Research on electronic health literacy and online health information search behavior of maintenance hemodialysis patients_West China Medical Journal

Authors：

XIONG Rui , FAN Dandan , YANG Yujie ,  YUAN Huaihong

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：

Maintenance hemodialysis; online health information; searching behavior; electronic health literacy

DOI：

10.7507/1002-0179.202206012

Video：

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Objective To explore the current status of electronic health (eHealth) literacy and online health information seeking behavior of maintenance hemodialysis (MHD) patients, and to explore the relationship between them. Methods MHD patients in the Hemodialysis Center of West China Hospital of Sichuan University between January and April 2022 were selected by convenient sampling method. The patients were investigated with general condition questionnaire, eHealth Literacy Scale and internet health information retrieval behavior questionnaire. According to the score of eHealth literacy, patients were divided into high eHealth literacy group and low eHealth literacy group, to compare the differences between the two groups, and analyze the factors that affected the internet health information retrieval behavior. Results A total of 194 MHD patients were included. Among them, 112 were male and 82 were female. The average score of eHealth literacy was 24.84±9.24. There were 136 cases in low eHealth literacy group, and the average score of eHealth literacy was 20.76±7.91. There were 58 cases in high eHealth literacy group, and the average score of eHealth literacy was 34.36±3.01. Multivariate analysis showed that eHealth literacy and education level were the influencing factors of health information search behavior (P<0.05). Conclusions The overall eHealth literacy of MHD patients is low, and the online health information search means is single and behaviorally inconsistent. It is necessary to improve the eHealth literacy of hemodialysis patients, and at the same time, provide various health information publicity and education for patients with different levels of eHealth literacy, which will help them better carry out disease management.

Citation： XIONG Rui, FAN Dandan, YANG Yujie, YUAN Huaihong. Research on electronic health literacy and online health information search behavior of maintenance hemodialysis patients. West China Medical Journal, 2022, 37(11): 1690-1696. doi: 10.7507/1002-0179.202206012 Copy

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2.	石荃, 茅一萍, 史灵芝, 等. 维持性血液透析患者容量管理知信行现状调查. 中国实用护理杂志, 2022, 38(9): 702-708.
3.	Lee J, Lee EH, Chae D. eHealth literacy instruments: systematic review of measurement properties. J Med Internet Res, 2021, 23(11): e30644.
4.	刘睿茜, 张薇. 居民网络健康信息搜索行为相关研究综述. 中华医学图书情报杂志, 2020, 29(10): 65-69.
5.	井玉荣, 秦文哲, 张娇, 等. 泰安市 18~59 岁居民电子健康素养与生活方式关系. 中国公共卫生, 2021, 37(9): 1323-1327.
6.	朱林芳, 薛贵方, 袁怀红, 等. 维持性血液透析患者传染病健康素养调查及影响因素分析. 中国血液净化, 2020, 19(6): 427-430.
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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.	赵烨, 陈任, 马颖, 等. 门诊就诊者健康焦虑与网络健康信息搜寻行为关系. 中国心理卫生杂志, 2019, 33(9): 701-705.
11.	Khazaee-Pool M, Majlessi F, Montazeri A, et al. Development and psychometric testing of a new instrument to measure factors influencing women’s breast cancer prevention behaviors (ASSISTS). BMC Women's Health, 2016, 16: 1-13.
12.	梁辉, 赵烨, 邱海云, 等. 慢性病患者网络健康信息搜寻对医患关系的影响. 中国农村卫生事业管理, 2019, 39(3): 199-202.
13.	Dai L, Lu C, Liu J, et al. Impact of twice- or three-times-weekly maintenance hemodialysis on patient outcomes: a multicenter randomized trial. Medicine (Baltimore), 2020, 99(20): e20202.
14.	杨艳. 系统性红斑狼疮患者电子健康素养与网络健康信息寻求行为的研究. 合肥: 安徽医科大学, 2019.
15.	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.
16.	赵烨, 陈辉, 邹聪, 等. 成年网络用户电子健康素养与健康信息搜寻行为的关系研究. 中国健康教育, 2018, 34(9): 812-816.
17.	Park H, Moon M, Baeg JH. Association of eHealth literacy with cancer information seeking and prior experience with cancer screening. Comput Inform Nurs, 2014, 32(9): 458-463.
18.	Vâjâean CC, Băban A. Emotional and behavioral consequences of online health information-seeking: the role of eHealth literacy. Cogn Brain Behav, 2015, 19(4): 327.
19.	Cho H, Han K, Park BK. Associations of eHealth literacy with health-promoting behaviours among hospital nurses: a descriptive cross-sectional study. J Adv Nurs, 2018, 74(7): 1618-1627.
20.	Lim HM, Wong SS, Yip KC, et al. Online health information-seeking behaviour of patients attending a primary care clinic in Malaysia: a cross-sectional study. Fam Pract, 2022, 39(1): 38-45.
21.	龙杰, 刘俊荣. 基于患者视角的医疗决策模式及其影响因素研究. 医学与哲学, 2019, 40(9): 59-64.
22.	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.
23.	朱晨, 刘雨晨, 宗婷, 等. 慢性肾病相关健康类中文网站信息质量评价. 中国实用护理杂志, 2018, 34(5): 342-346.
24.	Hanna K, Sambrook P, Armfield JM, et al. Internet use, online information seeking and knowledge among third molar patients attending public dental services. Aust Dent J, 2017, 62(3): 323-330.

