| ObjectiveThis study aims to investigate the current research status of social support,self-efficacy and e-health literacy in stroke patients with type 2 diabetes mellitus,analyze the influencing factors of e-health literacy,explore the correlation of social support,self-efficacy and e-health literacy in stroke patients with type 2diabetes mellitus,and test whether self-efficacy has an intermediary role in social support and e-health literacy.MethodThis study was cross-sectional and convenient sampling method was adopted.Patients with stroke combined with type 2 diabetes admitted to the neurology department of a third-class A hospital in Jinzhou City were selected as the research objects.A total of 310 patients meeting the inclusion and exclusion criteria were investigated from September 2021 to April 2022 using the general Information questionnaire,the Social Support Rating Scale,the Chronic Disease Self-efficacy Scale and the Electronic Health Literacy Scale.SPSS 26.0 software was used for data entry,and descriptive analysis,T-test,one-way analysis of variance,Pearson correlation analysis and multiple linear regression analysis were conducted.AMOS 23.0 was used to construct structural equation model and test the mediation model.Results1.The total score of social support was(32.68±5.65),the score of subjective support was(17.64±3.27),the score of objective support was(9.40±1.20),and the score of utilization of social support was(5.64±1.82).2.The total score of self-efficacy was(6.15±1.93),the score of symptom management was(6.11±1.91)and the score of disease common management was(6.23±2.16).3.The total score of e-health literacy was(15.87±6.63),the score of application ability of network health information and service was(9.33±4.14),the score of evaluation ability was(4.27±1.86),and the score of decision-making ability was(2.26±0.99).4.Age,education,marital status,place of residence,occupation,monthly income,medical payment and ability to perform activities of daily living had significant differences in e-health literacy scores of stroke patients with type 2diabetes(P<0.05).5.Pearson correlation analysis showed that social support was positively correlated with e-health literacy(r=0.601,P<0.05),It was positively correlated with self-efficacy(r=0.716,P<0.05),There was a significant positive correlation between self-efficacy and e-health literacy(r=0.771,P<0.05).6.After controlling for general data,social support and self-efficacy were included respectively.The results showed that social support had a positive predictive effect on e-health literacy(β=0.365,t=6.67,P<0.05),had positive predictive effect on self-efficacy(β=0.629,t=12.19,P<0.05);After controlling for general data and including social support and self-efficacy,the results showed that self-efficacy had a positive predictive effect on e-health literacy(β=0.619,t=12.295,P<0.05),while the direct effect of social support on e-health literacy was not significant(P<0.05).7.Structural equation model results show that the direct effect of social support on self-efficacy is 0.785,and the direct effect of self-efficacy on e-health literacy is 0.768,and the 95% confidence interval of the direct effect of social support on e-health literacy contains 0,which proves that self-efficacy plays a major mediating role between social support and e-health literacy.Conclusions1.E-health literacy of stroke patients with type 2 diabetes is at a low level.2.Patients who are younger,more educated,married,living in cities,working as workers,with higher monthly income,using employee health insurance payment,and scoring higher ability of daily living activities have higher e-health computing literacy.3.Social support was significantly positively correlated with e-health literacy and self-efficacy,and self-efficacy was significantly positively correlated with e-health literacy.Social support had a positive prediction effect on e-health literacy and self-efficacy,and self-efficacy had a positive prediction effect on social support.4.Self-efficacy plays a major mediating role between social support and e-health literacy. |
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