情报科学 ›› 2022, Vol. 40 ›› Issue (9): 78-87.

• 理论研究 • 上一篇    下一篇

健康信息规避行为与维持性血液透析患者自我健康管理研究

  

  • 出版日期:2022-09-01 发布日期:2022-10-10

  • Online:2022-09-01 Published:2022-10-10

摘要: 【目的/意义】本研究旨在探讨患者健康信息规避行为和自我健康管理水平之间的关系。【方法/过程】采用
问卷调查的方法,收集了235份有效问卷,分析了维持性血液透析(MHD)患者人口统计学特征、规避程度、规避原
因、规避策略和规避内容的分布,通过卡方检验识别患者自我健康管理水平和人口学特征、健康信息规避程度之间
的关系;使用多因素 Logistic回归分析探讨不同因素对 MHD 患者自我健康管理的影响。【结果/结论】研究发现,维
持性血液透析患者存在明显的健康信息规避行为,对疾病的焦虑担心、健康信息的甄别、隐私保护是导致信息规避
行为发生的重要原因;患者通过推迟获取信息、转移注意力、拒绝信息源等策略规避与自身疾病相关的健康信息;
患者的自我健康管理能力与健康信息规避行为密切相关,严重规避程度的患者自我健康管理能力较差。【创新/局
限】研究聚焦特定病患人群,拓展了信息规避行为研究,丰富了信息行为研究的内容,尤其是针对MHD患者,提出
了关注患者心理、提高患者健康信息素养,改善患者自我健康管理能力的建议,以有效应对健康信息规避行为。

Abstract: 【Purpose/significance】This study aims to explore the relationship between patients' health information avoidance behavior
and self-health management.【Method/process】A survey was conducted and 235 valid questionnaires were collected,and the demo?
graphic characteristics of maintenance hemodialysis (MHD) patients,the degree of avoidance,reasons for avoidance,avoidance strate?
gies and the distribution of avoidance content were analyzed by Chi-square Tests.The study identifies the relationship between pa?
tients' self-health management level and demographic characteristics,and the degree of health information avoidance.A multi-factor
Logistic regression analysis was also performed to explore the influence of different factors on self-health management of MHD pa?
tients【. Result/conclusion】The study found that MHD patients have obvious health information avoidance behaviors.Anxiety about dis? eases,health information screening,and privacy protection are important reasons for MHD patients' information avoidance behaviors; patients avoid health information related to their own diseases by delaying to obtain information,diverting attention and rejecting infor? mation sources; patients' self-health management ability is closely related to health information avoidance behavior,and patients with severe evasiveness have poor self-health management ability【. Innovation/limitation】The study focuses on specific patient populations, expands information avoidance behavior research,and enriches information behavior research.In particular,for MHD patients this study proposes to pay attention to patient psychology,improve patient health information literacy,and improve patients' self-health manage? ment ability,in order to effectively respond to health information avoidance behavior