Mediating effect of patient motivation between health literacy and self-management behaviour in patients with knee osteoarthritis
10.3969/j.issn.1671-8283.2023.10.003
- VernacularTitle:膝骨性关节炎患者积极度在健康素养与自我管理行为间的中介效应研究
- Author:
Yuna CAI
1
;
Xixi HUANG
;
Jie YAO
;
Jingjing CAO
;
Yuanyuan FANG
;
Xia SHAO
;
Xiaowei LI
;
Yan GUO
Author Information
1. 陕西中医药大学,陕西咸阳,712000
- Keywords:
knee osteoarthritis;
health literacy;
patient motivation;
self-management behavior;
mediating effect
- From:
Modern Clinical Nursing
2023;22(10):16-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the status quo of health literacy,motivation and self-management behaviours of patients with knee osteoarthritis(KOA),to explore the influence of health literacy and motivation on self-management behaviours to the patients with KOA,and to clarify the relationships among the three factors.Methods Convenience sampling method was used to select 169 KOA patients who were treated in 3 tertiary hospitals in Xianyang between September and December 2021.General status table,chronic disease health literacy scale,patient motivation scale and chronic disease self-management behaviour scale were employed in the on-the-spot survey.Pearson correlation was used to analyze the correlation of health literacy,motivation and self-management behaviour of patients with KOA.Results Total scores of health literacy,motivation and self-management behaviour of the patients with KOA were 79.66±11.91,54.97±9.95 and 23.75±8.89,respectively.It was found that health literacy and motivation of the patients were positively correlated with their self-management behaviour(r=0.872,r=0.822,both P<0.01).Health literacy of the patients was positively correlated with motivation of patients(r=0.877,P<0.01).Health literacy of the patients could be used to directly predict self-management behaviour of patients(β=0.708,95%CI:0.539-0.876),as well as to predict self-management behaviour of the patients through the mediating effect of patient motivation(β=0.228,95%CI:0.676-0.787).The mediating effect accounted for 24.36%of the total effect.Conclusions The health literacy,motivation and self-management behaviours of patients with KOA are all poor and they should be further improved.Patient motivation is the mediating variable in health literacy and self-management behaviour of the patients.It is suggested that nursing staff could encourage the motivation of patients hence to improve the self-management behaviour in the patients with KOA based on an improvement of health literacy.
