| 程成,汪丹丹,吴赞芳,童佳谣,汪武康.电子健康素养对冠心病患者生命质量的影响：社会支持和自我效能的链式中介效应[J].济宁医学院学报,2026,49(1):18-24 |
| 电子健康素养对冠心病患者生命质量的影响：社会支持和自我效能的链式中介效应 |
| The influence of e-health literacy on the quality of life of patients with coronary heart disease: the mediating role of social support and self-efficacy |
| 投稿时间：2025-10-13 |
| DOI：10.3969/j.issn.1000-9760.2026.01.004 |
| 中文关键词: 冠心病;电子健康素养;社会支持;自我效能;生命质量 |
| 英文关键词: Coronary heart disease;E-health literacy;Social support;Self-efficacy;Quality of life |
| 基金项目:安徽省省级研究生教学改革研究项目(2024jyjxggyjY249)；安徽省省级质量工程新文科、新医科研究与改革实践项目(2020WYXM185) |
| 作者 | 单位 | E-mail | | 程成 | 皖南医学院研究生学院, 芜湖 241002 | | | 汪丹丹 | 皖南医学院研究生学院, 芜湖 241002 | | | 吴赞芳 | 皖南医学院弋矶山医院急诊综合科, 芜湖 241001 | 1517069019@qq.com | | 童佳谣 | 皖南医学院研究生学院, 芜湖 241002 | | | 汪武康 | 皖南医学院研究生学院, 芜湖 241002 | |
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| 中文摘要: |
| 目的 探讨社会支持与自我效能在冠心病患者电子健康素养与生命质量间的链式中介作用。方法 2025年2月至6月，便利抽样法选取芜湖市2家综合性三甲医院冠心病患者为研究对象，使用一般资料调查表、电子健康素养量表、一般自我效能量表、健康状况调查表、奥斯陆社会支持量表进行调查。采用SPSS进行描述性分析、单因素分析和Pearson相关性分析，运用Process进行链式中介效应分析。结果 冠心病患者电子健康素养得分为(20.84±9.47)分，社会支持得分为(10.36±2.24)分，自我效能得分为(24.10±7.80)分，生命质量得分为(74.50±20.16)分。Pearson相关性分析显示，电子健康素养、社会支持、自我效能与生命质量均呈正相关(r分别为0.464、0.349、0.529；均P＜0.01)。链式中介效应分析显示，电子健康素养对生命质量的总效应0.476(95%CI: 0.385~0.568，P＜0.01)；社会支持与自我效能的总中介效应为0.215(95%CI: 0.165~0.356，P＜0.001)，占总效应的45.36%，其中电子健康素养→社会支持→生命质量路径效应为0.038(95%CI: 0.012~0.070，P＜0.01)，占总效应8.09%；电子健康素养→自我效能→生命质量路径效应为0.147(95%CI: 0.103~0.195，P＜0.001)，占总效应30.97%；电子健康素养→社会支持→自我效能→生命质量路径效应为0.030(95%CI: 0.017~0.046，P＜0.001)占总效应6.31%；电子健康素养对生命质量的直接效应为0.261(95%CI: 0.165~0.356，P＜0.001)，占总效应54.64%。结论 医护人员可以通过构建干预支持网络增强冠心病患者电子健康素养，提升其社会支持、自我效能水平，提升冠心病患者生命质量。 |
| 英文摘要: |
| Objective To explore the chain mediating role of social support and self-efficacy between e-health literacy and quality of life of patients with coronary heart disease (CHD). Methods From February 2025 to June 2025, convenience sampling was used to select CHD patients from two comprehensive tertiary hospitals in Wuhu City as research subjects.A general information questionnaire, e-health literacy scale, general self-efficacy scale, health status questionnaire, and Oslo Social Support Scale were used for the survey.SPSS was used for descriptive analysis, univariate analysis, and Pearson correlation analysis, and Process was used for chain mediation effect analysis. Results The e-health literacy score of CHD patients was 20.84±9.47, the social support score was 10.36±2.24, the self-efficacy score was 24.10±7.80, and the quality of life score was 74.50±20.16.Pearson correlation analysis showed that e-health literacy, social support, and self-efficacy were all positively correlated with quality of life (r values were 0.464, 0.349, and 0.529, respectively; all P < 0.001).Chain mediation effect analysis showed that the total effect of e-health literacy on quality of life was 0.476 (95%CI: 0.385~0.568, P < 0.01);the total mediating effect of social support and self-efficacy was 0.215 (95%CI: 0.165~0.356, P < 0.001), accounting for 45.36% of the total effect.The path effect of e-health literacy→social support→quality of life was 0.038 (95%CI: 0.012~0.070, P < 0.01), accounting for 8.09% of the total effect; the path effect of e-health literacy→self-efficacy→quality of life was 0.147 (95%CI: 0.103~0.195, P < 0.001), accounting for 30.97% of the total effect; the path effect of e-health literacy→social support→self-efficacy→quality of life was 0.030 (95%CI: 0.017~0.046, P < 0.001), accounting for 6.31% of the total effect, respectively; the direct effect of e-health literacy on quality of life was 0.261 (95%CI: 0.165~0.356, P < 0.001), accounting for 54.64% of the total effect. Conclusion Medical staff can build an intervention support network to enhance the e-health literacy of CHD patients, improve their social support and self-efficacy levels, and thus improve the quality of life of CHD patients. |
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