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KMID : 1004620160220010028
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Clinical Nursing Research
2016 Volume.22 No. 1 p.28 ~ p.37
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Relationships between Health Literacy, Knowledge and Self-Care Behaviors in Elderly Patients with Heart Fa
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신경민:Shin Kyung-Min
추상희:Chu Sang-Hui/장연수:Jang Yeon-Soo/강석민:Kang Seok-Min
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Abstract
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Purpose: This study was to investigate the relationships between among health literacy, knowledge and self-care behavior in elderly patients with heart failure(HF).
Methods: 166 patients (age 65 years) with HF were recruited in a cardiovascular center of an university affiliated hospital. The structured questionnaire included Health literacy, Dutch Heart Failure Knowledge Scale, European Heart Failure Self-care Behavior, Self-Care of Heart Failure Index. Data were analyzed by descriptive statistics, Chi-test, Pearson correlation analysis, t-test and ANCOVA using SPSS/WIN version 21.0.
Results: Participants with the high level of health literacy were more likely to be younger (p=.001), men (p=.001), with more education (p<.001), and have a job (p=.004), and with a higher economic status (p=.005). The positive correlations between the level of health literacy, knowledge, and self-care behavior were confirmed (p<.001). Participants with the high level of health literacy showed higher level of knowledge, more self-care behavior for health maintenance, and confidence.
Conclusion: This study shows that the level of health literacy may influence knowledge and self-care behavior in elderly patients with HF. In order to improve self-care behaviors in elderly patients, a strategic nursing approach based on the level of patients’ health literacy needs to be considered.
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KEYWORD
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Aged, Heart Failure, Health Literacy, Knowledge, Self-Care
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