Health Literacy Mediates the Relationship Between Age and Health Outcomes in Patients With Heart Failure

Background/Aims Research has shown that health literacy can influence an individual's ability to practise self-care, particularly for patients with heart failure. This study aimed to assess health literacy and its relationship with heart failure knowledge and self-care practices in this patient group. Methods An observational sub-study was conducted with the data from a large randomised control trial that evaluated the relationship between patients' health literacy, general literacy, knowledge of heart failure and self-care. Results A total of 36 participants were recruited, of which 33 (89.9%) had adequate levels of health literacy. Health literacy was positively associated with heart failure knowledge. However, 67.7% of participants with adequate health literacy were found to have inadequate levels of self-care management. Conclusions Health literacy may facilitate better heart failure knowledge, but it does not necessarily lead to improved self-care management in patients with heart failure. This suggest that clinicians need to put more emphasis on translating knowledge into behavioural changes for self-care in this patient group.

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Health Literacy and Health Outcomes in Very Old Patients With Heart Failure

Revista Española de Cardiología (English Edition) ◽

10.1016/j.rec.2017.06.010 ◽

2018 ◽

Vol 71 (3) ◽

pp. 178-184 ◽

Cited By ~ 4

Author(s):

Rocío León-González ◽

Esther García-Esquinas ◽

Emilio Paredes-Galán ◽

Ana Isabel Ferrero-Martínez ◽

José Luis González-Guerrero ◽

...

Keyword(s):

Heart Failure ◽

Health Literacy ◽

Health Outcomes ◽

Old Patients ◽

Very Old ◽

Patients With Heart Failure ◽

Very Old Patients

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The Relationship Between E-health Literacy and Health Failure

Journal of Academic Research in Nursing ◽

10.5222/jaren.2020.28290 ◽

2020 ◽

Author(s):

Seher Çevik ◽

Gürkan Özden ◽

Seyhan Çıtlık Sarıtaş

Keyword(s):

Heart Failure ◽

New York ◽

Health Literacy ◽

Personal Information ◽

Self Care ◽

T Test ◽

The Self ◽

Patients With Heart Failure ◽

Bonferroni Test ◽

The Relationship

Objective: Theresearchwasconductedtodeterminetherelationshipbetween e-healthliteracyandthecaregivercontributionto self-care of a patientwithheartfailure.The study was carried out with the purpose of determining the effects of e-health literacy on the self-care of patients with heart failure. Methods: Thiswasplanned as a descriptiveandcorrelationalstudy. Itwascarriedoutbetween April andJuly 2018. Thepopulation of thestudyconsisted of patientswhoreceivedtreatmentforheartfailure at thehospitalwhich had a functionalcapacity of class II orhigherbased on theclassification of the New York HeartAssociationandtheircaregivers. Thesampleconsisted of 180 caregiversbypowertorepresentthepopulation. Thedatawerecollectedby a Personal Information Form, theCaregiverContributionto Self-Care of HeartFailure Index andtheeHealthLiteracyScale. Thestatisticalanalysesinvolveddescriptivestatistics, independent-samples t-test, ANOVA, Kruskal Wallis analysis, Bonferroni test, multiplelinearregressionanalysis. Results: Themean e-healthscalescore of thecaregiverswhoparticipated in thestudywas 22.8±7.8. Moreover, themeanscores of theCaregiverContributionto Self-Care of HeartFailure Index, itsdimensions of contributiontocontinuity of self-care, contributiontomanagement of self-careandcontributiontocontinuity of self-carewererespectively 23.2±7.8, 14.2±3.2 and 13.7±4.2. therewas a positiveandweaksignificantrelationshipbetweenthemeanvalues of thecontribution of reliability of caregiver on patient self-caredimension of the Index andtheeHealthLiteracy Index scores (p<0.05). Conclusion: Whilethestudyfoundnosignificantrelationshipbetween e-healthliteracyandthedimensions of contributiontocontinuation of self-careandcontributiontomanagement of self-care of theCaregiverContributionto Self-Care of HeartFailure Index, therewas a positiveandweaksignificantrelationshipbetween e-healthliteracyandthedimension of contribution of reliability of caregivertopatient self-care (p<0.05).

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368 The relationship between endothelin-1 and inflammatory cytokines levels and stress capacity in patients with heart failure

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(04)90278-0 ◽

2004 ◽

Vol 3 (1) ◽

pp. 94

Author(s):

J NESSLER

Keyword(s):

Heart Failure ◽

Inflammatory Cytokines ◽

Endothelin 1 ◽

Patients With Heart Failure ◽

The Relationship

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P2263Prognostic impact of perceived social isolation in patients with heart failure

European Heart Journal ◽

10.1093/eurheartj/ehz748.0741 ◽

2019 ◽

Vol 40 (Supplement_1) ◽

Author(s):

T Ikeda ◽

K Iwatsu ◽

K Matsumura ◽

H Ashikawa ◽

K Takabayashi ◽

...

Keyword(s):

Heart Failure ◽

Social Isolation ◽

Roc Curve ◽

Negative Impact ◽

Roc Curve Analysis ◽

Rehospitalization Rate ◽

Kaplan Meier ◽

Patients With Heart Failure ◽

Perceived Social Isolation ◽

The Relationship

Abstract Background Perceived social isolation (SI), the subjective sense of feelings of loneliness or isolation, has a negative impact on health outcomes, particularly in older adults. Although SI may also contribute to poor prognosis in patients with HF, evidence on the relationship between SI and outcomes in patients with HF is limited. Purpose The aim of this study was to investigate the relationship between SI and hospital readmission in patients with HF. Methods This study was a single center prospective cohort study. We consecutively enrolled 203 patients (mean age 72.9±11.7) who admitted for acute HF or exacerbation of chronic HF. At hospital discharge, we assessed perceived SI by using Lubben Social Network Scale - 6 (LSNS-6). Lower scores in LSNS-6 represents greater SI. Study outcome was rehospitalization for worsening HF within 180 days after discharge. We selected the optimal cutoff point of LSNS-6 that predict a worse outcome by the receiver operating characteristic (ROC) curve analysis. We investigate the association between SI and 180-days HF rehospitalization by using Cox proportional-hazard models, controlling for potential confounding factors. Results During follow up, A total of 40events (19.7%) were observed. The optimal cut-off point of LSNS-6 score was 17 points (the area under the ROC curve: 0.62, p<0.05, sensitivity: 82.5%, specificity 42.4%). Kaplan-Meier survival curves showed that those patients with greater SI (LSNS-6≤17) presented significantly higher HF rehospitalization rate (Figure). After adjusting for several pre-existing prognostic factors, LSNS-6≤17 was independently associated with HF rehospitalization (hazard ratio2.15,95% confidence interval 1.00–4.89). Conclusion The present study shows that SI is a independent predictor of HF rehospitalization in patients with HF. Assessing SI in the clinical practice with a brief screening tool may help identify patients with heart failure at greater risk of rehospitalization.

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