Esra Nur Dibek, Merve Gulbahar Eren, Havva Sert, İbrahim Kocayİgİt
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引用次数: 0
Abstract
Background: In a digitalized world, accessing disease information through online platforms has become essential in influencing health-promoting behaviors among patients with heart failure. Patients must possess sufficient digital health literacy to obtain accurate and reliable information from digital platforms; however, there is no known data about the mediating role of digital health literacy in the relationship between health behaviors and symptom burden among persons with heart failure.
Objective: To examine the relationship between digital health literacy, health behaviors, and symptom status (frequency, severity, and level of discomfort) in persons with heart failure and the mediating role of digital health literacy in the relationship between health behaviors and symptom status.
Methods: This cross-sectional, correlational study was conducted between November 2023 and June 2024 with 250 persons diagnosed with heart failure. Data were collected using the Heart Failure Health Behavior Scale, e-Health Literacy Scale, and Heart Failure Symptom Status Scale. Pearson correlation analysis, linear regression, and hierarchical regression analysis with PROCESS Model 4 were used to analyze the continuous variables.
Results: Digital health literacy was positively but weakly correlated with health behavior and negatively correlated with symptom status. The mediation analysis revealed that part of the effect of health behaviors on symptom status was mediated by digital health literacy.
Discussion: Health behaviors directly affected symptom status and indirectly affected symptom status through digital health literacy. Strategies developed by nurses to enhance digital health literacy could play a critical role in improving the health of persons with heart failure by reducing symptom burden and promoting health behaviors. Research is needed on the influence of various predictors on symptom burden and assessing whether interventions to enhance digital health literacy can improve health outcomes among those with heart failure.
背景：在数字化世界中，通过在线平台获取疾病信息对于影响心力衰竭患者的健康促进行为至关重要。患者必须具备足够的数字卫生素养，以便从数字平台获取准确可靠的信息；然而，关于数字健康素养在心力衰竭患者健康行为与症状负担之间关系中的中介作用，尚无已知数据。目的：探讨数字健康素养、健康行为和心衰患者症状状态（频率、严重程度和不适程度）之间的关系，以及数字健康素养在健康行为和症状状态之间的中介作用。方法：在2023年11月至2024年6月期间，对250名诊断为心力衰竭的患者进行了横断面相关性研究。使用心力衰竭健康行为量表、电子健康素养量表和心力衰竭症状状态量表收集数据。采用Pearson相关分析、线性回归和PROCESS Model 4的层次回归分析对连续变量进行分析。结果：数字健康素养与健康行为呈弱正相关，与症状状态呈负相关。中介分析发现，健康行为对症状状态的部分影响被数字健康素养中介。讨论：健康行为通过数字健康素养直接影响症状状态，间接影响症状状态。护士为提高数字健康素养而制定的战略可以通过减轻症状负担和促进健康行为，在改善心力衰竭患者的健康方面发挥关键作用。需要研究各种预测因素对症状负担的影响，并评估提高数字健康素养的干预措施是否可以改善心力衰竭患者的健康结果。
期刊介绍：
Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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