Mediating effect of health literacy between discharge readiness and self-management behavior in patients with inflammatory bowel disease
10.3760/cma.j.cn211501-20240103-00017
- VernacularTitle:健康素养在炎症性肠病患者出院准备度和自我管理行为之间的中介效应
- Author:
Yi WANG
1
;
Yamei CHEN
;
Junwan JIA
;
Guiying XIANG
;
Weixian CHEN
;
Baixue JIANG
Author Information
1. 同济大学附属第十人民医院消化内科，上海 200072
- Publication Type:Journal Article
- Keywords:
Inflammatory bowel disease;
Health literacy;
Mediation analysis;
Readiness for hospital discharge;
Self-management behavior
- From:
Chinese Journal of Practical Nursing
2025;41(3):175-182
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of self-management behavior in patients with inflammatory bowel disease and to construct a structural equation model to explore the mediating role of health literacy between discharge readiness and self-management behavior.Methods:From March to September 2023, 310 hospitalized patients with inflammatory bowel disease in the Tenth People ′s Hospital Affiliated to Tongji University were selected as the research subjects by the convenience sampling method. A cross-sectional survey was conducted using the general information questionnaire, the Health Literacy Management Scale, the Discharge Readiness Scale, and the Self-management Behavior Scale. Results:Eventually, 303 valid questionnaires were retrieved. Among the 303 patients, there were 190 males and 113 females, with an average age of (35.63 ± 16.41) years old. The total score of health literacy of patients with inflammatory bowel disease was (94.35 ± 10.78) points, indicating a health literacy compliance rate of 74.3%(225/303). The total score of discharge readiness was (79.52 ± 9.16) points, and the total score of self-management behavior was (135.22 ± 17.36) points. In patients with inflammatory bowel disease, the discharge readiness was positively correlated with the total score of health literacy ( r=0.748, P<0.01), the discharge readiness was positively correlated with the total score of self-management behavior ( r=0.821, P< 0.01), and the health literacy was positively correlated with the total score of self-management behavior ( r=0.767, P<0.01). Health literacy may serve as a mediating variable, partially explaining the relationship between discharge readiness and self-management behavior in patients with inflammatory bowel disease. The mediating effect accounted for 47.5% of the total effect. Conclusions:Discharge readiness not only positively impacts self-management behavior among patients with inflammatory bowel disease but also indirectly influences this behavior through health literacy. It is essential for clinical healthcare professionals to prioritize the assessment of discharge readiness and health literacy among these patients. By improving discharge readiness and enhancing health literacy, clinical healthcare professionals can effectively support patients with inflammatory bowel disease in their self-management efforts.
