Health literacy and self-care behaviour in patients with heart failure
A literature review
DOI:
https://doi.org/10.14528/snr.2024.58.2.3219Keywords:
health promotion, health eduacation, chronic diseases, disease management, cardiovascular diseasesAbstract
Introduction: In Slovenia, we are confronted with an increasing burden of heart failure. Effective self-care behaviours are crucial for reducing the burden of this disease. The aim of this study was to investigate the relationship between the level of health literacy and self-care behaviours in patients with heart failure.
Methods: Our scoping literature review was conducted using the following databases: COBISS, Google Scholar, Digital Library of Slovenia (dLib.si), PubMed, CINAHL, Medline, and Web of Science, in the period from November to December 2021. To search for relevant articles, we used a combination of key words: zdravstvena pismenost, srčno popuščanje and samooskrba, as well as the search syntax: ("health literacy" AND "heart failure" AND (("self-management" OR "self management") OR ("self-care" OR "self care"))). A narrative synthesis was conducted for qualitative interpretation of data.
Results: A total of 402 papers were identified, of which 19 papers were included in the final analysis. On average, 38% of patients with heart failure exhibited low levels of health literacy, which was most commonly measured with the Test of Functional Health Literacy in Adults-Short Form (S-TOFHLA). Higher levels of health literacy were most commonly associated with higher levels of knowledge about heart failure.
Discussion and conclusion: The results of the studies reviewed are inconsistent. There is a need to conduct longitudinal studies that would provide a clearer insight into the mechanisms of the role of health literacy in self-care behaviours among patients with heart failure and enable the development of health education interventions to raise the level of health literacy in the target population.
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