Zhang Jiali, Chen Yinhai, Lu Yuanwei, Jiang Xuan, Lin Congxuan, Ke Xiong
School of Public Health, North Sichuan Medical College, Nanchong, China.
School of Nursing, North Sichuan Medical College, Nanchong, China.
Front Public Health. 2025 Jun 4;13:1544259. doi: 10.3389/fpubh.2025.1544259. eCollection 2025.
We aimed to assess quality of life in patients with chronic diseases and identify influencing factors, as well as to explore the relationship between health literacy and quality of life in this population.
We used health literacy and EuroQol 5-Dimensions 5-Level version survey data from chronically ill patients in the 2023 Sichuan Province Chinese Resident Psychological and Behavioral Survey Study. We analyzed factors influencing quality of life using a tobit regression model and examined the relationship between quality of life and health literacy using canonical correlation analysis.
The health utility value for quality of life among 611 patients with chronic diseases was 0.95 (0.86-1), with an EuroQol Visual Analog Scale score of 71.04 ± 16.21. Regression analysis revealed that health literacy ( = 0.004), sex ( = 0.015), body mass index ( = 0.047), occupation ( = 0.012), marital status ( = 0.026), debt status ( = 0.001), comorbidity ( < 0.001) and living alone ( = 0.033) were significantly associated with quality of life. Canonical correlation analysis showed a correlation of 0.269 ( < 0.001) between health literacy and quality of life, primarily related to factors such as treatment information, mental health, and vaccine type, which were correlated with pain or discomfort.
Enhancing health literacy can positively impact the life quality of patients with chronic diseases. Key elements of health literacy interventions should include evaluating treatment information, accessing resources to address mental health concerns, and determining individual vaccine needs. Health education strategies should be developed to improve both health literacy and quality of life for patients with chronic diseases.
我们旨在评估慢性病患者的生活质量，确定影响因素，并探讨该人群健康素养与生活质量之间的关系。
我们使用了2023年四川省中国居民心理与行为调查研究中慢性病患者的健康素养和欧洲五维度五水平问卷调查数据。我们使用托比特回归模型分析影响生活质量的因素，并使用典型相关分析检验生活质量与健康素养之间的关系。
611名慢性病患者生活质量的健康效用值为0.95（0.86 - 1），欧洲五维度视觉模拟量表评分为71.04±16.21。回归分析显示，健康素养（=0.004）、性别（=0.015）、体重指数（=0.047）、职业（=0.012）、婚姻状况（=0.026）、债务状况（=0.001）、合并症（<0.001）和独居（=0.033）与生活质量显著相关。典型相关分析表明，健康素养与生活质量之间的相关性为0.269（<0.001），主要与治疗信息、心理健康和疫苗类型等因素有关，这些因素与疼痛或不适相关。
提高健康素养可对慢性病患者的生活质量产生积极影响。健康素养干预的关键要素应包括评估治疗信息、获取解决心理健康问题的资源以及确定个人疫苗需求。应制定健康教育策略，以提高慢性病患者的健康素养和生活质量。
