Abstract: Background　Thanks to the rapid development of Internet technologies，electronic resources have come to play an increasingly important role in public health. Objective　To investigate the status and influencing factors of eHealth literacy in hospitalized patients with stroke，providing evidence for improving eHealth literacy in this group. Methods　A total of 580 hospitalized stroke patients and their main caregivers in three grade A tertiary hospitals in Henan Province were selected by convenience sampling from July to October 2020. The Chinese version of the eHealth Literacy Scale（eHEALS） was used to investigate their eHealth literacy and associated factors. Results　The survey obtained a response rate of 96.21%（558/580）. The mean total score of the eHEALS in the respondents was 13（13）. The rate of having qualified total eHEALS score was only 5%. The mean total scores of dimensions of network health information and service application ability，evaluation ability，and decision-making ability were 8（7），4（4），and 2（2），respectively. The rate of having qualified total eHEALS score of caregivers was 24.7%（138/558）. Binary Logistic regression analysis showed that age of stroke inpatients and eHealth literacy of their caregivers were associated with the level of eHealth literacy of stroke inpatients（P<0.05）. Conclusion　The level of eHealth literacy of hospitalized patients with stroke was low. Our study suggests that the eHealth literacy in these patients should be concerned about clinically，and interventions developed according to factors associated with eHealth literacy will help improve patients' health better.

Key words: Stroke, eHealth literacy, Root cause analysis

摘要： 背景　随着互联网的高速发展，电子资源在公众健康中扮演着日益重要的角色。目的　调查脑卒中住院患者电子健康素养现状，分析影响因素，为提高脑卒中住院患者电子健康素养提供依据。方法　采用便利抽样法，于2020年7—10月选取河南省3所三级甲等医院住院的580例脑卒中患者及其主要照顾者为调查对象，采用电子健康素养量表（eHEALS）调查其电子健康素养现状，并采用Logistic回归分析脑卒中住院患者电子健康素养的影响因素。结果　共发放问卷580份，回收有效问卷558份，有效率为96.2%。脑卒中住院患者电子健康素养总分是13（13）分，合格率为5%。网络健康信息与服务的应用能力测试维度总分为8（7）分，评判能力测试维度总分为4（4）分，决策能力测试维度总分为2（2）分。照顾者电子健康素养水平合格率为24.7%（138/558）。二元Logistic回归分析结果显示，年龄及照顾者电子健康素养水平是脑卒中住院患者电子健康素养的影响因素（P<0.05）。结论　脑卒中住院患者电子健康素养水平较低，医护人员应对脑卒中住院患者的电子健康素养予以关注，并制定针对性的干预措施，从而帮助患者更好地解决自身健康问题。

关键词: 卒中, 电子健康素养, 影响因素分析