健康素养和社会支持在提高老年心力衰竭患者自我护理行为依从性中的作用。
The roles of health literacy and social support in improving adherence to self-care behaviours among older adults with heart failure.
机构信息
Red-Cross college of Nursing Chung-Ang University Seoul Korea.
College of Nursing and Institution of Nursing Science Ajou University Suwon Korea.
出版信息
Nurs Open. 2020 Aug 18;7(6):2039-2046. doi: 10.1002/nop2.599. eCollection 2020 Nov.
Abstract
AIM
To describe the associations between health literacy, social support and self-care behaviours in older adults with heart failure.
DESIGN
A cross-sectional descriptive study.
METHODS
A total of 252 older adults were recruited from a tertiary care hospital from September 2018-February 2019. Structured questionnaires and medical record reviews were used for data collection. Two steps of hierarchical regression analysis were employed to determine the predictors of self-care behaviours.
RESULTS
Health literacy (= 0.27, < .001) and social support (= 0.32, < .001) were significant determinants of self-care behaviours in older adults with heart failure. Together, they explained 22% of the variance in self-care behaviours.
CONCLUSION
Health literacy and perceived social support were positively associated with self-care behaviours among older heart failure patients. Our findings can help health professionals develop heart failure self-care interventions to enhance health literacy skills and social support for older adults.
摘要
目的
描述心力衰竭老年患者健康素养、社会支持与自我护理行为之间的关系。
设计
横断面描述性研究。
方法
2018 年 9 月至 2019 年 2 月，从一家三级护理医院招募了 252 名老年人。采用结构化问卷和病历回顾收集数据。采用两步分层回归分析来确定自我护理行为的预测因素。
结果
健康素养（=0.27，<0.001）和社会支持（=0.32，<0.001）是心力衰竭老年患者自我护理行为的重要决定因素。两者共同解释了自我护理行为 22%的变异。
结论
健康素养和感知到的社会支持与老年心力衰竭患者的自我护理行为呈正相关。我们的研究结果可以帮助卫生专业人员制定心力衰竭自我护理干预措施，以提高老年人的健康素养技能和社会支持。
相似文献
1
The roles of health literacy and social support in improving adherence to self-care behaviours among older adults with heart failure.
Nurs Open. 2020 Aug 18;7(6):2039-2046. doi: 10.1002/nop2.599. eCollection 2020 Nov.
2
The role of patient activation in self-care behaviours of Korean older adults with heart failure.
Nurs Open. 2023 Aug;10(8):5202-5210. doi: 10.1002/nop2.1756. Epub 2023 Apr 4.
3
Mediating effects of social support between Type D personality and self-care behaviours among heart failure patients.
J Adv Nurs. 2021 Mar;77(3):1315-1324. doi: 10.1111/jan.14682. Epub 2020 Nov 29.
4
Investigating predictors of self-care behavior among homebound older adults: The role of self-efficacy, eHealth literacy, and perceived social support.
J Nurs Scholarsh. 2022 May;54(3):278-285. doi: 10.1111/jnu.12730. Epub 2021 Nov 12.
5
The Roles of Social Support and Health Literacy in Self-Management Among Patients With Chronic Kidney Disease.
J Nurs Scholarsh. 2018 May;50(3):265-275. doi: 10.1111/jnu.12377. Epub 2018 Mar 23.
6
Predictors of rehospitalization for community-dwelling older adults with chronic heart failure: A structural equation model.
J Adv Nurs. 2020 Jun;76(6):1334-1344. doi: 10.1111/jan.14327. Epub 2020 Feb 26.
7
Exploring the relationships between health literacy, social support, self-efficacy and self-management in adults with multiple chronic diseases.
BMC Health Serv Res. 2023 Aug 30;23(1):923. doi: 10.1186/s12913-023-09907-5.
8
The role of health literacy, depression, disease knowledge, and self-efficacy in self-care among adults with heart failure: An updated model.
Heart Lung. 2020 Nov-Dec;49(6):702-708. doi: 10.1016/j.hrtlng.2020.08.004. Epub 2020 Aug 28.
9
Identification of factors associated with self-care behaviors using the COM-B model in patients with chronic heart failure.
Eur J Cardiovasc Nurs. 2017 Aug;16(6):530-538. doi: 10.1177/1474515117695722. Epub 2017 Feb 1.
10
Relationships of person-related, problem-related, and environment-related factors to self-care behaviours and the mediating role of self-confidence among patients with heart failure: Cross-sectional analysis of structural equation modelling.
Int J Nurs Stud. 2023 Nov;147:104590. doi: 10.1016/j.ijnurstu.2023.104590. Epub 2023 Aug 21.
