Health literacy in patients with heart failure treated in primary care

作者：Santesmases Masana Rosalia; Gonzalez de Paz Luis; Real Jordi; Borras Santos Alicia; Siso Almirall Antoni; Dolors Navarro Rubio Maria

来源：Atencion Primaria, 2017, 49(1): 28-34.

DOI：10.1016/j.aprim.2016.03.003

• Health literacy
• Heart failure
• Self-care practices
• Primary care

Objectives: The level of health literacy is examined, as well as its conditioning factors in patients with heart failure who are seen routinely in a Primary Health Care Area.
Design: A multicentre cross-sectional study.
Setting: 10 Primary care centres from the metropolitan area of Barcelona.
Participants: Patients diagnosed with heart failure. Inclusion criteria: to have visited the Primary Health Care centre in the last year, being able to arrive at the primary care setting independently, and voluntarily participation.
Main measurements: Health Literacy Survey-European Union - Questionnaire (HLS-EU-Q) and Spanish version of the European Heart Failure Self-care Behaviour Scale. An analysis was made of the relationships between health literacy, self-care practices, sociodemographic, and clinical variables using ANOVA test and a multiple linear regression model.
Results: The study included 318 patients (51.2% women) with a mean age of 77.9 +/- 8.7 years. The index of health literacy of 79.6% (n = 253) of the participants indicated problems in understanding healthcare information. Health literacy level was explained by academic level (P <. 001), the extent of heart failure (P =. 032), self-care, and age (P <. 04). The academic level explained 61.6% of the health of literacy (95% bootstrap: 44.58%; 46.75%).
Conclusions: In patients with stable heart failure, it is important to consider all factors that help patients to understand the healthcare information. Health literacy explains patient self-care attitude in heart failure.

• 出版日期2017-1