中国当代医药2026，Vol.33Issue(20)：11-16,6.DOI:10.3969/j.issn.1674-4721.2026.20.03
冠心病介入诊疗患者电子健康素养潜在剖面分类及其对服药依从性的影响
Classification of latent profile of electronic health literacy in patients un-dergoing interventional diagnosis and treatment of coronary heart disease and its impact on medication compliance
摘要
Abstract
Objective To explore the latent profile classification of electronic health literacy in patients undergoing inter-ventional diagnosis and treatment of coronary heart disease and its impact on medication compliance.Methods A total of 340 patients with coronary heart disease who underwent interventional treatment at Jiujiang NO.1 People's Hospital from November 2022 to November 2024 were selected as the research subjects.The general information questionnaire,the electronic health literacy scale,and the 8-item Morisky medication adherence scale(MMAS-8)were used for the investigation.The optimal number of categories for the electronic health literacy was determined through latent profile analysis and named.The influencing factors of medication adherence were analyzed through univariate and multiple linear regression.Results The electronic health literacy of patients undergoing coronary heart disease interventional treatment can be classified into three latent categories:the full excellence type of application-criticism-decision(36 cases),the high application-low criticism decision type(149 cases),and the full low type of application-criticism-decision(155 cases).The results of the single-factor analysis showed that there were statistically significant differences in the MMAS-8 scores of the latent category distribution of electronic health literacy regarding age,marital status,educational level,monthly disposable family income,types of daily medication,total number of daily pills taken,anxiety and depression,family function,and the latent category distribution of electronic health literacy(P＜0.05).The results of the multi-factor analysis latent that age the results of the multivariate analysis suggested that age(B=-0.341,β=-0.069,95％CI:-0.561--0.122),marital status(B=-0.343,β=-0.117,95％CI:-0.439--0.247),educational level(B=0.799,β=0.238,95％CI:0.617-0.981),monthly disposable income of the family(B=0.540,β=0.090,95％CI:0.364-0.717),types of daily medication(B=0.142,β=0.029,95％CI:0.031-0.253),total number of daily pills taken(B=0.608,β=0.125,95％CI:0.437-0.779),anxiety(B=0.266,β=0.054,95％CI:0.113-0.418),depression(B=0.180,β=0.037,95％CI:0.047-0.313),family function(B=0.746,β=0.232,95％CI:0.598-0.894),and the potential category of electronic health literacy(B=0.429,β=0.118,95％CI:0.293-0.565)were independent influencing factors for patients undergoing coronary intervention and treatment(P＜0.05).Conclusion There are three distinct subgroups of electronic health literacy among patients undergoing coronary heart disease intervention and diagnosis.Age,marital status,and the latent categories of electronic health literacy are independent influencing factors for the medication compliance of these patients.It is recommended that clinical practice take corresponding measures based on this,and enhance patients' electronic health literacy to improve their medication compliance.关键词
冠心病/介入诊疗/电子健康素养/潜在剖面/服药依从性Key words
Coronary heart disease/Interventional diagnosis and treatment/Electronic health literacy/Latent profile/Med-ication compliance分类
医药卫生引用本文复制引用
吴伟,周佳茜..冠心病介入诊疗患者电子健康素养潜在剖面分类及其对服药依从性的影响[J].中国当代医药,2026,33(20):11-16,6.基金项目
江西省卫生健康委科技计划项目(202311484). （202311484）
