自我效能感在孕妇电子健康素养与分娩准备之间关系中的中介作用：一项横断面研究。

The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study.

作者信息

Zhou Ningying, Wu Danni, Liu Min, Hu Shanshan, Zhang Feng, Zan Yuqing, Sun Fei

机构信息

Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China.

Department of Nursing, Affiliated Women's Hospital of Jiangnan University, Wuxi, Jiangsu, China.

出版信息

Front Public Health. 2025 Apr 9;13:1561855. doi: 10.3389/fpubh.2025.1561855. eCollection 2025.

DOI:10.3389/fpubh.2025.1561855

PMID:40270747

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12014681/

Abstract

BACKGROUND

Childbirth readiness is an important component of maternal and child health. Therefore, it is imperative to understand identify the factors influencing childbirth readiness to develop interventions for improving women's wellbeing. In the current digital age, it is crucial to explore the link between eHealth literacy and childbirth readiness. However, few studies have investigated this relationship. Here, we explored the effect of eHealth literacy on childbirth readiness and examined the mediating role of self-efficacy in this relationship.

METHODS

A total of 350 third-trimester pregnant women were enrolled in this survey from April to June 2023 at the outpatient departments of the Affiliated Women's Hospital of Jiangnan University, China. Four questionnaires were used to collect data from participants: the General Information Questionnaire, eHealth Literacy Scale (eHEALS), General Self-Efficacy Scale (GSES), and Childbirth Readiness Scale (CRS). The associations among variables were determined through Pearson correlation analysis, and the Amos 26.0 software was employed to analyze the mediating role of self-efficacy.

RESULTS

A total of 350 surveys were distributed to the participants, and 338 eligible questionnaires were finally collected, translating to a response rate of 96.57%. The average score of participants was 27.39 ± 6.40 on the GSES, 32.15 ± 6.16 on the eHEALS, and 74.26 ± 8.81 on the CRS. The eHEALS scores exhibited a strong positive association with self-efficacy ( = 0.509, < 0.01), which in turn was positively correlated with childbirth readiness ( = 0.505, < 0.01). Self-efficacy mediated the relationship between eHealth literacy and childbirth readiness, accounting for 33.02% of the total effect.

CONCLUSIONS

E-health literacy is a positive predictor of childbirth readiness among pregnant women, with self-efficacy mediating the association. These findings provide a basis for developing targeted interventions to improve childbirth readiness.

摘要

背景

分娩准备是妇幼健康的重要组成部分。因此，了解影响分娩准备的因素对于制定改善妇女福祉的干预措施至关重要。在当前的数字时代，探索电子健康素养与分娩准备之间的联系至关重要。然而，很少有研究调查这种关系。在此，我们探讨了电子健康素养对分娩准备的影响，并检验了自我效能感在这种关系中的中介作用。

方法

2023年4月至6月，在中国江南大学附属女子医院门诊部，共招募了350名孕晚期孕妇参与本调查。使用四份问卷从参与者那里收集数据：一般信息问卷、电子健康素养量表（eHEALS）、一般自我效能感量表（GSES）和分娩准备量表（CRS）。通过Pearson相关分析确定变量之间的关联，并使用Amos 26.0软件分析自我效能感的中介作用。

结果

共向参与者发放了350份调查问卷，最终收集到338份合格问卷，回复率为96.57%。参与者在GSES上的平均得分为27.39±6.40，在eHEALS上的平均得分为32.15±6.16，在CRS上的平均得分为74.26±8.81。eHEALS得分与自我效能感呈强正相关（r = 0.509，P < 0.01），而自我效能感又与分娩准备呈正相关（r = 0.505，P < 0.01）。自我效能感介导了电子健康素养与分娩准备之间的关系，占总效应的33.02%。