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| Correlation between self-efficacy and health literacy and discharge readiness in young and middle-aged patients with acute myocardial infarction after percutaneous coronary intervention |
| DING Liping1 ZHANG Rong2 FAN Xinrong1 LIU Feng1 XU Fen1 ZHANG Lianghui1▲ |
1.Department of Cardiology, the Affiliated Hospital of Southwest Medical University, Sichuan Province, Luzhou 646000, China;
2.Department of Neonatology, the Affiliated Hospital of Southwest Medical University, Sichuan Province, Luzhou 646000, China |
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Abstract Objective To investigate the relationship between hospital discharge readiness and health literacy and the mediating role of self-efficacy in young and middle-aged patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). Methods From January 2021 to January 2022, a total of 296 inpatients who underwent PCI in the Department of Cardiovascular Medicine, Affiliated Hospital of Southwest Medical University were selected as the study objects. Patients who met the exclusion criteria were investigated by using the scale of general data, discharge readiness, general self-efficacy, and health literacy of chronic patients. The relationship between the three was analyzed by statistical method, and the mediating effect was discussed. Results The scores of discharge readiness, general self-efficacy, and health literacy of chronic disease in patients after PCI were (95.79±10.27), (26.78±3.97) points and (93.58±9.10) points, respectively. There were positive correlations between self-efficacy and health literacy, and between health literacy, self-efficacy and hospital discharge readiness (r=0.501, 0.539, 0.432, P＜0.05). Self-efficacy had a partial mediating effect between health literacy and hospital discharge readiness, with a contribution rate of 18.89%. Conclusion Health literacy can directly affect hospital discharge readiness of young and middle-aged AMI patients after PCI, and can also indirectly affect hospital discharge readiness through self-efficacy. According to positive psychology, nurses take improving health literacy and improving self-efficacy as the entry point to improve patients’ readiness for discharge.
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[1] 中国心血管健康与疾病报告编写组，胡盛寿.中国心血管健康与疾病报告2020概要[J].中国循环杂志，2021，36（6）：521-545.
[2] 中国心血管健康与疾病报告编写组.《中国心血管健康与疾病报告2022》概要[J].中国循环杂志，2023，38（6）：583-612.
[3] 《中国心血管健康与疾病报告》2021（冠心病部分内容）[J].心肺血管病杂志，2022，41（12）：1205-1211.
[4] Rochefort CM，Rathwell BA，Clarke SP. Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit：a cross-sectional survey [J]. BMC Nurs，2016，15：46.
[5] 王冰花，汪晖，杨纯子，等.冠心病患者出院准备度现状及其影响因素的研究[J].中华护理杂志，2017，52（2）：138- 143.
[6] Weiss ME，Sawin KJ，Gralton K，et al. Discharge Teaching，Readiness for Discharge，and Post-discharge Outcomes in Parents of Hospitalized Children [J]. J Pediatr Nurs，2017， 34：58-64.
[7] 刘传芬，陈红.解读：第四版心肌梗死全球统一定义[J].中华医学信息导报，2018，33（21）：20.
[8] 肖顺贞.临床科研设计[M].北京：北京大学医学出版社，2003：41-42.
[9] Lin YH，Kao CC，Huang AM，et al. Psychometric testing of the chinese version of the readiness for hospital discharge scale[J]. Hu Li Za Zhi，2014，61（4）：56-65.
[10] Zhang JX Schwarzer. Measuring optimistic self-beliefs：A Chinese adaptation of the General Self-Efficacy Scale [J]. Psychologia 1995，38（3）：174-181.
[11] 孙浩林，彭慧，傅华.《慢性病病人健康素养调查量表》的维度结构分析[J].环境与职业医学，2013，30（3）：171- 175.
[12] 范海霞，马梦迪，郑海为，等.首次经皮冠状动脉介入治疗术后患者健康素养现状及影响因素分析[J].护理学报，2020，27（16）：35-39.
[13] 刘军军.老年慢性病患者健康素养与健康相关生命质量的相关性研究[J].卫生软科学，2021，35（9）：41-44.
[14] 李雪，崔岩，卢晓虹，等.中青年经皮冠状动脉介入治疗术后患者个人掌控感现状及影响因素研究[J].护理学杂志，2021，36（5）：1-4.
[15] 王颖，范佳薇，施小青，等.急性心肌梗死患者运动恐惧水平及其影响因素的纵向研究[J].护理学杂志，2022， 37（14）：27-31.
[16] 徐鋆卉，高维杰，高霞，等.提升经皮冠状动脉介入治疗术后患者出院准备度的最佳证据总结[J].中国实用护理杂志，2021，37（6）：475-481.
[17] 刘凤，徐芬，任静，等.冠心病经皮冠状动脉介入治疗术后患者出院准备度现状及影响因素分析[J].中国实用护理杂志，2020，36（20）：1547-1553.
[18] 韩冰.PCI术后患者出院准备度与自我护理能力、健康素养的相关性研究[D].长春：吉林大学，2020.
[19] 类美容，张红伟，刘静，等.自我效能和出院准备度在高血压病患者健康素养与自我管理间的链式中介作用[J].护理实践与研究，2022，19（13）：1900-1905.
[20] 魏民，邢凤梅，沈丹薇，等.中青年冠心病介入患者健康素养现况及影响因素分析[J].心脑血管病防治，2021， 21（4）：382-385.
[21] Magnani JW，Mujahid MS，Aronow HD，et al. Health Literacy and Cardiovascular Disease：Fundamental Relevance to Primary and Secondary Prevention：A Scientific Statement From the American Heart Association [J]. Circulation，2018， 138（2）：e48-e74.
[22] 陈芸，许伟杰，田怀谷，等.智慧医疗背景下慢性病患者就医行为优化及展望[J].中国全科医学，2022，25（28）：3484-3487.
[23] 胡桂丽.急性心肌梗死患者PCI术后出院准备度与非计划再入院的相关性研究[D].开封：河南大学，2021.
[24] 杨爽.基于授权理论的心脏康复训练对AMI患者介入治疗后的自护能力及生活质量的影响[J].中国实用医药，2022，17（13）：173-175.
[25] 许士海，谢曼英，陈洁.思维导图健康教育对急性心肌梗死介入抗凝治疗病人康复效果及出院准备度的影响[J].全科护理，2022，20（10）：1428-1430. |
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