|
|
|
| Analysis of situation and influencing factors of health literacy and health education needs in cancer patients undergoing chemotherapy |
| SUN Xin1 TENG Fei2 YAN Jincao3 TIAN Gu2 ZHU Yu4 YANG Min5 TIAN Yu3 |
1.Department of Medical Management, National Cancer Center National Clinical Research Center for Cancer Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;
2.Administration Office, National Cancer Center National Clinical Research Center for Cancer Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;
3.School of Public Health, Capital Medical University, Beijing 100069, China;
4.Department of Laboratory, National Cancer Center National Clinical Research Center for Cancer Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;
5.Department of General Section, National Cancer Center National Clinical Research Center for Cancer Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
|
|
|
|
Abstract Objective To understand the current situation and factors influencing the health literacy and health education needs of oncology chemotherapy patients. Methods From May to June 2021, 530 patients who were hospitalized for chemotherapy in Cancer Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College were selected as the study subjects, and the general information questionnaire, health literacy scale for patients with chronic diseases and health education needs of chemotherapy patients scale were used to investigate the current situation and influencing factors of their health literacy and health education needs. Results Chemotherapy patients had higher health literacy scores and lower health education needs scores. Comparison of health literacy scores of chemotherapy patients by gender, age, marital status, highest education level, disease site, combined other chronic disease, primary family caregiver, smoke, drink alcohol, economic source, medical payment status, and disease burden, with statistically significant differences (P＜0.05); the differences were statistically significant when comparing the health education needs scores of chemotherapy patients by gender, age, highest education level, disease site, combined other chronic disease and number of chemotherapy sessions (P＜0.05). Health literacy and its internal dimensions were negatively correlated with health education needs and its internal dimensions, except for information acquisition ability and self-esteem health education needs, and communication and interaction ability and cognitive, physical, and safety education needs (P＜0.05). Multiple linear regression analysis showed that patient age (X1), highest education level (X2), disease burden (X3), and financial source as family support (X4) were influential factors for health literacy of chemotherapy patients (P＜0.05); combination of three or more other chronic diseases (X1), medical payment status as foreign new cooperative medical system (X2), and number of chemotherapy sessions (X3) were influential factors for health education needs of chemotherapy patients (P＜0.05). The regression equation was as follows: Y1=85.922-2.817 X1+7.239 X2-3.268 X3-3.260 X4; Y2=35.631+11.520 X1- 5.544 X2-4.424 X3. Conclusion Chemotherapy patients have different degrees of health literacy and health education needs. Age, highest education level, disease burden and economic source as family support are the influencing factors of chemotherapy patients’ health literacy, combination of three of more other chronic diseases, medical payment status as new cooperative medical system and chemotherapy for three times are the influencing factors of chemotherapy patients’ health education needs. A targeted, interdisciplinary and all-round health education and health management model should be established to help improve their health literacy and compliance with treatment, thus improving their quality of life.
|
|
|
|
|
|
[1] Zhang SW，Sun KX，Zheng RS，et al. Cancer incidence and mortality in China，2015 [J]. JNCC，2020.
[2] 张彦，周谊霞，田利，等.健康教育路径在肿瘤化疗患者中应用效果的Meta分析[J].中国医药导报，2017，14（35）：139-143，167.
[3] 刘成成，石春雷，石菊芳，等.2015—2017年中国城市居民肿瘤预防意识健康素养及相关因素分析[J].中华预防医学杂志，2020，54（1）：47-53.
[4] 李施霖，方仪，尤莉莉.肿瘤患者健康素养对其健康结局影响研究进展[J].中国公共卫生，2021，37（6）：936-938.
[5] 彭羽，林赟，周卉，等.基于互联网思维主导的健康教育对社区2型糖尿病患者健康素养及自我管理能力的影响[J].中国卫生事业管理，2021，38（3）：237-240.
[6] Jordan JE，Buchbinder R，Briggs AM，et al. The health literacy management scale （HeLMS）：a measure of an individual’s capacity to seek，understand and use health information within the healthcare setting [J]. Patient Educ Couns，2013， 91：228-235.
[7] 孙浩林.慢性病病人健康素养量表的研究及其初步应用[D].上海：复旦大学，2012.
