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护理学报 ›› 2019, Vol. 26 ›› Issue (11): 15-19.doi: 10.16460/j.issn1008-9969.2019.11.015

• 研究生园地 • 上一篇    下一篇

健康素养在心功能衰竭患者抑郁与自护维持的中介作用

何登鑫, 范秀珍   

  1. 山东大学 护理学院,山东 济南 250012
  • 收稿日期:2019-02-18 发布日期:2020-07-08
  • 通讯作者: 范秀珍（1965-）,女,山东济南人,博士研究生,教授,博士研究生导师。
  • 作者简介:何登鑫（1993-）,男,湖北利川人,本科学历,硕士研究生在读。

Mediation Effect of Health Literacy between Depression and Self-care Maintenance in Patients with Heart Failure

HE Deng-xin, FAN Xiu-zhen   

  1. Nursing school, Shandong University, Jinan 250012, China
  • Received:2019-02-18 Published:2020-07-08

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摘要： 目的 了解心功能衰竭患者自护维持的现状,分析健康素养在心功能衰竭患者抑郁症状与自护维持间的中介作用,为提高心功能衰竭患者自护维持提供依据。方法 方便抽取山东省某三级甲等医院321例住院的心功能衰竭患者,使用问卷调查患者的自护维持、抑郁症状、健康素养、一般资料及临床特征。结果 心功能衰竭患者健康素养得分为48.4分;Pearson相关分析显示：抑郁症状与自护维持（r=-0.265,P<0.001）、健康素养（r=-0.462,P<0.001）均呈负相关,健康素养与自护维持呈正相关（r=0.407,P<0.001）。在中介检验中,控制协变量同时将抑郁和健康素养纳入回归中,抑郁症状与自护维持的相关系数下降36.3%（β=-0.137,P=0.017）。结论 健康素养在心功能衰竭患者抑郁症状与自护维持间起部分中介作用。医护人员在制定干预措施提高存在抑郁症状的心功能衰竭患者的自护维持时,除减轻心功能衰竭患者的抑郁症状外,改善心功能衰竭患者的健康素养也是一个新的干预思路。

关键词: 心功能衰竭, 自护维持, 抑郁症状, 健康素养, 中介作用

Abstract: Objectives To assess patients' self-care maintenance and explore the mediation effect of health literacy between depression and self-care maintenance in patients with heart failure (HF). Methods We recruited 321 patients with HF in a hospital in Shandong province and they were surveyed by using self-designed questionnaires to assess patients' depressive symptoms, health literacy and self-care maintenance. Results The score of health literacy of HF patients was 48.4. Pearson's correlation analysis showed depressive symptoms were negatively associated with self-care maintenance (r=-0.265, P<0.001) and health literacy (r=-0.462, P<0.001) but health literacy was positively associated with self-care maintenance(r=0.407, P<0.001). Mediation effect analysis showed that when both depression and health literacy entered the regression equation, coefficient of correlation between depressive symptoms and self-care maintenance decreased to 36.3% (β=-0.137,P=0.017). Conclusion Health literacy plays a partly mediating role between depressive symptoms and self-care maintenance. In addition to the improvement of depressive symptoms, health literacy should be taken into consideration when formulating interventions for improving self-care maintenance of patients with HF.

Key words: heart failure, self-care maintenance, depressive symptoms, health literacy, mediating effect

中图分类号: 

  • R473.54
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