The mediation effect of health literacy on social support and health lifestyle of patients with chronic diseases

IF 2.7 4区医学 Q1 NURSING Applied Nursing Research Pub Date : 2024-02-01 DOI:10.1016/j.apnr.2024.151763

Xuemin Zhang , Cuiyun Li , Min Liu , Junfang Sun , Heng Yue , Hugejiletu Bao

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Abstract

Background

Previous studies have identified the antecedents of the lifestyle of many patients with chronic diseases. However, the mechanism of social support affecting the lifestyle of patients with chronic diseases is unclear, and the role of health literacy in social support affecting the lifestyle of patients with chronic diseases has not been found. Therefore, this study aims to explore the status quo of social support, health literacy and healthy lifestyle of patients with chronic diseases in China and the relationship among them.

Methods

Through convenient sampling, 356 patients with chronic diseases were surveyed using a health promoting lifestyle scale, a chronic disease patients' health literacy scale and a social support scale.

Results

There was a pairwise positive correlation between social support, health lifestyle and health literacy (R = 0.397,0.356,0.556, P < 0.01). After controlling gender, age and education level, it is found that social support has a positive impact on health lifestyle, and health literacy plays an intermediary role between social support and health lifestyle, accounting for 45.78 % of the total effect.

Conclusion

To promote the healthy lifestyle of patients with chronic diseases and delay the development of the disease, we should strengthen social support for patients with chronic diseases; We should simultaneously take various measures to improve their health literacy.

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健康素养对慢性病患者社会支持和健康生活方式的中介效应

背景以往的研究发现了许多慢性病患者生活方式的前因。然而，社会支持影响慢性病患者生活方式的机制尚不明确，健康素养在社会支持影响慢性病患者生活方式中的作用也尚未发现。方法通过方便抽样，采用健康促进生活方式量表、慢性病患者健康素养量表和社会支持量表对 356 名慢性病患者进行调查。结果社会支持、健康生活方式和健康素养之间存在成对正相关（R=0.397,0.356,0.556, P <0.01）。结论为促进慢性病患者的健康生活方式，延缓疾病的发展，应加强对慢性病患者的社会支持；同时应采取各种措施提高慢性病患者的健康素养。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.