Hospital Universitario y politécnico La Fe, Valencia, Spain.
Health Research Institut La Fe, Research Group GREIACC, Valencia, Spain.
BMC Public Health. 2021 Jul 9;21(1):1363. doi: 10.1186/s12889-021-11259-w.
Assessment health literacy in people with cardiovascular health problems would facilitate the development of appropriate health strategies for the care and reduction of complications associated with oral anticoagulation therapy.
To evaluate the relationship between health literacy and health and treatment outcomes (concordance with oral anticoagulants, Normalized Ratio control and occurrence of complications) in patients with cardiovascular pathology.
Observational, analytic and cross-sectional study carried out on 252 patients with cardiovascular pathology (atrial fibrillation, flutter or valve prosthesis), aged 50-85 years, accessing primary care services in Valencia (Spain) in 2018-2019. Variables referring to anticoagulant treatment with vitamin K antagonists (years of treatment, adequate control, polypharmacy and occurrence of complications, among others) and health literacy (Health Literacy Questionnaire) were analysed.
All dimensions of health literacy were significantly related to the level of education (p < 0.02), social class (p < 0.02), an adequate control of acenocoumarol (p < 0.001), frequentation of health services (p < 0.001), information by patients to health professionals about anticoagulant treatment (p < 0.03), emergency care visits (p < 0.001) and unscheduled hospital admissions (p < 0.001).
Health literacy has a relevant influence on the adequate self-management of anticoagulation treatment and the frequency of complications. The different dimensions that comprise health literacy play an important role, but the "social health support" dimension seems to be essential for such optimal self-management.
ACC-ACE-2016-01. Registration date: December 2015.
评估心血管健康问题患者的健康素养有助于制定适当的健康策略，以进行护理并减少与口服抗凝治疗相关的并发症。
评估健康素养与心血管疾病患者的健康和治疗结局（与口服抗凝剂的一致性、比值控制和并发症发生）之间的关系。
对 2018-2019 年在西班牙瓦伦西亚接受初级保健服务的 252 名心血管疾病患者（心房颤动、扑动或瓣膜假体）进行了观察性、分析性和横断面研究。分析了抗凝治疗（维生素 K 拮抗剂）的相关变量（治疗年限、适当控制、多药治疗和并发症发生等）和健康素养（健康素养问卷）。
健康素养的所有维度均与教育程度（p<0.02）、社会阶层（p<0.02）、阿哌沙班的适当控制（p<0.001）、卫生服务的就诊频率（p<0.001）、患者向卫生专业人员提供的抗凝治疗信息（p<0.03）、急诊就诊（p<0.001）和非计划住院（p<0.001）显著相关。
健康素养对抗凝治疗的适当自我管理和并发症的发生频率有重要影响。健康素养的不同维度起着重要作用，但“社会健康支持”维度对于这种最佳的自我管理似乎是必不可少的。
ACC-ACE-2016-01。注册日期：2015 年 12 月。
