhan University, Wuhan, China; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.
Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.
Geriatr Nurs. 2024 Mar-Apr;56:237-243. doi: 10.1016/j.gerinurse.2024.02.002. Epub 2024 Feb 20.
To explore the relationship between health personality and quality of life among community-dwelling older adults and to examine the mediating effect of eHealth literacy on this relationship.
A total of 413 community-dwelling older adults from central China were recruited from September 2022 to January 2023. A cross-sectional investigation was conducted using the Chinese versions of the Health Personality Assessment (HPA), eHealth Literacy Scale (eHEALS), and 12-item Short Form Health Survey (SF-12). Correlations between the three variables were examined by Pearson analysis, and mediation analysis was conducted to explore the direct, indirect, and total effects of the health personality on quality of life vis-à-vis eHealth literacy.
Health personality factors (including health neuroticism, health openness, and health conscientiousness), eHealth literacy, and quality of life are significantly correlated (P<0.05); eHealth literacy can play a significant mediating role in the relationship between health neuroticism (β= -0.256, 95 %CI: [-0.405, -0.119]), health openness (β = 0.488, 95 % CI: [0.343,0.652]), health conscientiousness (β= 0.489, 95 % CI: [0.354, 0.634]) and quality of life.
This study revealed that the effect of health personality factors (including health neuroticism, health openness, and health conscientiousness) on quality of life in older adults was mediated through eHealth literacy.
Individual personality is essential to understanding eHealth literacy and quality of life among community-dwelling older adults. It may be helpful to identify the health personality traits of older adults first, then implement targeted interventions accordingly to enhance eHealth literacy and ultimately improve quality of life.
探讨社区老年人健康人格与生活质量的关系，并检验电子健康素养在其中的中介作用。
2022 年 9 月至 2023 年 1 月，从中原地区招募了 413 名社区老年人。采用健康人格评估量表（HPA）、电子健康素养量表（eHEALS）和 12 项简明健康调查量表（SF-12）的中文版对老年人进行横断面调查。采用 Pearson 分析检验三个变量之间的相关性，采用中介分析探讨健康人格对生活质量的直接、间接和总效应，以及电子健康素养的中介作用。
健康人格因素（包括健康神经质、健康开放性和健康尽责性）、电子健康素养和生活质量显著相关（P<0.05）；电子健康素养在健康神经质（β= -0.256，95 %CI：[-0.405，-0.119]）、健康开放性（β = 0.488，95 % CI：[0.343，0.652]）、健康尽责性（β= 0.489，95 % CI：[0.354，0.634]）与生活质量之间的关系中发挥显著的中介作用。
本研究表明，健康人格因素（包括健康神经质、健康开放性和健康尽责性）对老年人生活质量的影响是通过电子健康素养介导的。
个体人格对于理解社区老年人的电子健康素养和生活质量至关重要。首先识别老年人的健康人格特征，然后相应地实施有针对性的干预措施，可能有助于提高电子健康素养，最终改善生活质量。
