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

1.	国家图书馆研究院. 中国互联网络信息中心发布第 46 次《中国互联网络发展状况统计报告》. 国家图书馆学刊, 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.	中国医院协会血液净化中心管理分会血液透析登记组. 我国面临快速增长的终末期肾病治疗负担. 中国血液净化, 2010, 9(1): 47-49.
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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. 中国健康教育, 2013, 29(2): 106-108, 123.
10.	亢东琴, 陆宇晗, 王云. 肿瘤患者电子健康素养现况及影响因素的调查研究. 中华现代护理杂志, 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.
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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, 李旭晖. 面向电子健康素养的大学生网络健康信息搜寻行为现状调查及对策建议. 图书馆理论与实践, 2017(4): 44-50.
20.	张琰. 维持性血液透析患者认知功能与脑白质变性的研究. 石家庄: 河北医科大学, 2013.
21.	杨艳, 谢伦芳, 陈佩玲, 等. 电子健康素养汉化量表在系统性红斑狼疮病人中的信效度研究. 护理研究, 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. 国家图书馆研究院. 中国互联网络信息中心发布第 46 次《中国互联网络发展状况统计报告》. 国家图书馆学刊, 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. 中国医院协会血液净化中心管理分会血液透析登记组. 我国面临快速增长的终末期肾病治疗负担. 中国血液净化, 2010, 9(1): 47-49.
4. 医师报. CNA2020/四位院士莅临年会, 陈香美院士: 全国血透在线登记63.2万向血液净化强国迈进. (2020-11-09)[2022-05-01]. http://www.mdweekly.com.cn/html/huiyi/huiyibaodao/2018/0622/31377.html.
5. 王质刚. 血液净化学. 2 版. 北京: 北京科学技术出版社, 2003.
6. 臧格, 时秋英, 徐甜甜, 等. 中老年血液透析患者电子健康素养与生活质量的相关研究. 现代预防医学, 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. 赵煜华, 王俊霞, 吴田瑞, 等. 肠造口患者电子健康素养现况及其影响因素分析. 护理管理杂志, 2021, 21(11): 805-809, 818.
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. 中国健康教育, 2013, 29(2): 106-108, 123.
10. 亢东琴, 陆宇晗, 王云. 肿瘤患者电子健康素养现况及影响因素的调查研究. 中华现代护理杂志, 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, 李旭晖. 面向电子健康素养的大学生网络健康信息搜寻行为现状调查及对策建议. 图书馆理论与实践, 2017(4): 44-50.
20. 张琰. 维持性血液透析患者认知功能与脑白质变性的研究. 石家庄: 河北医科大学, 2013.
21. 杨艳, 谢伦芳, 陈佩玲, 等. 电子健康素养汉化量表在系统性红斑狼疮病人中的信效度研究. 护理研究, 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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