Samanci Tekin Cigdem, Kiliç Züleyha
Department of Public Health, Faculty of Medicine, Internal Medical Sciences, Nigde Ömer Halisdemir University, Bor yolu üzeri, Merkez kampus yerleşke, Tıp Fakültesi Merkez, Nigde, Turkey.
Department of Internal Diseases Nursing, Zübeyde Hanım Faculty of Health Science, Nigde Ömer Halisdemir University, Aşağı Kayabaşı Mah. Atatürk Bulvarı Derbent Yerleşkesi Merkez, Nigde, Turkey.
Sci Rep. 2025 May 29;15(1):18877. doi: 10.1038/s41598-025-03595-3.
The present study attempts to uncover eHealth literacy and cancer screening attitudes among chronic patients receiving inpatient treatment. We collected the data of this cross-sectional study from 300 chronic patients face-to-face between August 1 and November 30, 2023. Participants were administered a demographic information form, the e-Health Literacy Scale, and the Attitude Scale for Cancer Screening. We analyzed the data using independent samples t-test, one-way analysis of variance, and simple linear regression analysis. Our findings showed that only one-fifth of participants were knowledgeable about cancer screening programs. The most prevalent facilitating and hindering factors of getting screened for cancer were found to be professional healthcare guidance and lack of knowledge, respectively. Participants had a mean score of 14.17 ± 10.29 on the e-Health Literacy Scale and 89.66 ± 20.86 on the Attitude Scale for Cancer Screening. Moreover, we found that the greater the eHealth literacy, the more positive participants' attitudes toward cancer screening. Finally, 6.4% of the variance in the cancer screening attitudes was explained by eHealth literacy (p < 0.05). Insufficient eHealth literacy and cancer screening attitudes among chronic patients, particularly those receiving inpatient treatment, are likely to lead patients to remain incognizant of their elevated risks and unable to cooperate with their physicians. Our findings imply designing multidisciplinary initiatives to boost e-health literacy among chronic patients.
本研究旨在揭示接受住院治疗的慢性病患者的电子健康素养和癌症筛查态度。我们在2023年8月1日至11月30日期间，通过面对面的方式收集了300名慢性病患者的横断面研究数据。参与者填写了一份人口信息表、电子健康素养量表和癌症筛查态度量表。我们使用独立样本t检验、单因素方差分析和简单线性回归分析对数据进行了分析。我们的研究结果表明，只有五分之一的参与者了解癌症筛查项目。结果发现，进行癌症筛查最普遍的促进因素和阻碍因素分别是专业医疗指导和知识缺乏。参与者在电子健康素养量表上的平均得分为14.17±10.29，在癌症筛查态度量表上的平均得分为89.66±20.86。此外，我们发现电子健康素养越高，参与者对癌症筛查的态度就越积极。最后，电子健康素养解释了癌症筛查态度中6.4%的变异（p<0.05）。慢性病患者，尤其是接受住院治疗的患者，电子健康素养和癌症筛查态度不足，可能会导致患者对自身升高的风险认识不足，无法与医生合作。我们的研究结果意味着需要设计多学科举措来提高慢性病患者的电子健康素养。
