伊朗西北部高血压患者健康素养与健康促进生活方式关系的横断面研究。
A cross-sectional study of the relationship between health literacy and health-promoting lifestyles in patients with hypertension in northwest Iran.
作者信息
Darabi Fatemeh, Ziapour Arash, Janjani Parisa, Motevaseli Sayeh, Rostami Fatemeh
机构信息
Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran.
Cardiovascular Research Center, Health Policy and Promotion Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
出版信息
BMC Prim Care. 2025 Apr 17;26(1):117. doi: 10.1186/s12875-025-02819-9.
BACKGROUND
Health literacy is a key factor in determining the use of health-related information, promoting health, and improving the quality of life. Therefore, the present study was conducted to investigate the relationship between health literacy and health-promoting lifestyle in patients with hypertension.
METHODS
The present study was conducted using a descriptive-correlation method on 406 patients with hypertension who visited the emergency room of a northwestern Iranian hospital in 2022. The sampling method was convenient in type. The data collection instrument consisted of three parts, including the demographic information section, followed by the health literacy and health-promoting lifestyle sections. The inferential data analysis was done using Pearson's correlation coefficient, and multiple linear regression in SPSS 24 (Inc., Chicago, Ill., USA). The significance level was set at 5%.
RESULTS
The mean and standard deviation of participants' age was 53.77 ± 13.79 years, within a range of 47 to 65 years. The results showed that a health-promoting lifestyle has a positive and significant relationship with health literacy (r = 0.927, p < 0.001). The health-promoting lifestyle had the highest correlation with the decision-making dimension (r = 0.913, p = < 0.001) and the lowest correlation with the reading dimension (r = 0.772, p = < 0.001). The results of linear regression showed that the dimensions of reading, understanding, appraisal, and decision-making were statistically significant in the regression model. The decision-making dimension with a coefficient of 0.592 had the greatest impact on the health-promoting lifestyle.
CONCLUSION
The moderate health literacy level among patients with hypertension is associated with lower adherence to healthy lifestyle practices. Therefore, it is essential for community health policymakers to organize the design of educational program interventions in the areas of health literacy and healthy lifestyle practices to help improve the overall health of patients.
背景
健康素养是决定健康相关信息的使用、促进健康和提高生活质量的关键因素。因此，本研究旨在调查高血压患者健康素养与健康促进生活方式之间的关系。
方法
本研究采用描述性相关性方法，对2022年就诊于伊朗西北部一家医院急诊室的406例高血压患者进行研究。抽样方法为便利抽样。数据收集工具包括三个部分，包括人口统计学信息部分，随后是健康素养和健康促进生活方式部分。使用Pearson相关系数进行推断性数据分析，并在SPSS 24（美国伊利诺伊州芝加哥市的SPSS公司）中进行多元线性回归。显著性水平设定为5%。
结果
参与者的年龄均值和标准差为53.77±13.79岁，年龄范围在47至65岁之间。结果表明，健康促进生活方式与健康素养呈正相关且具有统计学意义（r = 0.927，p < 0.001）。健康促进生活方式与决策维度的相关性最高（r = 0.913，p = < 0.001），与阅读维度的相关性最低（r = 0.772，p = < 0.001）。线性回归结果表明，阅读、理解、评估和决策维度在回归模型中具有统计学意义。系数为0.592的决策维度对健康促进生活方式的影响最大。
结论
高血压患者的健康素养水平中等与较低的健康生活方式依从性相关。因此，社区卫生政策制定者必须组织设计健康素养和健康生活方式实践领域的教育项目干预措施，以帮助改善患者的整体健康状况。
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