Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndrome

Abstract Background The proportion of patients with obstructive sleep apnea–hypopnea syndrome (OSAHS) is increasing year by year in China, which has become a major public health problem. Self-management of OSAHS and multiple support from caregivers are key to low hospital admissions and high quality...

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Main Authors: Haitao Yu, Ye Gao, Tong Tong, Chunguang Liang, Hui Zhang, Xiangru Yan, Liying Wang, Huiying Zhang, Hongliang Dai, Huijuan Tong
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-022-02153-1
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author Haitao Yu
Ye Gao
Tong Tong
Chunguang Liang
Hui Zhang
Xiangru Yan
Liying Wang
Huiying Zhang
Hongliang Dai
Huijuan Tong
author_facet Haitao Yu
Ye Gao
Tong Tong
Chunguang Liang
Hui Zhang
Xiangru Yan
Liying Wang
Huiying Zhang
Hongliang Dai
Huijuan Tong
author_sort Haitao Yu
collection DOAJ
description Abstract Background The proportion of patients with obstructive sleep apnea–hypopnea syndrome (OSAHS) is increasing year by year in China, which has become a major public health problem. Self-management of OSAHS and multiple support from caregivers are key to low hospital admissions and high quality of life for patients with OSAHS. Social support and health literacy are the main promoters of self-management behavior. However, their contributions have not been adequately studied. The purpose of this study is to investigate the level of self-management among patients with OSAHS and its relationship with general demographics, social support, and health literacy. Methods A total of 280 patients with OSAHS treated in two Classiii Grade A hospitals in Jinzhou City, Liaoning Province from October 2020 to July 2021 were selected as the study subjects. Patients were investigated by General Characteristics Questionnaire, Social Support Rating Scale (SSRS), Health Literacy Scale for Chronic Patients (HLSCP), and OSAHS Self-management Behavior Questionnaire, and the influencing factors of self-management of patients with OSAHS were analyzed. Results The average score of OSAHS self-management was 74.49(SD = 8.06), SSRS and HLSCP scores were positively correlated with total scores of self-management behavior. Furthermore, we found that disease duration, SSRS, and HLSCP scores were the main predictors of self-management behavior (R2 = 0.390, P < 0.001). Conclusion This study found that OSAHS patients with a longer duration of disease and higher SSRS or HLSCP scores also had higher levels of self-management. The factors discussed in this study may be helpful in developing individualized interventions in self-management for patients with OSAHS.
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spelling doaj.art-9251b660441443c1a9e7829f05235cbd2022-12-22T04:03:03ZengBMCBMC Pulmonary Medicine1471-24662022-09-012211810.1186/s12890-022-02153-1Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndromeHaitao Yu0Ye Gao1Tong Tong2Chunguang Liang3Hui Zhang4Xiangru Yan5Liying Wang6Huiying Zhang7Hongliang Dai8Huijuan Tong9Department of Nursing, School of Nursing, Jinzhou Medical UniversityDepartment of Nursing, School of Nursing, Jinzhou Medical UniversityDepartment of Nursing, School of Nursing, Jinzhou Medical UniversityDepartment of Nursing, School of Nursing, Jinzhou Medical UniversityDepartment of Nursing, School of Nursing, Jinzhou Medical UniversityDepartment of Nursing, School of Nursing, Jinzhou Medical UniversityDepartment of Nursing, School of Nursing, Jinzhou Medical UniversityThe First Affiliated Hospital, Jinzhou Medical UniversityDepartment of Nursing, School of Nursing, Jinzhou Medical UniversitySchool of Nursing, Shenyang Medical College SchoolAbstract Background The proportion of patients with obstructive sleep apnea–hypopnea syndrome (OSAHS) is increasing year by year in China, which has become a major public health problem. Self-management of OSAHS and multiple support from caregivers are key to low hospital admissions and high quality of life for patients with OSAHS. Social support and health literacy are the main promoters of self-management behavior. However, their contributions have not been adequately studied. The purpose of this study is to investigate the level of self-management among patients with OSAHS and its relationship with general demographics, social support, and health literacy. Methods A total of 280 patients with OSAHS treated in two Classiii Grade A hospitals in Jinzhou City, Liaoning Province from October 2020 to July 2021 were selected as the study subjects. Patients were investigated by General Characteristics Questionnaire, Social Support Rating Scale (SSRS), Health Literacy Scale for Chronic Patients (HLSCP), and OSAHS Self-management Behavior Questionnaire, and the influencing factors of self-management of patients with OSAHS were analyzed. Results The average score of OSAHS self-management was 74.49(SD = 8.06), SSRS and HLSCP scores were positively correlated with total scores of self-management behavior. Furthermore, we found that disease duration, SSRS, and HLSCP scores were the main predictors of self-management behavior (R2 = 0.390, P < 0.001). Conclusion This study found that OSAHS patients with a longer duration of disease and higher SSRS or HLSCP scores also had higher levels of self-management. The factors discussed in this study may be helpful in developing individualized interventions in self-management for patients with OSAHS.https://doi.org/10.1186/s12890-022-02153-1Obstructive sleep apnea–hypopnea syndromeSelf-management behaviorSocial supportHealth literacy
spellingShingle Haitao Yu
Ye Gao
Tong Tong
Chunguang Liang
Hui Zhang
Xiangru Yan
Liying Wang
Huiying Zhang
Hongliang Dai
Huijuan Tong
Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndrome
BMC Pulmonary Medicine
Obstructive sleep apnea–hypopnea syndrome
Self-management behavior
Social support
Health literacy
title Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndrome
title_full Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndrome
title_fullStr Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndrome
title_full_unstemmed Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndrome
title_short Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndrome
title_sort self management behavior associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea hypopnea syndrome
topic Obstructive sleep apnea–hypopnea syndrome
Self-management behavior
Social support
Health literacy
url https://doi.org/10.1186/s12890-022-02153-1
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