Objective To investigate the status quo and influencing factors of health-promoting lifestyle in maintenance hemodialysis (MHD) patients, and to explore its correlation with e-health literacy. Methods A total of 141 patients with MHD in the Hemodialysis Center, West China Hospital of Sichuan University from February 2022 to May 2022 were selected as the research subjects. A general information questionnaire, eHealth Literacy Scale (eHEALs), and Revised Health Promoting Lifestyle Profile-Ⅱ (HPLP-ⅡR) were used to conduct a questionnaire survey for the MHD patients. Results The score of health promotion lifestyle was 104.00±15.01 points, and the score of e-health literacy was 25.26±8.91 in the MHD patients. Multivariate linear regression showed that educational level (high school diploma β=0.285, P=0.030; university degree or above β=0.388, P=0.003), and e-health literacy (β=0.365, P<0.001) were the main influencing factors for health promotion lifestyle. Spearman correlation analysis showed a positive correlation between health literacy and health promotion lifestyle (r=0.474, P<0.001). Conclusion The health promotion lifestyle was better, and e-health literacy was in a general level in the MHD patients. There was a positive correlation between health promotion lifestyle and e-health literacy. We should take targeted measures to improve the e-health literacy and healthy lifestyle to promote the quality of life in MHD patients.
XIONG Rui
,
FAN Dan-Dan
,
CHEN Yang
,
HUANG Pei-Xuan
,
YUAN Huai-Hong
. Study on health-promoting lifestyle and e-health literacy in maintenance hemodialysis patients[J]. Chinese Journal of Blood Purification, 2023
, 22(04)
: 316
-320
.
DOI: 10.3969/j.issn.1671-4091.2023.04.015
[1]何丽娜, 楼伊云, 何金灿,等. 慢性肾脏病患者肿瘤发病情况和相关危险因素[J]. 中华肾脏病杂志, 2020, 36(6):487-491.
[2]周悦玲,丁巍,艾红兰,等. 维持性血液透析的终末期肾病患者脑结构性异常及认知功能分析[J]. 上海交通大学学报(医学版), 2020, 40(7):109-114.
[3]林晶晶, 陈少华, 姚曦,等. 维持性血液透析患者早期死亡率及相关危险因素分析[J]. 中华肾脏病杂志, 2020, 36(8):595-600.
[4]栾伟, 朱珠, 朱冬平,等. 城乡结合社区老年人健康促进生活方式与社会支持,自我效能感相关性研究[J]. 上海交通大学学报:医学版, 2020, 40(1):107-111.
[5]Sahu M, Gandhi S, Kumar Sharma M, etal. Social media use and health promoting lifestyle: an exploration among Indian nursing students. Invest Educ Enferm. 2020 Jul;38(2):e12. doi: 10.17533/udea.iee.v38n2e12.
[6]Smith B, Magnani JW. New technologies, new disparities: The intersection of electronic health and digital health literacy. Int J Cardiol. 2019 Oct 1;292:280-282.
[7]Xie L, Zhang S, Xin M, etal. Electronic health literacy and health-related outcomes among older adults: A systematic review. Prev Med. 2022 Apr;157:106997.doi: 10.1016/j.ypmed.2022.106997.
[8]Su G, Saglimbene V, Wong G, etal. Healthy Lifestyle and Mortality Among Adults Receiving Hemodialysis: The DIET-HD Study. Am J Kidney Dis. 2022 May;79(5):688-698.
[9]郭帅军, 余小鸣, 孙玉颖,等. eHEALS健康素养量表的汉化及适用性探索[J]. 中国健康教育, 2013, 29(2):106-108.
[10]曹文君,郭颖,平卫伟,等.HPLP-II健康促进生活方式量表中文版的研制及其性能测试[J].中华疾病控制杂志,2016,20(3):286-289.
[11]Kang SH, Kim AY, Kim JC, etal. Comparison of Body Composition, Strength, and Physical Performance Measurements Between Healthy Participants and Hemodialysis Patients. Int J Gen Med. 2021 Oct 27;14:7173-7179. doi: 10.2147/IJGM.S336082.
[12]Araujo AM, Orcy RB, Feter N, Weymar MK, Cardoso RK, Bohlke M, Rombaldi AJ. Effects of intradialytic exercise on functional capacity in patients with end-stage chronic kidney disease: a systematic review and meta-analysis. Res Sports Med. 2022 May 27:1-21.
[13]James M, Roy A, Antony E, George S. Impact of patient counseling on treatment adherence behavior and quality of life in maintenance hemodialysis patients. Saudi J Kidney Dis Transpl. 2021 Sep-Oct;32(5):1382-1387.
[14]Bouclaous C, Haddad I, Alrazim A, etal. Health literacy levels and correlates among refugees in Mount Lebanon. Public Health. 2021 Oct;199:25-31.
[15]蔡艳菊,肖惠敏.生活方式对维持性血液透析患者预后影响的研究进展[J].中国血液净化,2021,20(2):115-117.
[16]Fatemeh Siboni,Marzieh Khatooni,Vajihe Atashi. Health-promoting lifestyle practices among patients with chronic diseases and its related factors[J]. Social Health and Behavior,2018,1(2).
[17]陈爱云,张亮.广州市老城区慢性病患者健康促进生活方式及影响因素研究[J].中国全科医学,2020,23(25):3241-3246.
[18]陈婉莉,张成钢,王现,王继伟,余金明.上海市徐汇区居民健康素养与健康促进生活方式关系的横断面研究[J].复旦学报(医学版),2020,47(01):101-105+127.
[19]Mbanda N, Dada S, Bastable K,etal. A scoping review of the use of visual aids in health education materials for persons with low-literacy levels. Patient Educ Couns. 2021 May;104(5):998-1017.
[20]Kim SH,Son YJ. Relationships between eHealth literacy and health behaviors in Korean adults [J]. Comput Inform Nurs,2017,35(2):84-90
[21]Mitsutake S,Shibata A,IshⅡ K,et al. Associations of eHealth literacy with health behavior among adult Internet users [J]. J Med Internet Res,2016,18(7):e192.
[22]施麟俊, 方荣华. 社区老年慢性病人群"互联网+全科团队"健康管理服务的困境及应对策略[J]. 护士进修杂志, 2021, 36(14):1272-1275.
[23]井玉荣, 秦文哲, 张娇,等. 泰安市18~59岁居民电子健康素养与生活方式关系[J]. 中国公共卫生, 2021, 37(9):1323-1327.
[24]徐子犊,张帅,耿季,李菁.糖尿病高危人群电子健康素养与健康促进生活方式的相关性分析[J].中华护理教育,2020,17(09):849-853.