低健康素养限制了第一阶段心脏康复期间的行为变化:一个多中心临床研究
Yuji Kanejima1,2,3, Kazuhiro P Izawa4,5, Masahiro Kitamura1,2,6
1Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe University, 10-2 Tomogaoka 7-Chome, Suma-ku, Kobe, 654-0142, Japan.
Heart and vessels
|July 29, 2025
概括
改善健康素养 (HL) 对于接受心脏康复的患者来说至关重要,以养成更健康的生活习惯. 较高的HL积极影响行为变化,特别是那些健康素养水平较低的人.
科学领域:
- 心脏病学 心脏病学
- 健康 行为 健康行为
- 卫生识字 卫生识字
背景情况:
- 心血管疾病与不健康的生活方式选择有关.
- 健康素养 (HL) 影响患者理解和根据健康信息采取行动的能力.
- 低HL可以阻碍必要的健康行为修改.
研究的目的:
- 研究心脏康复住院患者的健康素养和健康行为变化之间的关联.
- 确定HL是否会影响康复期间采用更健康的习惯.
主要方法:
- 一项多中心队列研究,涉及428名住院患者进行第一阶段心脏康复.
- 使用14项健康素养量表 (HLS-14) 评估健康素养.
- 使用跨理论模型 (TTM) 阶段评估的行为变化.
主要成果:
- 大多数患者 (83.2%) 开始在行为改变的前观想阶段.
- 观察到在排放时有显著的转移到考虑 (50.7%) 和准备 (38.1%) 的阶段.
- 83.6%的参与者在住院期间表现出行为变化.
- 较高的HLS-14得分与行为变化有显著的关联 (OR:1.04;95%CI:1.00-1.07).
- 显而易见的是,HLS-14分数和行为变化之间存在正相关性,特别是在低HL组中.
结论:
- 健康素养是促进心脏康复患者健康行为变化的重要因素.
- 改善健康素养的干预措施可能会提高心脏康复计划的有效性.
- 专注于健康素养较低的个体对于促进生活方式修改尤为重要.
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