Alfabetización en salud en pacientes con insuficiencia cardiaca atendidos en atención primaria

Santesmases-Masana, Rosalía; Paz, Luís González-de; Real, Jordi; Borràs-Santos, Alícia; Sisó‐Almirall, Antoni; Navarro-Rubio, María Dolores

doi:10.1016/j.aprim.2016.03.003

Cited by 16 publications

(22 citation statements)

References 30 publications

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“…These results are very similar to a previous study in Taiwan, which was also conducted in an urban hospital involving inpatients diagnosed with NYHA II and III heart failure, and in which 60.2% of the respondents showed inadequate health literacy [12]. A previous study [25] conducted in Spain showed a higher level of limited health literacy (79.6%) in patients with heart failure in the primary health care sector.…”

Section: Discussionsupporting

confidence: 89%

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Exploring the Importance of Health Literacy for the Quality of Life in Patients with Heart Failure

Jovanić

Zdravković

Stanisavljević

et al. 2018

IJERPH

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As with all other chronic noncommunicable diseases, adequate health literacy plays a key role in making the right decisions in the treatment of heart failure. Patients with heart failure and a lower health literacy have a reduced quality of life. A cross-sectional study among 200 patients with heart failure was conducted at a state university hospital in Belgrade, Serbia. The European Health Literacy Questionnaire, HLS-EU-Q47, was used to assess health literacy. Quality of life was measured with the generic SF-36 and the Minnesota Living with Heart Failure Questionnaire. Descriptive and analytical statistical analysis was applied. More than half of the respondents (64%) had limited health literacy. The lowest mean health literacy index (28.01 ± 9.34) was within the disease prevention dimension, where the largest number of respondents showed limited health literacy (70%). Our patients had a poorer quality of life in the physical dimension, and the best scores were identified in the emotional role and social functioning. Health literacy was highly statistically significant and an independent predictor of quality of life (physical, mental, and total quality of life). Improving health literacy can lead to better decisions in the treatment of disease and quality of life in heart failure patients.

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Section: Discussionsupporting

confidence: 89%

“…The questionnaire has already been used to test the literacy of specific groups of patients, such as adolescents [3], diabetics [3,24], and patients with heart failure [25]. We used the full version of the questionnaire with a cultural adaptation (linguistic validation) to the Serbian language.…”

Section: Methodsmentioning

confidence: 99%

Exploring the Importance of Health Literacy for the Quality of Life in Patients with Heart Failure

Jovanić

Zdravković

Stanisavljević

et al. 2018

IJERPH

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“…Concerning age, recent studies in heart failure patients inversely relate age to HL scores [12,[32][33][34]. In our study, equally, older patients were less able to navigate the health system to address their needs on their own, did not understand most health information, had great difficulty filling out medical forms and were confused before conflicting information, depending on others to enable the access to health resources.…”

Section: Discussionmentioning

confidence: 53%

Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease

Cabellos-García

Castro-Sánchez

Martínez-Sabater

et al. 2020

IJERPH

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Background: Health literacy (HL) has been linked to empowerment, use of health services, and equity. Evaluating HL in people with cardiovascular health problems would facilitate the development of suitable health strategies care and reduce inequity. Aim: To investigate the relationship between different dimensions that make up HL and social determinants in patients with cardiovascular disease. Methods: Observational, descriptive, cross-sectional study in patients with cardiovascular disease, aged 50–85 years, accessing primary care services in Valencia (Spain) in 2018–2019. The Health Literacy Questionnaire was used. Results: 252 patients. Age was significantly related with the ability to participate with healthcare providers (p = 0.043), ability to find information (p = 0.022), and understanding information correctly to know what to do (p = 0.046). Level of education was significant for all HL dimensions. Patients without studies scored lower in all dimensions. The low- versus middle-class social relationship showed significant results in all dimensions. Conclusions: In patients with cardiovascular disease, level of education and social class were social determinants associated with HL scores. Whilst interventions at individual level might address some HL deficits, inequities in access to cardiovascular care and health outcomes would remain unjustly balanced unless structural determinants of HL are taken into account.

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“…Por otra parte, el autocuidado de la dieta mostró correlación significativa con la AS en todas sus dimensiones y capacidades con excepción de la dimensión procesar/juzgar. Esto concuerda con lo reportado por Santesmases, et al, quienes encontraron que las pobres conductas de autocuidado se relacionan con el bajo nivel de comprensión de la información en salud (27) . Si bien en la presente investigación, dado su diseño transversal, no es posible establecer causalidad, si apunta a una relación que pudiera ser sumamente útil en términos de prevención por lo que merece su estudio en investigaciones longitudinales.…”

Section: Discussionunclassified

“…Es por ello que se debe plantear nuevas estrategias educativas que faciliten el proceso de comprensión de dicha información y tener presente que a medida que la edad avanza, el acompañamiento tanto de los profesionales de la salud como de las redes de apoyo social requiere ser más cercano para facilitar que sigan las recomendaciones de los profesionales de la salud. En algunos estudios se ha señalado que el crear intervenciones utilizando formatos como dibujos e imágenes podrían ayudar a comprender mejor los temas de promoción de la salud y con ello mejorar la AS (23,27) .…”

Section: Discussionunclassified

La alfabetización en salud como factor clave en el autocuidado de la dieta en personas con diabetes mellitus tipo 2

et al. 2019

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Introducción: Alfabetización en Salud (AS) es un término que proviene del inglés health literacy, se refiere al conjunto de habilidades sociales y cognitivas que determinan la capacidad de una persona para acceder, entender y utilizar la información de forma que le permita mantener un buen estado de salud. Objetivo: Determinar la asociación entre AS y las conductas de autocuidado en personas con diabetes mellitus tipo 2. Materiales y métodos: Estudio cuantitativo, transversal y analítico llevado a cabo en dos centros de salud de atención primaria de la ciudad de Xalapa, Veracruz, México entre agosto-noviembre de 2016. La AS se midió con el European Health Literacy Survey (HLS-EU-Q47) y las conductas de autocuidado con el Summary of Diabetes Self-care Activities (SDSCA) de Toobert y Glasgow. Se eligieron 90 personas con diabetes mellitus tipo 2 que acudían a consulta. La participación fue voluntaria y previa firma de consentimiento informado. Resultados: El autocuidado de la dieta mostró asociación con la AS en su dimensión de promoción de la salud (p=0,018). Conclusiones: La AS se relaciona con las conductas de autocuidado, en específico de la dieta; a medida que aumenta la AS mejora el autocuidado.

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Alfabetización en salud en pacientes con insuficiencia cardiaca atendidos en atención primaria

Abstract: 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.

Cited by 16 publications

References 30 publications

Exploring the Importance of Health Literacy for the Quality of Life in Patients with Heart Failure

Exploring the Importance of Health Literacy for the Quality of Life in Patients with Heart Failure

Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease

La alfabetización en salud como factor clave en el autocuidado de la dieta en personas con diabetes mellitus tipo 2

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