ABSTRACT

Health literacy is important for the management of chronic cardiovascular diseases. Comprehensive studies related to health literacy of cardiac patients are limited. The aims of this study were to determine the determinants of health literacy and its effects on patient outcomes in cardiology patients. The European Health Literacy Survey Questionnaire (HLS-EU-Q- 47 items) was applied to 530 patients who presented to cardiology polyclinics of a university hospital in Ankara. Correlation coefficients, univariate and multi-linear regression analyses were used in the study. Determinants of health literacy were sex, education level, place of residence and perception of social status (p < .05). Although adjustments were made based on relevant control variables in multivariate analyses, health literacy was found to affect 14 of 26 patient outcomes within the scope of the study (p < .05). Higher education level and perception of social status, residing in the city center and being female were among the determinants of high health literacy. Higher health literacy was associated with more positive patient outcomes. Health literacy affected health behaviors and risks, drug use habits, health status, use of preventive health services and patient satisfaction.

摘要

健康素养对于慢性心血管疾病的管理很重要。与心脏病患者健康素养相关的综合研究有限。本研究的目的是确定健康素养的决定因素及其对心脏病患者预后的影响。欧洲健康素养调查问卷（HLS-EU-Q-47 项）应用于安卡拉一所大学医院心脏病综合诊所的 530 名患者。研究中使用了相关系数、单变量和多线性回归分析。健康素养的决定因素是性别、教育水平、居住地和社会地位认知（p< .05)。尽管在多变量分析中根据相关控制变量进行了调整，但发现健康素养影响研究范围内 26 名患者中的 14 名（p < .05）。高等教育水平和社会地位认知、居住在市中心和女性是高健康素养的决定因素。更高的健康素养与更积极的患者预后相关。健康素养影响健康行为和风险、药物使用习惯、健康状况、预防性健康服务的使用和患者满意度。