宫颈高级别鳞状上皮内病变术后病人健康生活方式与健康素养结构方程模型的构建OACSTPCD
Construction of a structural equation model for healthy lifestyle and health literacy in postoperative patients with high-grade squamous intraepithelial lesions of the cervix(HSIL)
目的:通过构建宫颈高级别鳞状上皮内病变(HSIL)术后病人健康素养影响健康生活方式的结构方程模型,定量分析模型中健康素养对健康生活方式的作用路径.方法:以认知行为理论为理论框架构建结构方程模型,定量分析健康素养各维度对健康生活方式的影响,并找出健康生活方式的主要影响因素,采用路径系数分析健康素养各维度对健康生活方式的作用路径.结果:构建的结构方程模型整体适配度较好,HSIL术后病人健康素养的知识层面正向预测健康生活方式的自我实现、运动、营养、人际关系(β值分别为0.270,0.251,0.128,0.270),行为层面正向预测自我实现、健康责任、运动、营养、应对压力(β值分别为0.330,0.273,0.126,0.222,0.259),信念层面正向预测自我实现、健康责任、运动、营养、人际关系、应对压力(β值分别为 0.292,0.250,0.262,0.127,0.201,0.151),功能层面正向预测自我实现、健康责任、营养、人际关系、应对压力(β值分别为0.299,0.263,0.334,0.211,0.200).结论:HSIL术后病人健康素养对健康生活方式具有较强的预测和解释能力.
Objective:By constructing a structural equation model of the impact of health literacy on healthy lifestyle in postoperative patients with high-grade squamous intraepithelial lesions(HSIL)of the cervix,we quantitatively analyze the pathways through which health literacy affects healthy lifestyle in the model.Methods:Using cognitive behavior theory as the theoretical framework,a structural equation model is constructed to quantitatively analyze the impact of various components of health literacy on a healthy lifestyle,and to identify the main influencing factors of a healthy lifestyle.Path coefficients are used to analyze the functional pathways of various dimensions of health literacy on a healthy lifestyle.Results:The constructed structural equation model has good overall adaptability,and the knowledge level of health literacy in postoperative patients with HSIL of the cervix positively predicts the self realization,exercise,nutrition,and interpersonal relationships of a healthy lifestyle(β were 0.270,0.251,0.128,0.270,respectively);Positive prediction of self actualization,health responsibility,exercise,nutrition,and coping with stress at the behavioral level(β were 0.330,0.273,0.126,0.222,0.259,respectively);Positive prediction of self actualization,health responsibility,exercise,nutrition,interpersonal relationships,and coping with stress at the belief level(β were 0.292,0.250,0.262,0.127,0.201,0.151,respectively);Positive prediction of self actualization,health responsibility,nutrition,interpersonal relationships,and coping with stress at the functional level(β were 0.299,0.263,0.334,0.211,0.200,respectively).Conclusions:The health literacy of patients after HSIL surgery has a strong ability to predict and explain healthy lifestyles.
赵娜;田朝霞;李红梅;赵敏
山西医科大学汾阳学院,山西 032200
健康生活方式健康素养认知行为理论结构方程模型影响因素
healthy lifestylehealth literacycognitive behavioral theorystructural equation modelinginfluence factor
《护理研究》 2024 (007)
1154-1161 / 8
吕梁市平台基地建设项目,编号:2020ZDSYS15;吕梁市重点研发项目,编号:2023SHFZ51
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