心力衰竭患者的健康素养与治疗依从性
Health literacy and adherence to treatment of patients with heart failure.
作者信息
Oscalices Monica Isabelle Lopes, Okuno Meiry Fernanda Pinto, Lopes Maria Carolina Barbosa Teixeira, Batista Ruth Ester Assayag, Campanharo Cassia Regina Vancini
机构信息
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Instituto Dante Pazzanese de Cardiologia, São Paulo, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2019 Jul 15;53:e03447. doi: 10.1590/S1980-220X2017039803447.
OBJECTIVE
To relate the level of functional health literacy with adherence and barriers to non-adherence, rehospitalization, readmission and death in patients with heart failure.
METHOD
A cross-sectional, analytical study with patients admitted to the emergency room with a diagnosis of heart failure. Literacy was assessed by the Newest Vital Sign. Patient adherence to medication treatment and barriers to non-compliance were assessed 90 days after discharge by the Morisky-Green test and the Brief Medical Questionnaire, respectively.
RESULTS
100 patients participated in the study. The mean age was 63.3 years (± 15.2), with a predominance of white women. Medication adherence was low in 41.1% of participants, of which 55.9% presented inadequate literacy. Re-hospitalization and death were present in patients with inadequate literacy (p<0.001).
CONCLUSION
The low level of literacy was directly related to lower adherence and the presence of barriers to medication adherence, as well as higher rehospitalization rates and death.
目的
探讨心力衰竭患者的功能健康素养水平与服药依从性、不依从的障碍因素、再次住院、再次入院及死亡之间的关系。
方法
对因心力衰竭诊断而入住急诊室的患者进行一项横断面分析研究。采用最新生命体征评估法评估患者的健康素养。分别在出院90天后，采用Morisky - Green测试和简明医学问卷评估患者对药物治疗的依从性以及不依从的障碍因素。
结果
100名患者参与了本研究。平均年龄为63.3岁（±15.2），以白人女性为主。41.1%的参与者服药依从性较低，其中55.9%的人健康素养不足。健康素养不足的患者出现再次住院和死亡情况（p<0.001）。
结论
健康素养水平低与较低的依从性、药物治疗依从性的障碍因素、较高的再次住院率和死亡率直接相关。
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