门诊患者电子健康素养现状及影响因素研究

目的 了解门诊患者电子健康素养水平，并探讨电子健康素养的影响因素。方法 采用自制问卷对有网络健康信息搜寻经历的467名成年门诊患者进行调查，并采用多重线性回归进行多因素分析。结果 门诊患者的电子健康素养平均得分为（24.33±6.49）分。搜寻频率方面，20.3%的门诊患者经常利用网络搜寻健康信息；搜寻渠道方面，患者最常使用的是搜索引擎（29.6%）；搜寻态度方面，32.2%的患者认为网络健康信息在帮助自己做出健康决定方面是有用的。多因素分析显示利用网络搜寻健康信息的频率越高（beta = 0.189，P＜0.001）、使用的网络渠道越多（beta = 0.244，P＜0.001）、对网络健康信息态度越积极的患者（beta = 0.125，P＜0.05；beta = 0.361，P＜0.001），其电子健康素养得分越高。结论 加强网络健康资源的利用，改善门诊患者对网络健康信息的态度，有助于其电子健康素养水平的提升。

Analysis on status and influencing factor of e-health literacy among outpatients

Objective The aim of this study was to assess the status of e-health literacy among outpatients, and thus to explore the influencing factors for e-health literacy. Methods 467 adult outpatients with internet health information seeking experience were investigated by self-designed questionnaire. Multivariate analysis was performed by multiple linear regression method. Results The average total score of e-health literacy was 24.33±6.49. In terms of search frequency, 20.3% outpatients often used internet to search health information. In terms of search channels, the most commonly used was the search engine(29.6%). In terms of search attitude, 32.2% outpatients believed that internet health information was useful in helping them make health decisions. Multivariate analysis showed that the outpatients with higher e-health literacy used internet for health purpose more frequently (beta=0.189, P<0.001), used more search channels (beta=0.244, P<0.001), and had more positive attitude towards the internet health information(beta=0.125, P<0.05; beta= 0.361, P<0.001). Conclusion Strengthening the utilization of internet health resources and improving the attitude towards online health information will be beneficial to the improvement of e-health literacy among outpatients.