Wu Jiali, Li Congling, Wu Xianning, Su Dan
School of Nursing, Anhui Medical University, Hefei, China.
The First Affiliated Hospital of University of Science and Technology of China, Hefei, China.
J Clin Nurs. 2025 May 14. doi: 10.1111/jocn.17807.
To explore the chain-mediating roles of negative emotions and caregiver readiness between self-efficacy and e-health literacy among caregivers of patients with lung cancer.
With the rise of Internet health services, caregivers of patients with lung cancer, who are one of the health decision makers, are encountering new challenges. In order to develop appropriate interventions, it is necessary to explore in depth the various influencing factors associated with them.
A cross-sectional survey.
A total of 293 caregivers of patients with lung cancer were recruited between November 2023 and April 2024 through a convenience sampling method. These participants completed the demographic data questionnaire, General Self-Efficacy Scale (GSES), Hospital Anxiety and Depression Scale (HADS), Caregivers Preparedness Scale (CPS), and eHealth Literacy Scale (eHEALS). Independent samples t-tests and a one-way ANOVA were employed to identify the primary influencing factors. Structural equation modelling was employed to detect the mediating effects of negative emotions and caregiver readiness.
The STROBE checklist was used for this study.
The total e-health literacy score of caregivers of patients with lung cancer was 29.65 ± 7.11, and there was a correlation between self-efficacy, negative emotions, caregiver readiness, and e-health literacy. The results of the path analysis showed that negative emotions and caregiver readiness had chain-mediating roles between self-efficacy and e-health literacy among caregivers of patients with lung cancer, with the total indirect effect accounting for 31.17% of the total effect.
Caregivers of patients with lung cancer exhibit moderate levels of e-health literacy. This research suggests that self-efficacy not only has a direct and positive influence on e-health literacy but may also amplify it by mediating the interplay between negative emotions and caregiver readiness.
Healthcare providers should be cognizant of the negative emotions and readiness displayed by family caregivers in the hospital setting to aid them in cultivating strong health literacy for more efficient management of illness care tasks.
Nurses at the hospitals assisted us in collecting data from family caregivers of patients with lung cancer, and the caregivers actively cooperated in completing the questionnaires.
探讨肺癌患者照顾者自我效能感与电子健康素养之间消极情绪和照顾者准备度的链式中介作用。
随着互联网健康服务的兴起，作为健康决策制定者之一的肺癌患者照顾者正面临新的挑战。为制定适当的干预措施，有必要深入探究与之相关的各种影响因素。
横断面调查。
2023年11月至2024年4月期间，通过便利抽样法招募了293名肺癌患者照顾者。这些参与者完成了人口统计学数据问卷、一般自我效能感量表（GSES）、医院焦虑抑郁量表（HADS）、照顾者准备度量表（CPS）和电子健康素养量表（eHEALS）。采用独立样本t检验和单因素方差分析来确定主要影响因素。采用结构方程模型来检测消极情绪和照顾者准备度的中介作用。
本研究使用了STROBE清单。
肺癌患者照顾者的电子健康素养总分为29.65±7.11，自我效能感、消极情绪、照顾者准备度和电子健康素养之间存在相关性。路径分析结果表明，消极情绪和照顾者准备度在肺癌患者照顾者的自我效能感和电子健康素养之间具有链式中介作用，总间接效应占总效应的31.17%。
肺癌患者照顾者的电子健康素养处于中等水平。本研究表明，自我效能感不仅对电子健康素养有直接的正向影响，还可能通过调节消极情绪和照顾者准备度之间的相互作用来增强这种影响。
医疗保健提供者应认识到医院环境中家庭照顾者所表现出的消极情绪和准备度，以帮助他们培养强大的健康素养，从而更有效地管理疾病护理任务。
医院护士协助我们从肺癌患者的家庭照顾者那里收集数据，照顾者积极配合完成问卷。
