Purpose COVID-19 posed a threat to the public’s physical and mental health, and under outbreak control, the opportunities to go outside of the elderly have been reduced and making it more difficult to access health information and detrimental to their health management. This study aims to assess the current status of health information literacy (HIL) among older adults in the community in the context of COVID-19 and to identify its associated factors. Methods A cross-sectional survey was conducted from April to July, 2021, for which 617 community elderly members were recruited in Chenzhou, China. Data were collected through a general information questionnaire, The Chinese residents’ HIL self-rated scale and a reliability evaluation form. Results The average score of HIL was 75.87 ± 9.85, and after processed by the 100-point system, we found 84.12% (519/617) of the participants scored less than 60 points, which indicates that the overall level of HIL among the community elderly is low. Multiple linear regression showed that age, gender, education, annual family Income, living arrangement, and chronic disease status (β = –0.341, –0.296, 0.384, 0.327, 0.296, 0.356, respectively; all P < 0.001) were significantly associated with the level of HIL found among the community elderly, out of which education was the most important associated factor. Conclusion The overall HIL level among the community elderly was low in Central China during the COVID-19 pandemic. Our results further prove the need for tailor-made health education programs for this group, with particular attention paid to the low-educated and low-income among them. Those measures must highlight on three aspects of health information search, evaluation, and application skills to offer useful experiences that improve the HIL level of the elderly and strengthen their ability to cope with emerging public health events.
In order to explore the observation and nursing of adverse reactions in severe patients with enhanced magnetic resonance imaging, a family nursing service model was proposed in patients with enhanced magnetic resonance imaging. 150 patients who underwent enhanced magnetic resonance imaging in a hospital were selected as the research objects. The patients were divided into two groups by random number table method. 75 patients in the control group received routine nursing intervention and 75 patients in the observation group received family nursing service intervention. The anxiety score, depression score, examination time, one-time success rate, comfort score, incidence of adverse reactions, excellent image quality rate and nursing satisfaction were compared between the two groups. The results showed that the anxiety score and depression score of the observation group were lower than those of the control group (P < 0.05), the examination time of the observation group was significantly shorter than that of the control group (P < 0.05), and the comfort score and one-time success rate of the observation group were significantly higher than those of the control group (P < 0.05). The incidence of adverse reactions was significantly lower than that in the control group (P < 0.05), the excellent and good image quality rate (95.00%) and nursing satisfaction (97.22%) were significantly higher than those in the control group (83.00%, 86.56%). This shows that the application effect of family nursing service mode in magnetic resonance enhanced scanning is remarkable. Therefore, the use of family care mode in MRI patient examination can effectively reduce patients' anxiety and depression scores, shorten examination time, reduce adverse reactions, improve the success rate of one-time examination, improve patients' comfort during examination and patients' evaluation of nursing services. The effect is ideal and worthy of clinical research and promotion.
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