Volume 25, Issue 4 (3-2023)
jha 2023, 25(4): 144-158 |
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Dehvan F, Moradi B, Rouhi M, Ghanei Gheshlagh R. The relationship between health literacy and self-care ability in patients with hypertension. jha 2023; 25 (4) :144-158
URL: http://jha.iums.ac.ir/article-1-4280-en.html
URL: http://jha.iums.ac.ir/article-1-4280-en.html
1- Instructor, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj
2- M.Sc Student, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj
3- Nursing expert, Shariati hospital, Tehran University of Medical Sciences, Tehran
4- Assistant Professor, Spiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj ,rezaghanei30@gmail.com
2- M.Sc Student, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj
3- Nursing expert, Shariati hospital, Tehran University of Medical Sciences, Tehran
4- Assistant Professor, Spiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj ,
Abstract: (785 Views)
Introduction: Hypertension is one of the most common cardiovascular diseases worldwide. Self-care ability in patients with hypertension can be influenced by various factors, such as health literacy. The aim of this study was to determine the relationship between health literacy and self-care ability in patients with hypertension.
Methods: This cross-sectional descriptive correlational study employed a convenience sampling method to investigate 120 hypertensive patients referred to medical centers in Sanandaj, Iran, between November 2018 and February 2019. The inclusion criteria included age between 30 and 75 years, diagnosis of hypertension by a specialist, and diagnosis of hypertension at least six months ago. A demographic characteristics checklist and standard hypertension self-care questionnaires (HSCALE) and Adult Health Literacy Assessment (HELIA) were used to collect data. Data were analyzed with SPSS version 16 software. A significance level of 0.05 was considered.
Results: The mean and standard deviation of patients' self-care scores and health literacy were 56.1 ± 8.6 and 117 ± 25.2, respectively. There was a positive and significant correlation between the mean scores of self-care and health literacy (r = 0.409, P = 0.001), with health literacy scores increasing in line with a rise in self-care scores.
Conclusion: Considering the observed relationship between health literacy and self-care, it seems necessary to perform educational interventions aimed at promoting the health literacy of patients with hypertension.
Methods: This cross-sectional descriptive correlational study employed a convenience sampling method to investigate 120 hypertensive patients referred to medical centers in Sanandaj, Iran, between November 2018 and February 2019. The inclusion criteria included age between 30 and 75 years, diagnosis of hypertension by a specialist, and diagnosis of hypertension at least six months ago. A demographic characteristics checklist and standard hypertension self-care questionnaires (HSCALE) and Adult Health Literacy Assessment (HELIA) were used to collect data. Data were analyzed with SPSS version 16 software. A significance level of 0.05 was considered.
Results: The mean and standard deviation of patients' self-care scores and health literacy were 56.1 ± 8.6 and 117 ± 25.2, respectively. There was a positive and significant correlation between the mean scores of self-care and health literacy (r = 0.409, P = 0.001), with health literacy scores increasing in line with a rise in self-care scores.
Conclusion: Considering the observed relationship between health literacy and self-care, it seems necessary to perform educational interventions aimed at promoting the health literacy of patients with hypertension.
Type of Study: Research |
Subject:
Medical Librarianship and Information Science
Received: 2022/10/4 | Accepted: 2022/12/21 | Published: 2023/06/18
Received: 2022/10/4 | Accepted: 2022/12/21 | Published: 2023/06/18
References
1. Fuchs FD, Whelton PK. High blood pressure and cardiovascular disease. Hypertension. 2020;75(2):285-92. [DOI:10.1161/HYPERTENSIONAHA.119.14240]
2. Izadirad H, Masoudi Gh, Zareban I. Evaluation of efficacy of education program based on BASNEF model on self-care behaviors of women with hypertension. international journal of basic science in medicine. 2014;6(1):42-51. [In Persian]
3. Bawazier LA, Sja'bani M, Irijanto F, Zulaela Z, Widiatmoko A, Kholiq A, et al. Association of serum uric acid, morning home blood pressure and cardiovascular risk factors in a population with previous prehypertension: A cross-sectional study. BMJ Open. 2020;10(9):1-11. [DOI:10.1136/bmjopen-2020-038046]
4. Xiong P, Liu Z, Xiong M, Xie F. Prevalence of high blood pressure under 2017 ACC/AHA guidelines: A systematic review and meta-analysis. J Hum Hypertens. 2021;35(3):193-206. [DOI:10.1038/s41371-020-00454-8]
5. Gajraj V, Parmar R, Sharma B, Mishra PK. Effect of shirodhara in the management of essential hypertension-a review article. World J Pharm Res. 2020;9(11):426-32.
