Correlation Of E-Health Literacy And Self-efficacy And Self-management With Diabetes

BackgroundA survey showed that at present our country's' existing diabetes patients are nearly 92.4 million,diabetes has already become the third major noncommunicable disease.Currently,diabetes cannot be completely cured,which needs lifelong treatment.Patients need quite amount of skills and knowledge to cooperate with the comprehensive treatment of diabetes,however,with limited understanding and self-control in diet and exercise,patients lack self-efficacy and self-management,hence cannot effectively cooperate with the treatment.Since 21 st century,the rapid development of information technology has impacted various aspects of the society and life profoundly,electronic health comes into being.On one hand the Electronic health is able to provide technical support and medical health information resources,for instance,personal electronic health records,electronic prescription,mobile health and mobile web site,however,these directly electronic health resources needs the patient's reading ability,ability to use information technology and decision-making ability to access correct information.Therefore,how to improve the electronic environment related skills,and make full use of electronic health resources gradually cause the attention of scholars,electronic health literacy has become the new trend of health literacy research.ObjectiveTo investigate the diabetic patients' electronic health literacy status;To analyze the factors that influence diabetic patients' electronic health literacy;analyze the correlation of electronic health resources quality,self-efficacy and self-management activities.MethodsFor this thesis,we adopted the combination of quantitative research and qualitative research methods.using random sampling method,we recruited 348 patients with diabetes in PingDingShan city who conform to the criteria for the selection during March 2016 to July,2016.Using the general information questionnaire,electronic health literacy scale chart,the self-efficacy scale for chronic diseases chart,and the diabetes self-management activity questionnaire,we Analyzed patients with different age,gender,educational level,self-efficacy and self-management electronic health resources quality to measure the differences.For the qualitative research,used purposive sampling method,we recruited 348 patients with diabetes in PingDingShan city who conform to the criteria for the selection during July 2016 to September 2016.Using the phenomenological research methods,we conducted in-depth semi-structured interviews.ResultsScores of diabetic diabetes patients' electronic health literacy in each dimension: the application of network health information and service ability test(10.49±3.425)points,judging ability test(4.21±1.346)points and decision-making ability test(2.13 ± 0.651)points,each dimension scores are relatively low.Nationalities,marital status,occupation,education,income,health care type,complications,access to information on electronic health literacy impact the diabetic patients' scores.Scores of diabetic patients' self-management in descending order are: drug management(3.39±0.726)points,the processing of high and low blood sugar(2.89±0.839)points,blood sugar monitoring(2.86±0.850)points,foot care(2.83 ±0.768 mm)points,sports(2.82±0.770)points,eating management(2.82±0.772)points.Diabetic patients' self-efficacy score is(16.78±4.912)points.Both are in the general level which indicates the shortcoming of diabetic patients' self-management and self-efficacy.Two electronic health literacy'scorrelation coefficients were 0.640 and0.667,which shows the enhancement of patients' electronic health literacy improves patients' self-management ability and self-efficacy.The data collected from interviews,refined five topics,which are the difficulty to find information,lack of distinguishment of information,weakness in information application and decision-making ability.ConclusionThe diabetic patients of eHealth health literacy,Self-management and Self-efficacy are limited;Nationalities,marital status,occupation,education,income,health care type,complications,access to information on electronic health literacy impact the diabetic patients' scores.;The influence of electronic health literacy and the relationship with self-efficacy and the self-management activities.