作者：张伟，沈晓青，朱丽丽，刘曦阳，魏佳慧，任丽，王慧，张文杰

单位：

1.江苏大学京江学院2.江苏大学医学院3.江苏省泰州市第二人民医院护理部4.江苏大学附属人民医院护理部5.江苏大学附属医院护理部

Units：

1.Jiangsu University Jingjiang College, Zhenjiang 212000, China 2.School of Medicine, Jiangsu University, Zhenjiang 212000, China 3.Nursing Department, Taizhou Second People's Hospital, Taizhou 225300, China 4.Nursing Department, People's Hospital Affiliated to Jiangsu University, Zhenjiang 212000, China 5.Nursing Department, Affiliated Hospital of Jiangsu University, Zhenjiang 212000, China

关键词：

高血压; 健康信息素养; 自我管理能力; 典型相关关系;

Keywords：

　Hypertension; Health information literacy; Self management ability; Canonical correlation analysis

CLC：

DOI：

10.12114/j.issn.1008-5971.2023.00.114

Funds：

江苏省教育科学“十四五规划”2021年度课题（B/2021/01/25）； 江苏省高等教育学会“十四五”高等教育科学研究规划课题（YB012）； 江苏大学2021年度临床医学科技发展基金项目（JLY2021190）；

摘要：

目的 采用典型相关分析探讨高血压患者健康信息素养(HIL)与自我管理能力的关系。方法 采用便利抽样法选取2021年8—10月江苏大学附属医院、泰州市第二人民医院心内科收治的高血压患者240例为调查对象。调查问卷包括一般资料问卷、高血压患者HIL量表、高血压病人自我管理量表(SMSPH)，采用Pearson相关分析和典型相关分析探讨高血压患者HIL与自我管理能力的相关性。结果 共发放问卷240份，回收有效问卷238份，有效回收率为99.17%。238例患者的高血压患者HIL量表总分为(84.0±12.6)分，其中健康信息认知维度得分为(8.7±2.6)分、健康信息获取维度得分为(24.7±8.7)分、健康信息评价维度得分为(11.7±3.5)分、健康信息应用维度得分为(39.1±5.1)分；SMSPH总分为(68.6±14.8)分，其中治疗管理维度得分为(27.5±7.4)分、饮食运动管理维度得分为(15.6±5.9)分、生活习惯管理维度得分为(16.4±5.3)分、危险因素管理维度得分为(9.2±3.7)分。不同性别、年龄、工作状态、文化程度、家庭年收入高血压患者HIL量表总分、SMSPH总分比较，差异有统计学意义(P<0.05)。Pearson相关分析结果显示，高血压患者HIL量表总分与SMSPH总分呈正相关(r=0.570,P<0.05)。自我管理能力的第一典型变量(W1)的线性组合为：W1=0.634X1+0.426X2+0.152X3-0.047X4;HIL的第一典型变量(V1)的线性组合为：V1=-0.141Y1+0.545Y2+0.656Y3-0.126Y4。典型载荷分析结果显示，W1与治疗管理、饮食运动管理的相关系数分别为0.888、0.849,P值均<0.05;V1与健康信息获取、健康信息评价的相关系数分别为0.860、0.837,P值均<0.05。典型交叉载荷分析结果显示，W1与健康信息获取、健康信息评价的相关系数分别为0.667、0.632,P值均<0.05;V1与治疗管理、饮食运动管理的相关系数分别为0.632、0.649,P值均<0.05。典型冗余分析结果显示，自我管理能力被W1解释的方差比例为41.5%,HIL被V1解释的方差比例为37.5%，而自我管理能力被V1解释的方差比例为23.8%。结论 高血压患者HIL与自我管理能力相关，健康信息获取与健康信息评价能力越强，其治疗管理与饮食运用管理能力越好，故健康信息获取和健康信息评价可作为提升高血压患者自我管理能力的切入点。

Abstract：

Objective To explore the relationship between health information literacy (HIL) and self management ability in patients with hypertension using canonical correlation analysis. Methods A convenient sampling method was used to select 240 hypertension patients admitted to the Cardiology Department of Affiliated Hospital of Jiangsu University and Taizhou Second People's Hospital from August to October 2021. The questionnaire included general information questionnaire, Hypertension Patients' HIL Scale, and Self-management Scale for Patients with Hypertension (SMSPH) . The Pearson correlation analysis and canonical correlation analysis were used to explore the relationship between HIL and self management ability in patients with hypertension. Results A total of 240 questionnaires were distributed and 238 valid questionnaires were returned, with a valid return rate of 99.17%. The total score of Hypertension Patients' HIL Scale of 238 patients was (84.0±12.6) , health information awareness dimension score was (8.7±2.6) , health information acquisition dimension score was (24.7±8.7) , health information evaluation dimension score was (11.7±3.5) , health information application dimension score was (39.1±5.1) . The total score of SMSPH was (68.6±14.8) , treatment management dimension score was (27.5±7.4) , diet and exercise management dimension score was (15.6±5.9) , lifestyle management dimension score was (16.4±5.3) , risk factor management dimension score was (9.2±3.7) . There was significant difference in the total score of Hypertension Patients' HIL Scale and SMSPH among hypertensive patients with different gender, age, work status, education level and annual household income (P < 0.05) . Pearson correlation analysis showed that there was a positive correlation between the total score of Hypertension Patients' HIL Scale and the total score of SMSPH (r=0.570, P < 0.05) . The linear combination of the first typical variable (W1) of self management ability was: W1=0.634X1+0.426X2+0.152X3-0.047X4. The linear combination of the first typical variable (V1) of HIL was: V1= -0.141Y1+0.545Y2+0.656Y3-0.126Y4. The results of typical load analysis showed that the correlation coefficients between W1 and treatment management and diet and exercise management were 0.888 and 0.849, respectively, both P values were < 0.05; the correlation coefficients between V1 and health information acquisition and health information evaluation were 0.860 and 0.837, respectively, both P values were < 0.05. The results of typical cross load analysis showed that the correlation coefficients between W1 and health information acquisition and health information evaluation were 0.667 and 0.632, respectively, both P values were < 0.05; the correlation coefficients between V1 and treatment management and diet and exercise management were 0.632 and 0.649, respectively, both P values were < 0.05. Typical redundancy analysis showed that the proportion of variance explained by the self management ability by W1 was 41.5%, the proportion of variance explained by the HIL by V1 was 37.5%, while the proportion of variance explained by self management ability by V1 was 23.8%. Conclusion HIL is associated with self management ability in hypertensive patients, the stronger the ability to obtain and evaluate health information, the better the patient's ability to manage treatment and dietary use, therefore, the health information acquisition and health information evaluation can be used as entry points to improve self management ability of patients with hypertension.

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