引用本文的文献
1
An overview of the association between socioeconomic deprivation and heart failure.
Heart Fail Rev. 2025 Aug 12. doi: 10.1007/s10741-025-10550-x.
2
Development and Evaluation of a Patient-Family Caregiver Dyad mHealth Intervention for Heart Failure Self-Care: Quasi-Experimental Study.
J Med Internet Res. 2025 Jun 16;27:e74922. doi: 10.2196/74922.
3
Path analysis of the influence of digital health literacy on self-management behaviour among elderly patients with chronic diseases in rural China.
BMC Geriatr. 2025 Apr 29;25(1):293. doi: 10.1186/s12877-025-05952-3.
4
The chain mediating role of social support and yielding coping style between health literacy and symptom burden in patients with chronic heart failure.
Front Cardiovasc Med. 2025 Mar 4;12:1518175. doi: 10.3389/fcvm.2025.1518175. eCollection 2025.
5
Health Literacy, Label Comprehension, and Consumer Perceptions of Quasi-Drug Information Among Korean Adults: A Cross-Sectional Study.
Risk Manag Healthc Policy. 2025 Jan 16;18:173-183. doi: 10.2147/RMHP.S502368. eCollection 2025.
6
Communication needs regarding heart failure trajectory and palliative care between patients and healthcare providers: A cross-sectional study.
PLoS One. 2025 Jan 13;20(1):e0317417. doi: 10.1371/journal.pone.0317417. eCollection 2025.
7
The Effect of Health Literacy on Health Status in Patients with Heart Failure: A Path Analysis.
J Multidiscip Healthc. 2024 Aug 27;17:4143-4153. doi: 10.2147/JMDH.S472860. eCollection 2024.
8
The relationship between hope level and self-management behaviors in Chinese patients with type 2 diabetes mellitus: a chain-mediated role of social support and disease perception.
BMC Psychol. 2024 Aug 19;12(1):446. doi: 10.1186/s40359-024-01939-8.
9
Individual and systems-related factors associated with heart failure self-care: a systematic review.
BMC Nurs. 2024 Feb 9;23(1):110. doi: 10.1186/s12912-023-01689-9.
10
Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review.
Healthcare (Basel). 2023 Dec 20;12(1):11. doi: 10.3390/healthcare12010011.
本文引用的文献
1
Patient-Reported Compliance in older age patients with chronic heart failure.
PLoS One. 2020 Apr 16;15(4):e0231076. doi: 10.1371/journal.pone.0231076. eCollection 2020.
2
Self-Care Interventions That Reduce Hospital Readmissions in Patients With Heart Failure; Towards the Identification of Change Agents.
Clin Med Insights Cardiol. 2019 Jun 12;13:1179546819856855. doi: 10.1177/1179546819856855. eCollection 2019.
3
Socio-clinical variables affecting the level of self-care in elderly patients with heart failure.
Eur J Cardiovasc Nurs. 2019 Oct;18(7):628-636. doi: 10.1177/1474515119855600. Epub 2019 Jun 13.
4
The Contribution of Living Arrangements, Social Support, and Self-efficacy to Self-management Behaviors Among Individuals With Heart Failure: A Path Analysis.
J Cardiovasc Nurs. 2019 Jul/Aug;34(4):319-326. doi: 10.1097/JCN.0000000000000581.
5
Factors Affecting Self-care Maintenance and Management in Patients With Heart Failure: Testing a Path Model.
J Cardiovasc Nurs. 2019 Jul/Aug;34(4):297-305. doi: 10.1097/JCN.0000000000000575.
6
Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients' point of view.
PLoS One. 2019 Feb 7;14(2):e0211768. doi: 10.1371/journal.pone.0211768. eCollection 2019.
7
Psychometric Validation of the Korean Version of the 9-Item European Heart Failure Self-Care Behaviour Scale.
Eval Health Prof. 2020 Mar;43(1):33-40. doi: 10.1177/0163278718817946. Epub 2018 Dec 13.
8
Health Literacy and Mortality in Patients With Heart Failure: A Systematic Review and Meta-Analysis.
Res Gerontol Nurs. 2019 Mar 1;12(2):99-108. doi: 10.3928/19404921-20181018-01. Epub 2018 Dec 13.
9
Health Literacy but Not Frailty Predict Self-Care Behaviors in Patients with Heart Failure.
Int J Environ Res Public Health. 2018 Nov 6;15(11):2474. doi: 10.3390/ijerph15112474.
10
Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a scoping review.
BMC Geriatr. 2018 Oct 1;18(1):231. doi: 10.1186/s12877-018-0925-x.
Zotero 插件