Health Literacy  in Patients with Ischemic Heart Diseases

Adib-Hajbaghery, Mohsen; Hakimzadeh, Zeynab; Adib, Mohammad-Ehsan

doi:10.22038/jhl.2018.32818.1002

Health Literacy in Patients with Ischemic Heart Diseases

Document Type : Original Article

Authors

¹ Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran

² Student in Master of Sciences in Nursing, Department of Medical Surgical Nursing, Faculty of Nursing and Miidwifery, Kashan University of Medical Sciences, Kashan, Iran

³ Student in Medicine, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran

10.22038/jhl.2018.32818.1002

Abstract

Background and objective: Although cardiovascular diseases are at the head of health problems in Iran, few studies examined the health literacy of patients with ischemic heart diseases (IHD). Therefore, this study was conducted to evaluate the level of health literacy and its related factors in patients with IHD.

Methods: This descriptive cross-sectional study was conducted in 2017 on 317 patients with IHD who were hospitalized in Shahid Beheshti Hospital in Kashan in 2017. The data collection tool was a questionnaire including demographic characteristics and Iranian health literacy questionnaire (HELIA). Data were analyzed using descriptive statistics, independent t-test, analysis of variance, Pearson correlation coefficient and regression. The level of significance in all testes was selected as
Results: The mean(SD) age of participants was 57.99 (12.07) years. Overall, 5.3% of patients had good health literacy, 81.8% had moderate health literacy and 13% had poor health literacy. There was a correlation between the mean percentage of acquired literacy score and variables such as location, age, history of receiving training about illness, duration of illness, having other underlying illness, education level, family size, and source of health information (P <0.05). Regression analysis showed that among all factors, only age, education level, the source of information about health and disease, the duration of ischemic heart disease and co-morbidity could predict health literacy in patients with ischemic heart disease.

Conclusion: The health literacy of patients with ischemic heart disease was not optimal. Nurses and other health care providers should try to allocate time in their care programs to assess the health literacy of patients with ischemic heart disease and create plans for promoting it.

Paper Type:Research Article.