1. Akbarialiabad H, Kavousi S, Ghahramani A, et al. COVID-19 and maintenance hemodialysis: a systematic scoping review of practice guidelines. BMC Nephrol, 2020, 21(1): 470.
2. 石荃, 茅一萍, 史灵芝, 等. 维持性血液透析患者容量管理知信行现状调查. 中国实用护理杂志, 2022, 38(9): 702-708.
3. Lee J, Lee EH, Chae D. eHealth literacy instruments: systematic review of measurement properties. J Med Internet Res, 2021, 23(11): e30644.
4. 刘睿茜, 张薇. 居民网络健康信息搜索行为相关研究综述. 中华医学图书情报杂志, 2020, 29(10): 65-69.
5. 井玉荣, 秦文哲, 张娇, 等. 泰安市 18~59 岁居民电子健康素养与生活方式关系. 中国公共卫生, 2021, 37(9): 1323-1327.
6. 朱林芳, 薛贵方, 袁怀红, 等. 维持性血液透析患者传染病健康素养调查及影响因素分析. 中国血液净化, 2020, 19(6): 427-430.
7. 孙东晗. 维持性血液透析患者自我效能、自我管理与生存质量的相关性研究. 长春: 吉林大学, 2015.
8. Norman CD, Skinner HA. eHEALS: the eHealth literacy scale. J Med Internet Res, 2006, 8(4): e27.
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. 赵烨, 陈任, 马颖, 等. 门诊就诊者健康焦虑与网络健康信息搜寻行为关系. 中国心理卫生杂志, 2019, 33(9): 701-705.
11. Khazaee-Pool M, Majlessi F, Montazeri A, et al. Development and psychometric testing of a new instrument to measure factors influencing women’s breast cancer prevention behaviors (ASSISTS). BMC Women's Health, 2016, 16: 1-13.
12. 梁辉, 赵烨, 邱海云, 等. 慢性病患者网络健康信息搜寻对医患关系的影响. 中国农村卫生事业管理, 2019, 39(3): 199-202.
13. Dai L, Lu C, Liu J, et al. Impact of twice- or three-times-weekly maintenance hemodialysis on patient outcomes: a multicenter randomized trial. Medicine (Baltimore), 2020, 99(20): e20202.
14. 杨艳. 系统性红斑狼疮患者电子健康素养与网络健康信息寻求行为的研究. 合肥: 安徽医科大学, 2019.
15. 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.
16. 赵烨, 陈辉, 邹聪, 等. 成年网络用户电子健康素养与健康信息搜寻行为的关系研究. 中国健康教育, 2018, 34(9): 812-816.
17. Park H, Moon M, Baeg JH. Association of eHealth literacy with cancer information seeking and prior experience with cancer screening. Comput Inform Nurs, 2014, 32(9): 458-463.
18. Vâjâean CC, Băban A. Emotional and behavioral consequences of online health information-seeking: the role of eHealth literacy. Cogn Brain Behav, 2015, 19(4): 327.
19. Cho H, Han K, Park BK. Associations of eHealth literacy with health-promoting behaviours among hospital nurses: a descriptive cross-sectional study. J Adv Nurs, 2018, 74(7): 1618-1627.
20. Lim HM, Wong SS, Yip KC, et al. Online health information-seeking behaviour of patients attending a primary care clinic in Malaysia: a cross-sectional study. Fam Pract, 2022, 39(1): 38-45.
21. 龙杰, 刘俊荣. 基于患者视角的医疗决策模式及其影响因素研究. 医学与哲学, 2019, 40(9): 59-64.
22. 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.
23. 朱晨, 刘雨晨, 宗婷, 等. 慢性肾病相关健康类中文网站信息质量评价. 中国实用护理杂志, 2018, 34(5): 342-346.
24. Hanna K, Sambrook P, Armfield JM, et al. Internet use, online information seeking and knowledge among third molar patients attending public dental services. Aust Dent J, 2017, 62(3): 323-330.

West China Medical Journal

Research on electronic health literacy and online health information search behavior of maintenance hemodialysis patients

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