%0期刊文章%@ 1438- 8871% I JMIR出版物%V 21卡塔尔世界杯8强波胆分析% N 6% P e12165% T成人慢性阻塞性肺疾病患者健康素养、电子健康素养、疾病特异性知识与健康相关生活质量之间的关系:横断面研究%A Stellefson,Michael %A Paige,Samantha R %A Alber,Julia M %A Chaney,Beth H %A Chaney,Don %A Apperson,Avery %A Mohan,Arjun +健康教育和促进系，东卡罗莱纳大学，Carol G Belk大楼3202，格林维尔，北卡罗来纳州，27858，美国，1 252 328 2105，stellefsonm17@ecu.edu %K COPD %K eHealth %K健康相关生活质量%K健康素养%K患者教育%K健康状况%K互联网%D 2019 %7 06.06.19 %9原始论文%J J医学互联网Res %G英语%X背景:尽管慢性阻塞性肺疾病(COPD)患者健康素养较低的患病率相对较高，但对能够独特影响患者健康相关生活质量(HRQoL)结果的认知和健康素养相关技能的实证关注有限。目的:本研究的目的是研究健康素养、电子健康(eHealth)素养和COPD知识如何与COPD患者的一般和肺特异性HRQoL相关。方法:来自COPD基金会国家研究注册中心的成年人(n=174)完成了一项基于网络的横断面调查，评估了社会人口学特征、共病状况、COPD知识、健康素养、电子健康素养和通用/肺部特异性HRQoL。在考虑了社会经济和共病协变量后，测试了分层线性回归模型，以检验健康素养和电子健康素养对一般(模型1)和肺特异性(模型2)HRQoL的作用。斯皮尔曼等级相关性检验了顺序HRQoL项目与统计意义显著的等级预测变量之间的关联。结果:在对混淆因素进行调整后，健康素养、电子健康素养和COPD知识在一般HRQoL中占额外9%的方差(总调整R2=21%;F9,164 = 6.09, P <措施)。 Health literacy (b=.08, SE 0.02, 95% CI 0.04-0.12) was the only predictor positively associated with generic HRQoL (P<.001). Adding health literacy, eHealth literacy, and COPD knowledge as predictors explained an additional 7.40% of variance in lung-specific HRQoL (total adjusted R2=26.4%; F8,161=8.59, P<.001). Following adjustment for covariates, both health literacy (b=2.63, SE 0.84, 95% CI 0.96-4.29, P<.001) and eHealth literacy (b=1.41, SE 0.67, 95% CI 0.09-2.73, P<.001) were positively associated with lung-specific HRQoL. Health literacy was positively associated with most lung-specific HRQoL indicators (ie, cough frequency, chest tightness, activity limitation at home, confidence leaving home, sleep quality, and energy level), whereas eHealth literacy was positively associated with 5 of 8 (60%) lung-specific HRQoL indicators. Upon controlling for confounders, COPD knowledge (b=−.56, SE 0.29, 95% CI −1.22 to −0.004, P<.05) was inversely associated with lung-specific HRQoL. Conclusions: Health literacy, but not eHealth literacy, was positively associated with generic HRQoL. However, both health literacy and eHealth literacy were positively associated with lung-specific HRQoL, with higher COPD knowledge indicative of lower lung-specific HRQoL. These results confirm the importance of considering health and eHealth literacy levels when designing patient education programs for people living with COPD. Future research should explore the impact of delivering interventions aimed at improving eHealth and health literacy among patients with COPD, particularly when disease self-management goals are to enhance HRQoL. %M 31172962 %R 10.2196/12165 %U //www.mybigtv.com/2019/6/e12165/ %U https://doi.org/10.2196/12165 %U http://www.ncbi.nlm.nih.gov/pubmed/31172962