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

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, 史靈芝, 等. 維持性血液透析患者容量管理知信行現狀調查. 中國實用護理雜志, 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.	劉睿茜, 張薇. 居民網絡健康信息搜索行為相關研究綜述. 中華醫學圖書情報雜志, 2020, 29(10): 65-69.
5.	井玉榮, 秦文哲, 張嬌, 等. 泰安市 18~59 歲居民電子健康素養與生活方式關系. 中國公共衛生, 2021, 37(9): 1323-1327.
6.	朱林芳, 薛貴方, 袁懷紅, 等. 維持性血液透析患者傳染病健康素養調查及影響因素分析. 中國血液凈化, 2020, 19(6): 427-430.
7.	孫東晗. 維持性血液透析患者自我效能、自我管理與生存質量的相關性研究. 長春: 吉林大學, 2015.
8.	Norman CD, Skinner HA. eHEALS: the eHealth literacy scale. J Med Internet Res, 2006, 8(4): e27.
9.	郭帥軍, 余小鳴, 孫玉穎, 等. eHEALS 健康素養量表的漢化及適用性探索. 中國健康教育, 2013, 29(2): 106-108,123.
10.	趙燁, 陳任, 馬穎, 等. 門診就診者健康焦慮與網絡健康信息搜尋行為關系. 中國心理衛生雜志, 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.	梁輝, 趙燁, 邱海云, 等. 慢性病患者網絡健康信息搜尋對醫患關系的影響. 中國農村衛生事業管理, 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.	楊艷. 系統性紅斑狼瘡患者電子健康素養與網絡健康信息尋求行為的研究. 合肥: 安徽醫科大學, 2019.
15.	李信, 李旭暉. 面向電子健康素養的大學生網絡健康信息搜尋行為現狀調查及對策建議. 圖書館理論與實踐, 2017(4): 44-50.
16.	趙燁, 陳輝, 鄒聰, 等. 成年網絡用戶電子健康素養與健康信息搜尋行為的關系研究. 中國健康教育, 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.	Vajaean CC, B?ban 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.	龍杰, 劉俊榮. 基于患者視角的醫療決策模式及其影響因素研究. 醫學與哲學, 2019, 40(9): 59-64.
22.	趙煜華, 王俊霞, 吳田瑞, 等. 腸造口患者電子健康素養現況及其影響因素分析. 護理管理雜志, 2021, 21(11): 805-809,818.
23.	朱晨, 劉雨晨, 宗婷, 等. 慢性腎病相關健康類中文網站信息質量評價. 中國實用護理雜志, 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, 史靈芝, 等. 維持性血液透析患者容量管理知信行現狀調查. 中國實用護理雜志, 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. 劉睿茜, 張薇. 居民網絡健康信息搜索行為相關研究綜述. 中華醫學圖書情報雜志, 2020, 29(10): 65-69.
5. 井玉榮, 秦文哲, 張嬌, 等. 泰安市 18~59 歲居民電子健康素養與生活方式關系. 中國公共衛生, 2021, 37(9): 1323-1327.
6. 朱林芳, 薛貴方, 袁懷紅, 等. 維持性血液透析患者傳染病健康素養調查及影響因素分析. 中國血液凈化, 2020, 19(6): 427-430.
7. 孫東晗. 維持性血液透析患者自我效能、自我管理與生存質量的相關性研究. 長春: 吉林大學, 2015.
8. Norman CD, Skinner HA. eHEALS: the eHealth literacy scale. J Med Internet Res, 2006, 8(4): e27.
9. 郭帥軍, 余小鳴, 孫玉穎, 等. eHEALS 健康素養量表的漢化及適用性探索. 中國健康教育, 2013, 29(2): 106-108,123.
10. 趙燁, 陳任, 馬穎, 等. 門診就診者健康焦慮與網絡健康信息搜尋行為關系. 中國心理衛生雜志, 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. 梁輝, 趙燁, 邱海云, 等. 慢性病患者網絡健康信息搜尋對醫患關系的影響. 中國農村衛生事業管理, 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. 楊艷. 系統性紅斑狼瘡患者電子健康素養與網絡健康信息尋求行為的研究. 合肥: 安徽醫科大學, 2019.
15. 李信, 李旭暉. 面向電子健康素養的大學生網絡健康信息搜尋行為現狀調查及對策建議. 圖書館理論與實踐, 2017(4): 44-50.
16. 趙燁, 陳輝, 鄒聰, 等. 成年網絡用戶電子健康素養與健康信息搜尋行為的關系研究. 中國健康教育, 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. Vajaean CC, B?ban 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. 龍杰, 劉俊榮. 基于患者視角的醫療決策模式及其影響因素研究. 醫學與哲學, 2019, 40(9): 59-64.
22. 趙煜華, 王俊霞, 吳田瑞, 等. 腸造口患者電子健康素養現況及其影響因素分析. 護理管理雜志, 2021, 21(11): 805-809,818.
23. 朱晨, 劉雨晨, 宗婷, 等. 慢性腎病相關健康類中文網站信息質量評價. 中國實用護理雜志, 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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