Impact of Social Support on Health Literacy Among People With Diabetes: A Cross-Sectional Study.

IF 3.5 3区 医学 Q1 NURSING
Xuanxuan Gu, Qianwen Hou, Keli Ma, Haiyang Liu, Leilei Guo, Jinlong Li, Yunxiao Lei, Xiaoping Li, Lu Sun, Liu Yang, Ting Yuan, Congzhi Wang, Dongmei Zhang, Jing Li, Mingming Liu, Ying Hua, Lin Zhang
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Abstract

Aim: In recent years, the critical role of health literacy in diabetes management has become increasingly prominent. The aim of this study was to investigate the impact of social support on health literacy among patients with diabetes, to test the mediating role of self-efficacy and empowerment between social support and health literacy, and the moderating role of eHealth literacy.

Design: A cross-sectional study conducted between August 2023 and June 2024.

Methods: This study adopted the cluster sampling method and conducted a questionnaire survey among 251 patients with diabetes in a tertiary hospital in Wuhu City, Anhui Province. The questionnaires included the Social Support Rating Scale, the Self-Efficacy for Diabetes scale, the Health Empowerment Scale, the eHealth Literacy Scale and the Diabetes Health Literacy Scale.

Results: Social support was positively associated with health literacy in patients with diabetes. Self-efficacy and empowerment mediated the relationship and formed chained mediation pathways respectively. eHealth literacy has a moderating role between self-efficacy and empowerment.

Conclusion: The results revealed that social support influences health literacy among patients with diabetes through the mediating pathways of self-efficacy and empowerment, and that this process is moderated by eHealth literacy. These findings provide a theoretical basis and practical insights for improving health literacy among patients with diabetes.

Implications: Enhancing health literacy among people with diabetes by strengthening social support, self-efficacy and empowerment levels, while focusing on the technology-enabling role of eHealth literacy in this context.

Reporting method: This study adheres to the relevant EQUATOR guidelines based on the STROBE cross-sectional reporting method.

Patient or public contribution: We thank all patients who participated in the study for their understanding and support.

社会支持对糖尿病患者健康素养的影响:一项横断面研究
目的:近年来,健康素养在糖尿病管理中的关键作用日益突出。本研究旨在探讨社会支持对糖尿病患者健康素养的影响,检验自我效能感和赋权在社会支持与健康素养之间的中介作用,以及电子健康素养的调节作用。设计:一项横断面研究,于2023年8月至2024年6月进行。方法:本研究采用整群抽样方法,对安徽省芜湖市某三级医院的251例糖尿病患者进行问卷调查。问卷包括社会支持量表、糖尿病自我效能量表、健康赋权量表、电子健康素养量表和糖尿病健康素养量表。结果:社会支持与糖尿病患者健康素养呈正相关。自我效能感和授权感分别起到中介作用,并形成链式中介通路。电子健康素养在自我效能感和赋权之间具有调节作用。结论:社会支持通过自我效能感和赋权的中介途径影响糖尿病患者的健康素养,并通过电子健康素养调节这一过程。这些发现为提高糖尿病患者的健康素养提供了理论依据和实践见解。影响:通过加强社会支持、自我效能和赋权水平,提高糖尿病患者的健康素养,同时重点关注电子健康素养在这方面的技术支持作用。报告方法:本研究遵循相关EQUATOR指南,采用STROBE横断面报告方法。患者或公众贡献:我们感谢所有参与研究的患者的理解和支持。
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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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