Ghisi Gabriela Lima de Melo, Chaves Gabriela Suéllen da Silva, Britto Raquel Rodrigues, Oh Paul
Cardiovascular Prevention and Rehabilitation Program, University Health Network, Toronto Rehabilitation Institute, Toronto, Canada.
Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Patient Educ Couns. 2018 Feb;101(2):177-184. doi: 10.1016/j.pec.2017.09.002. Epub 2017 Sep 6.
Identify health literacy (HL) screening instruments available to CAD patients; describe the prevalence of low HL; explore the predictors of low HL; and, identify the association between HL, health behaviors, and outcomes among these patients.
A literature search of electronic databases was conducted for published articles from database inception to February 2017. Eligible articles included the assessment of HL in CAD patients. Health behaviors and outcomes included diet, exercise, smoking, medication use, hospital readmission, knowledge, health-related quality of life (HRQoL), and psychosocial indicators.
Overall, ten articles were included, of which two were RCTs, and seven were considered "good" quality. The most used screening instruments were REALM and TOFHLA. The average prevalence of low HL was 30.5%. Low HL participants were more likely to be older, male, from a non-white ethnic group, have many CVD comorbidities, lower educational level, disadvantaged socioeconomic position, and less likely to be employed. Low HL was consistently associated with hospital readmissions, low HRQoL, higher anxiety and lower social support.
The literature on HL in CAD patients is very limited.
Healthcare providers should start adopting strategies that can potentially mitigate the impact of low HL in the care of CAD patients.
确定可用于冠心病患者的健康素养（HL）筛查工具；描述低健康素养的患病率；探究低健康素养的预测因素；并确定这些患者中健康素养、健康行为和结局之间的关联。
对电子数据库进行文献检索，查找从数据库建立到2017年2月发表的文章。符合条件的文章包括对冠心病患者健康素养的评估。健康行为和结局包括饮食、运动、吸烟、用药、再次入院、知识、健康相关生活质量（HRQoL）和心理社会指标。
总体而言，纳入了10篇文章，其中2篇为随机对照试验，7篇被认为质量“良好”。使用最多的筛查工具是REALM和TOFHLA。低健康素养的平均患病率为30.5%。低健康素养参与者更可能年龄较大、为男性、来自非白人种族、有多种心血管疾病合并症、教育水平较低、社会经济地位不利且就业可能性较小。低健康素养一直与再次入院、低健康相关生活质量、更高的焦虑和更低的社会支持相关。
关于冠心病患者健康素养的文献非常有限。
医疗保健提供者应开始采用可能减轻低健康素养对冠心病患者护理影响的策略。