6. Shanbehzadeh M, Kazemi-Arpanahi H, Arzani-Birgani A, Karimyan A, Mobasheri F. Improving hypertension surveillance from a data management prospective: Data requirements for implementation of population-based registry. J Educ Health Promot. 2020;9:1-8. [DOI:10.4103/jehp.jehp_37_20]
7. Bayrami Sh, Fathi Y, Mohammadinasab S, Barati M, Mohammadi Y. Relationship between self-care behaviors and quality of life among hypertensive patients visiting comprehensive health centers in Hamadan, Iran. Journal of Education and Community Health. 2017;4(1):20-7. [In Persian] [DOI:10.21859/jech.4.1.20]
8. Nguyen T-P-L, Nguyen TBY, Nguyen TT, Vinh Hac V, Le HH, Schuiling-Veninga C, et al. Direct costs of hypertensive patients admitted to hospital in vietnam- A bottom-up micro-costing analysis. BMC Health Serv Res. 2014;14:1-8. [DOI:10.1186/s12913-014-0514-4]
9. Lukman NA, Leibing A, Merry L. Self-care experiences of adults with chronic disease in Indonesia: An integrative review. Int J Chronic Dis. 2020;2020:1-17. [DOI:10.1155/2020/1379547]
10. Narasimhan M, Allotey P, Hardon A. Self care interventions to advance health and wellbeing: A conceptual framework to inform normative guidance. BMJ. 2019;365:1-4. [DOI:10.1136/bmj.l688]
11. Pourmand Gh, Doshmangir L, Ahmadi A, Noori M, Rezaeifar A, Mashhadi R, et al. An application of the theory of planned behavior to self-care in patients with hypertension. BMC Public Health. 2020;20(1):1-8. [DOI:10.1186/s12889-020-09385-y]
12. Patel P, Ordunez P, DiPette D, Escobar MC, Hassell T, Wyss F, et al. Improved blood pressure control to reduce cardiovascular disease morbidity and mortality: The standardized hypertension treatment and prevention project. J Clin Hypertens (Greenwich). 2016;18(12):1284-94. [DOI:10.1111/jch.12861]
13. Larki A, Tahmasebi R, Reisi M. Factors predicting self-care behaviors among low health literacy hypertensive patients based on health belief model in Bushehr district, South of Iran. Int J Hypertens. 2018;2018:1-7. [DOI:10.1155/2018/9752736]
14. Oh JH, Park E. The impact of health literacy on self-care behaviors among hypertensive elderly. Korean Journal of Health Education and Promotion. 2017;34(1):35-45. [DOI:10.14367/kjhep.2017.34.1.35]
15. Mahmoodi H, Dalvand S, Ghanei Gheshlagh R, Kurdi A. A systematic review and meta-analysis of health literacy in the Iranian population: Findings and implications. Shiraz E Med J. 2019;20(4):1-10. [DOI:10.5812/semj.81115]
16. Rahmati M, Rejeh N, Heravi Karimooi M, Tadrisi D. Investigating the relationship between health literacy and adherence with treatment regimen in the elderly with hypertension. Iranian Journal of Nursing Research. 2018;13(5):15-22. [In Persian]
17. Peyman TS, Pirzadeh A, Hasnzadeh A, Mostafavi F. The relationship of self-care behaviors and health literacy in patients with hypertension in Isfahan City, Iran, in 2015-2016. Journal of Health System Research. 2017;13(3):381-7. [In Persian]
18. Strijbos RM, Hinnen J-W, van den Haak RFF, Verhoeven BAN, Koning OHJ. Inadequate health literacy in patients with arterial vascular disease. Eur J Vasc Endovasc Surg. 2018;56(2):239-45. [DOI:10.1016/j.ejvs.2018.04.015]
19. Costa VRS, Costa PDR, Nakano EY, Apolinario D, Santana ANC. Functional health literacy in hypertensive elders at primary health care. Rev Bras Enferm. 2019;72(suppl 2):266-73. [DOI:10.1590/0034-7167-2018-0897]
20. Han H-R, Lee H, Commodore-Mensah Y, Kim M. Development and validation of the hypertension self-care profile: A practical tool to measure hypertension self-care. J Cardiovasc Nurs. 2014;29(3):1-16. [DOI:10.1097/JCN.0b013e3182a3fd46]
21. Ghanei Gheshlagh R, Parizad N, Ghalenoee M, Dalvand S, Farajzadeh M, Ebadi A. Psychometric properties of persian version of hypertensioself-care profile in patients with high blood pressure. Koomesh. 2019;21(1):25-32. [In Persian]
22. Montazeri A, Tavousi M, Rakhshani F, Azin A, Jahangiri K, Ebadi M, et al. Health literacy for Iranian adults (HELIA): Development and psychometric properties. Payesh. 2014;13(5):589-99. [In Persian]
23. Ansari M, Shahdadnejad E, Khalediyan M, Salajegheh M. Survey of health literacy of people referred to the libraries of public libraries foundation. Health Information Management. 2017;14(5):224-7. [In Persian]
24. Hussen FM, Adem HA, Roba HS, Mengistie B, Assefa N. Self-care practice and associated factors among hypertensive patients in public health facilities in Harar Town, Eastern Ethiopia: A cross-sectional study. SAGE Open Med. 2020;8:1-9. [DOI:10.1177/2050312120974145]
25. Wondmieneh A, Gedefaw G, Getie A, Demis A. Self-care practice and associated factors among hypertensive patients in Ethiopia: A systematic review and meta-analysis. Int J Hypertens. 2021;2021:1-11. [DOI:10.1155/2021/5582547]
26. Barati M, Bayat F, Asadi Z, Afshari Moshir F, Afshari M. Relationship between health literacy and self-care behaviors in hypertensive patients. Journal of Education and Community Health. 2020;7(2):89-96. [In Persian] [DOI:10.29252/jech.7.2.89]
27. Tavousi M, Haeri Mehrizi A, Rafiefar Sh, Solimanian A, Sarbandi F, Ardestani M, et al. Health literacy in Iran: Findings from a national study. Payesh. 2016;15(1):95-102. [In Persian]
28. Fu SN, Dao MC, Wong CKH, Cheung BMY. The association of health literacy with high-quality home blood pressure monitoring for hypertensive patients in outpatient settings. Int J Hypertens. 2020;2020:1-15. [DOI:10.1155/2020/7502468]
29. Ghaffari-Fam S, Sarbazi E, Ardabili F, Babazadeh T, Darghahi G, Jafaralilou H. The role of health literacy in hypertension control: A cross-sectional study in Iran. Ann Ig. 2020;32(3):263-73.
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