Electronic health literacy status and influencing factors of maintenance hemodialysis patients_West China Medical Journal

Authors：

HUANG Peixuan , YANG Yujie , XIONG Rui , ZENG Ying ,  YUAN Huaihong , ZHU Linfang

Department of Nephrology, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YUAN Huaihong, Email: yuanhuaihong@wchscu.cn

Keywords：

eHealth literacy; mintenance hemodialysis; influencing factors; internet

DOI：

10.7507/1002-0179.202205147

Video：

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Objective To understand the current situation of eHealth literacy of maintenance hemodialysis (MHD) patients and analyze the influencing factors to improve the eHealth literacy of MHD patients. Methods Using cross-sectional survey method, MHD patients in West China Hospital of Sichuan University were selected as the subjects between February and April 2022. eHealth Literacy Scale (eHEALS) was used to investigate the status of eHealth literacy, and the influencing factors of MHD patients were analyzed. Results A total of 194 MHD patients were investigated. The total eHEALS score of MHD patients was 24.55±9.14. The results of generalized linear regression showed that education level, medical payment method, age, frequency of internet forums, interest in internet health knowledge search, and Baidu search engine (a common channel for searching disease information online) were the influencing factors of MHD patients’ electronic health literacy. Conclusion The electronic health literacy level of MHD patients is low, so renal medical staff should pay attention to the electronic health literacy of MHD patients and develop targeted interventions to help patients better manage their own health problems.

Citation： HUANG Peixuan, YANG Yujie, XIONG Rui, ZENG Ying, YUAN Huaihong, ZHU Linfang. Electronic health literacy status and influencing factors of maintenance hemodialysis patients. West China Medical Journal, 2022, 37(9): 1322-1327. doi: 10.7507/1002-0179.202205147 Copy

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21.	楊艷, 謝倫芳, 陳佩玲, 等. 電子健康素養漢化量表在系統性紅斑狼瘡病人中的信效度研究. 護理研究, 2019, 33(18): 3198-3202.
22.	Hoogland AI, Mansfield J, Lafranchise EA, et al. eHealth literacy in older adults with cancer. J Geriatr Oncol, 2020, 11(6): 1020-1022.

1. 國家圖書館研究院. 中國互聯網絡信息中心發布第 46 次《中國互聯網絡發展狀況統計報告》. 國家圖書館學刊, 2020, 29(6): 19.
2. Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world. J Med Internet Res, 2006, 8(2): e9.
3. 中國醫院協會血液凈化中心管理分會血液透析登記組. 我國面臨快速增長的終末期腎病治療負擔. 中國血液凈化, 2010, 9(1): 47-49.
4. 醫師報. CNA2020/四位院士蒞臨年會, 陳香美院士: 全國血透在線登記63.2萬向血液凈化強國邁進. (2020-11-09)[2022-05-01]. http://www.mdweekly.com.cn/html/huiyi/huiyibaodao/2018/0622/31377.html.
5. 王質剛. 血液凈化學. 2 版. 北京: 北京科學技術出版社, 2003.
6. 臧格, 時秋英, 徐甜甜, 等. 中老年血液透析患者電子健康素養與生活質量的相關研究. 現代預防醫學, 2017, 44(4): 672-675.
7. Yang SC, Luo YF, Chiang CH. The associations among individual factors, eHealth literacy, and health-promoting lifestyles among college students. J Med Internet Res, 2017, 19(1): e15.
8. 趙煜華, 王俊霞, 吳田瑞, 等. 腸造口患者電子健康素養現況及其影響因素分析. 護理管理雜志, 2021, 21(11): 805-809, 818.
9. 郭帥軍, 余小鳴, 孫玉穎, 等. eHEALS 健康素養量表的漢化及適用性探索. 中國健康教育, 2013, 29(2): 106-108, 123.
10. 亢東琴, 陸宇晗, 王云. 腫瘤患者電子健康素養現況及影響因素的調查研究. 中華現代護理雜志, 2020, 26(22): 2998-3004.
11. Bailey CE, Kohler WJ, Makary C, et al. eHealth Literacy in otolaryngology patients. Ann Otol Rhinol Laryngol, 2019, 128(11): 1013-1018.
12. Heiman H, Keinki C, Huebner J, et al. EHealth literacy in patients with cancer and their usage of web-based information. J Cancer Res Clin Oncol, 2018, 144(9): 1843-1850.
13. Neter E, Brainin E. eHealth literacy: extending the digital divide to the realm of health information. J Med Internet Res, 2012, 14(1): e19.
14. Mitsutake S, Shibata A, Ishii K, et al. Association of eHealth literacy with colorectal cancer knowledge and screening practice among internet users in Japan. J Med Internet Res, 2012, 14(6): e153.
15. Milne RA, Puts MT, Papadakos J, et al. Predictors of high eHealth literacy in primary lung cancer survivors. J Cancer Educ, 2015, 30(4): 685-692.
16. Melholt C, Joensson K, Spindler H, et al. Cardiac patients’ experiences with a telerehabilitation web portal: implications for eHealth literacy. Patient Educ Couns, 2018, 101(5): 854-861.
17. Tariq A, Khan SR, Basharat A. Patterns of internet use, eHealth literacy and supplementation use among young adults in Pakistan: cross-sectional study (preprint). J Med Internet Res, 2019, 22(6). [2022-05-01]. https://www.researchgate.net/publication/338808443_Patterns_of_Internet_Use_eHealth_Literacy_and_Supplementation_Use_among_Young_Adults_in_Pakistan_Cross-Sectional_Study_Preprint.
18. Masterson Creber RM, Maurer MS, Reading M, et al. Review and analysis of existing mobile phone apps to support heart failure symptom monitoring and self-care management using the mobile application rating scale (MARS). JMIR Mhealth Uhealth, 2016, 4(2): e74.
19. 李信, 李旭暉. 面向電子健康素養的大學生網絡健康信息搜尋行為現狀調查及對策建議. 圖書館理論與實踐, 2017(4): 44-50.
20. 張琰. 維持性血液透析患者認知功能與腦白質變性的研究. 石家莊: 河北醫科大學, 2013.
21. 楊艷, 謝倫芳, 陳佩玲, 等. 電子健康素養漢化量表在系統性紅斑狼瘡病人中的信效度研究. 護理研究, 2019, 33(18): 3198-3202.
22. Hoogland AI, Mansfield J, Lafranchise EA, et al. eHealth literacy in older adults with cancer. J Geriatr Oncol, 2020, 11(6): 1020-1022.

West China Medical Journal

Electronic health literacy status and influencing factors of maintenance hemodialysis patients

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