Keywords

References

1. Mazloomy Mahmoodabad SS, Tehrani H, Gholian-aval M, Gholami H, Nematy M. The effect of social class on the amount of salt intake in patients with hypertension. Blood pressure. 2016;25(6):360-3.
2. Varaei S, Shamsizadeh M, Kolahdozan S, Oshvandi K, Dehghani A, Parviniannasab AM, et al. Randomized controlled trial of a peer based intervention on cardiac self-efficacy in patients undergoing coronary artery bypass graft surgery: a 3-year follow-up results. Int J Health Stud. 2016;2(1):14-9.
3. Mirnosori R, Mokhtary G, Ebadyfar A, Mokhtary Z. The effects of cardiac rehabilitation program on exercise capacity and coronary risk factors in CABG Patients aged 45-65. Yafteh, J Lorestan Univ Med Sci. 2013;15(5):72-80.
4. Afzalaghaiee E, Hadian MR, Attarbashi Moghadam B, Tavakol K, Zandparsa AF, Jalaei S. The effects of cardiac rehabilitation on changes in the lipid profile of iranian male and female with coronary artery disease refered to Emam Khomeini Hospital Complex. Mod Rehabil.2010;4(1):45-9.5.
5. Gamissi J, Masoumi MT, Hossinian A. Spatio-Temporal Distribution of Coronary Heart Disease by Geographic Information System Arc GIS in Ardabil Province. J Ardabil Univ Med Sci. 2017;17(2):174-88.
6. Sadeghi M, Haghdoost AA, Bahrampour A, Dehghani M. Modeling the Burden of Cardiovascular Diseases in Iran from 2005 to 2025: The Impact of Demographic Changes. Iran J Public Health. 2017;46(4):506-16.
7. Saatchi M, Panahi MH, Ashraf Mozafari A, Sahebkar M, Azarpakan A, Baigi V, et al. Health litracy and its associated factors: population based study, Hormoz Izland. Iran J Epidemiol 2017; 13 (2): 136-144.
8. Miri A, Ghanbari MA, Najafi A. The relationship between health literacy and the recovery rate of cardiovascular patients after bypass surgery. J Health Literacy 2016; 1(2):83-91.
9. Sheikh Sharafi H, Seyed amini B. Assessment of health literacy and self-care in heart failure patients. J Health Literacy 2016; 1(4):203-219.
10. Yorke J, Wallis M, Cert C, Lean B. Patients, perceptions of pain manegment after cardiac surgery in an Australiancritical care unit. Heart Lung 2004; 33(1): 33-41.
11. Ghanbari S, Majlessi F, Ghaffari M, Mahmoodi Majdabadi M. Evaluation of health literacy of pregnant woman in urban health centers of ShahidBeheshti Medical University. Daneshvar Med. 2012; 19:1-12. (Persian).
12. Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): develoment and psychometric properties. Payesh 2014; 13(5):589-599.
13. Jam-e-Jam Newspaper Office. Health literacy: a necessity. [On Line]. 2007;Availablefrom:URL:http://www.jamejamonline.ir/newstext.aspx?newsnum=100004064059. [In Persian].
14. Iranian Health Center. Health literacy movement. [On Line]. 2009; Availablefrom:http://www.salamatiran.com/NSite/FullStory/?id=33479. Accessed January 15, 2013. [In Persian].
15. Paasche-Orlow MK, Wolf MS. Promoting health literacy research to reduce health disparities. J Health Commun 2010;15(1):34–41.
16. Liang CY, Wang KY, Hwang SJ, Lin KC, Pan HH. Factors affecting the physician–patient relationship of older veterans with inadequate health literacy: an observational study. Br J Gen Pract. 2013;63(610):e354-60.
17. Lee SD, Tsai T, Tsai Y, Kuo KN. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health 2010; 10(614): 1-8.
18. Jovic-Veranes A, Bejgovic-Mikanovic V, Marinkovic J, Kocev N. Health literacy in a population of primary healthcare patients in Belgrade, Serbia. Int J Public Health 2011; 56(2):201-7.
19. Edwards M, Wood F, Davies M, Edwards A. The development of health literacy in patients with long-term health condition: the health literacy pathway model. BMC Public Health 2012; 12:130.
20. Williams MV, Baker DW, Parker RM, Nurss JR. Relationship of functional health literacy to patients’ knowledge of their chronic disease. A study of patients with hypertension and diabetes. Arch Internal Med. 1998; 158: 166-72.
21. Nekoei-Moghadam M, Parva S, Amiresmaili M, Baneshi M. Health literacy and utilization of health services in Kerman urban area 2011. Tolue Behdasht J. 2012; 11(14): 123-34.[In Persian].
22. Marzangi A, Ahangarzadeh Rezaei S, Ghareagaji Asl R. Health literacy in heart disease community that covered by health services centers in south of West Azarbaijan province. J Urmia Nurs Midwifery Fac. 2018;16(1):45-54.
23. Falahi M, Miri M. The Effects of E-Learning Based on the Dimensions of Health Literacy in Patients with Ischemic Heart Disease. Nurs Dev Health. 2017;8(1):29-36.
24. Tehrani Banihashemi A, Amirkhani M, Haghdust A, Alavian M, et al. Health literacy in five provinces of the country and its determinants. Strides Dev Med Educ. 2007; 1(7):1-9.[In Persian].
25. Reisi M, Mostafavi F, Hasanzadeh A, Sharifirad G. The relationship between health literacy, health status and healthy behaviors among elderly in Isfahan. J Health Systems Res. 2011; 7(4):1-12.[In Persian].
26. Wu Y, Wang L, Cai Z, Bao L, Ai P, Ai Z. Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China. Int J Environ Res Public Health. 2017;14(6):628.
27. Zhang D, Wu S, Zhang Y, Yang P, MacIntyre CR, Seale H, et al. Health literacy in Beijing: an assessment of adults' knowledge and skills regarding communicable diseases. BMC Public Health. 2015;15:799.
28. Sorensen K, Pelikan JM, Rothlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-8.
29. Kobayashi LC, Wardle J, Wolf MS, von Wagner C. Aging and Functional Health Literacy: A Systematic Review and Meta-Analysis. The journals of gerontology Series B, Psychol Sci Social Sci. 2016;71(3):445-57.
30. González-Chica DA, Mnisi Z, Avery J, Duszynski K, Doust J, Tideman P, et al. Effect of Health Literacy on Quality of Life amongst Patients with Ischaemic Heart Disease in Australian General Practice. PLoS ONE 11(3): e0151079. 2016.
31. Adib-Hajbaghery M, Zare M. The barriers to patient education from the viewpoint of nurses in Iran: a systematic review. J Urmia Univ Med Sci. 2017;28(7):544-58.
32. Adib-Hajbaghery M, Rezaei-Shahsavarloo Z. Nursing students' knowledge of and performance in communicating with patients with hearing impairment. Japan J Nurs Sci. 2015;12(2):135-44.
33. Center for disease control. Factors that Affect Health Literacy. https://wwwcdcgov/healthliteracy/training/page655html, and https://wwwcdcgov/healthliteracy/training/page663html. 2017.
34. Minnesota Health Literacy Action Plan Steering Committee. Minnesota Action Plan to Improve Health Literacy. 2016. https://healthliteracymn.org/sites/default/files/.../MN_Health_Literacy_Action_Plan.pd.
35. Çaylan A, Yayla K, Öztora S, Dağdeviren HN. Assessing health literacy, the factors affecting it and their relation to some health behaviors among adults. Biomed Res. 2017;28(15):6803-7.
36. Khoshtarash M, Momeni M, Ghanbari A, Salehzadeh AH, Rahmatpour P. Self-care behaviors and related factors in patients with heart failure reﬀering to medical & educational center of heart in Rasht. Holist Nurs Midwifery. 2013; 23 (1):22-29.
37. von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Community Health.2007; 61(12):1086-90.
38. Rafeifar SH, Ahmadzadehasl M, Shariﬁ MH, et al. The comprehensive health education system for patients in the Islamic Republic of Iran, Ministry of Health and Medical Education. 2005. http://www.behdasht.gov.ir/uploads/1_94_29.pdf