Ghalavand Hossein, Nabiolahi Abdolahad, Panahi Sirous
Department of Medical library and Information Science, Abadan University of Medical Sciences, Abadan, Iran.
Department of Medical library and Information Science, School of Allied Medical Sciences, Zahedan University of Medical Sciences, Zahedan, Iran.
BMC Cardiovasc Disord. 2025 Jul 4;25(1):479. doi: 10.1186/s12872-025-04936-w.
Today, cardiovascular diseases (CVDs) have become increasingly prevalent in various societies. Having an adequate level of health literacy and necessary motivation to modify high-risk behaviors are among the key factors influencing the improvement of patient conditions. The present study investigates the relationship between health literacy and motivation to change health behavior among patients with CVDs.
This is a cross-sectional, correlational research. The research population consists of 190 patients with CVDs and a history of hospitalization, who are randomly selected. Health literacy questionnaire and Health Behavior Motivation Scale were used for data collection. The data were analyzed using SPSS 26.0, and descriptive statistics of mean, standard deviation and Pearson's correlation coefficient.
189 cardiovascular patients participated in this study. The mean health literacy scores of patients with CVDs were 23.91, 15.42, 27.38, 15.59 and 46.39 in terms of access, reading skills, understanding, appraisal and application of health information, respectively. Scores for motivation to change health behaviors between CVDs patients revealed means for autonomous motivation were 3.67, for controlled motivation stands at 3.48, and for the probability rating assigned by physicians were 4.06. Considering the significance level of Sig > 0.05, except for understanding health information (f = 2.962, Sig = 0.021), no significant correlation was found between health literacy dimensions and patients' age. The age variable was not correlated with any of the dimensions of motivation to change patients' behavior. Moreover, no significant difference was observed between patients' educational level and their health literacy and motivation for change health behavior dimensions scores (Sig > 0.05). There was no significant relationship between sex and dimensions of health literacy and motivation for health behavior change (Sig > 0.05). Furthermore, a significant correlation was found between patients' scores in five dimensions of health literacy and motivation for health behavior change (r = 0.154, Sig = 0.034).
Considering the undesirable level of health literacy among patients with CVDs and a strong correlation between levels of health literacy and motivation for health behavior change, it is recommended that health literacy improvement programs must be developed by health-related institutions through various innovative educational interventions in different in-person and online settings.
如今，心血管疾病（CVDs）在各个社会中日益普遍。具备足够的健康素养水平以及改变高危行为的必要动机是影响患者病情改善的关键因素。本研究调查了心血管疾病患者的健康素养与改变健康行为动机之间的关系。
这是一项横断面相关性研究。研究对象包括190名有住院史的心血管疾病患者，他们是随机选取的。使用健康素养问卷和健康行为动机量表收集数据。数据用SPSS 26.0进行分析，并采用均值、标准差和皮尔逊相关系数进行描述性统计。
189名心血管疾病患者参与了本研究。心血管疾病患者在获取、阅读技能、理解、评估和应用健康信息方面的健康素养平均得分分别为23.91、15.42、27.38、15.59和46.39。心血管疾病患者改变健康行为的动机得分显示，自主动机均值为3.67，受控动机为3.48，医生给出的概率评分为4.06。考虑到显著性水平Sig＞0.05，除了理解健康信息方面（f = 2.962，Sig = 0.021），健康素养维度与患者年龄之间未发现显著相关性。年龄变量与改变患者行为动机的任何维度均无相关性。此外，患者的教育水平与其健康素养以及改变健康行为维度得分之间未观察到显著差异（Sig＞0.05）。性别与健康素养维度以及健康行为改变动机之间没有显著关系（Sig＞0.05）。此外，患者健康素养的五个维度得分与健康行为改变动机之间存在显著相关性（r = 0.154，Sig = 0.034）。
考虑到心血管疾病患者的健康素养水平不理想，且健康素养水平与健康行为改变动机之间存在强相关性，建议卫生相关机构通过在不同的线下和线上环境中开展各种创新教育干预措施来制定健康素养提升计划。
