电子健康素养对老年中风患者及其家庭照顾者健康促进行为的双重影响：自我效能感的中介作用

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-05-07 DOI:10.1016/j.jpsychores.2025.112144

Chen Xu , Lei Qian , Yanhui Qiu , Fen Ye , Jianru Hao , Jun Wang , Yuyu Qiu

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引用次数: 0

摘要

健康促进行为（HPB）对老年脑卒中患者及其家庭照顾者至关重要。本研究旨在探讨电子健康素养（eHL）对老年中风患者及其家庭照顾者HPB的双重影响，以及自我效能感（SE）是否在这种关系中起中介作用。方法采用横断面法收集293例生存者-照护者的资料。参与者完成eHL、SE和HPB量表。使用参与者-伙伴相互依赖中介模型进行数据分析。结果在行动者效应方面，幸存者和照顾者的eHL通过各自的SE与HPB呈正相关(幸存者：β = 0.142, P <；0.001;护理人员：β = 0.167, P <；0.001)。在伴侣效应方面，照顾者的eHL与幸存者的HPB呈正相关，这种关系由幸存者的SE介导(β = 0.112, P <；0.001)。结论老年脑卒中患者及其家庭照顾者的eHL、SE和HPB存在人际关系。提示eHL与双体HPB呈正相关，揭示了SE的潜在介导作用。它为双重干预提供了有价值的指导，以增强HPB和改善老年中风患者及其家庭照顾者的整体福祉。

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Dyadic effects of eHealth literacy on health-promoting behaviors in older adults with stroke and their family caregivers: The mediating role of self-efficacy

Aim

Health-promoting behaviors (HPB) are crucial for older adults with stroke and their family caregivers. This study aimed to explore the dyadic effects of eHealth literacy (eHL) on HPB among older adults with stroke and their family caregivers, as well as whether self-efficacy (SE) mediated this relationship.

Methods

A cross-sectional approach was used to collect data from 293 survivor-caregiver dyads. Questionnaires measuring eHL, SE, and HPB were completed by participants. Data analysis was conducted using the actor-partner interdependence mediation model.

Results

In terms of actor effects, eHL of both survivors and caregivers was positively associated with their HPB through their respective SE (survivor: β = 0.142, P < 0.001; caregiver: β = 0.167, P < 0.001). Regarding partner effects, caregivers' eHL was positively associated with survivors' HPB, with this relationship mediated by survivors' SE (β = 0.112, P < 0.001).

Conclusions

There were intrapersonal and interpersonal associations among eHL, SE, and HPB in older adults with stroke and their family caregivers. It suggested that eHL was positively related to HPB in dyads and revealed the potential mediating role of SE. It provides valuable guidance for dyadic interventions to enhance HPB and improve the overall well-being of older adults with stroke and their family caregivers.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.