[8] 陈柳媚.妇科恶性肿瘤化疗患者健康教育需求现状及医护合作干预效果研究[D].重庆：重庆医科大学，2018.
[9] 潘锋.满足患者需求是推动我国肿瘤防治事业发展的动力——中国抗癌协会发布公众最关注的癌症领域十大进展[J].中国当代医药，2021，28（27）：1-3.
[10] 洪文静，许湘华，谌永毅，等.融媒体环境下肿瘤健康科普传播的实践与思考[J].健康教育与健康促进，2022， 17（2）：204-207.
[11] 左丹妮，赵慧华，朱仁敏，等.老年胃肠道肿瘤共病糖尿病化疗期健康教育障碍因素的质性研究[J].护士进修杂志，2022，37（12）：1145-1148.
[12] 高岚，曹秀真，张营，等.癌症患者病耻感Web of science数据库文献计量分析[J].中国心理卫生杂志，2018，32（6）：484-489.
[13] 王欣，高婕.癌症患者病耻感的测评工具及现状水平的研究进展[J].护士进修杂志，2019，34（4）：314-318.
[14] 金文岚，陈志青，许国勤，等.认知行为干预对肿瘤患者心理痛苦、情绪和生命质量的影响[J].国际精神病学杂志，2019，46（2）：326-329.
[15] 郭晓斐，陈静，孙燕梅，等.医务社会工作介入癌症患者健康教育研究[J].医学与哲学，2021，42（13）：49-53.
[16] 王欣，焦菲菲，葛亚敏.同伴支持健康教育对乳腺癌化疗患者癌因性疲乏、应对方式、生活质量及化疗依从性的影响[J].癌症进展，2022，20（6）：631-635.
[17] 张希臣，刘畅.慢性病防治素养水平及其影响因素的研究进展[J].职业与健康，2020，36（6）：862-864.
[18] 孙崇源，赵东兵.新辅助化疗后胃癌手术并发症的特点及影响因素研究进展[J].肿瘤防治研究，2021，48（11）：1046-1051.
[19] 张庆华，赵上坤，赵杰，等.乳腺癌术后化疗患者心理韧性的影响因素研究[J].中华现代护理杂志，2022，28（7）：901-904.
[20] 聂珍珍，胡皓，宣永丽.心理行为干预联合健康教育对肺癌化疗患者心理状态及胃肠道反应的影响[J].癌症进展，2022，20（3）：306-310.
[21] 范文佳.知信行健康教育模式对心肌梗死患者效能感、应对方式的影响[J].中国医药导报，2022，19（4）：182-185.
[22] 刘堋，石雨晴，杨雪宁，等.健康中国背景下广州市社区慢性病高危人群社会资本和健康素养的相关性研究[J].医学与社会，2021，34（3）：70-73，93.
[23] 付极，于康，王方，等.宫颈癌同步放化疗患者营养状况对临床结局、副反应的影响及成本效果分析[J].中华健康管理学杂志，2021，15（3）：275-279.
[24] 秦文哲，胡芳芳，张娇，等.泰安市慢性病患者健康素养水平及其影响因素分析[J].中国卫生事业管理，2022， 39（1）：66-70.
[25] 刘娟娟，姬学光.全媒体健康教育对2型糖尿病患者疾病认知水平及健康生活方式的影响[J].中国医药导报，2021，18（24）：140-144.
[26] 马飞，徐兵河，邵志敏.乳腺癌随访及伴随疾病全方位管理指南[J].中华肿瘤杂志，2019，41（1）：29-41.
[27] 陈丽香，薛芬芬，林海滨，等.电子健康素养干预对婴儿照顾者腹泻病防治健康素养的影响[J].中外医学研究，2021，19（36）：105-109.
[28] 谭小艳，刘花艳，李东雅，等.儿童闭塞性细支气管炎家长健康素养现状及影响因素分析[J].中国医药科学，2021， 11（24）：34-37.
[29] 黎立喜，马飞.乳腺癌全方位和全周期的健康管理模式[J].中国医学前沿杂志（电子版），2020，12（3）：前插1，1-5. |
|
|
|
