• Atencion primaria · Jan 2017

    Multicenter Study

    [Health literacy in patients with heart failure treated in primary care].

    • Rosalia Santesmases-Masana, Luis González-de Paz, Jordi Real, Alicia Borràs-Santos, Antoni Sisó-Almirall, and Maria Dolors Navarro-Rubio.
    • Escuela Universitaria de Enfermería, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Barcelona, España. Electronic address: RSantesmases@santpau.cat.
    • Aten Primaria. 2017 Jan 1; 49 (1): 283428-34.

    ObjectivesThe 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.DesignA multicentre cross-sectional study.Setting10 Primary care centres from the metropolitan area of Barcelona.ParticipantsPatients diagnosed with heart failure.Inclusion Criteriato 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 MeasurementsHealth 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.ResultsThe 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%).ConclusionsIn 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.Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

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