Health Literacy but Not Frailty Predict Self-Care Behaviors in Patients with Heart Failure

Youn-Jung Son, Dae Keun Shim, Eun Koung Seo and Eun Ji Seo
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Youn-Jung Son: Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea
Dae Keun Shim: Medical director of Cardio-cerebrovascular Center, Good Morning Hospital, Pyeongtaek 17874, Korea
Eun Koung Seo: Director, Department of Nursing, Good Morning Hospital, Pyeongtaek 17874, Korea
Eun Ji Seo: Ajou University College of Nursing and Research Institute of Nursing Science, Suwon 16499, Korea

IJERPH, 2018, vol. 15, issue 11, 1-10

Abstract: Heart failure (HF) is a chronic condition requiring continuous self-care. Health literacy is increasingly recognized as a key factor of self-care behaviors in patients with chronic diseases. Recently, frailty in chronic diseases has also been associated with self-care behaviors. However, relationships among health literacy, frailty, and self-care in the HF population are not well understood. Therefore, this cross-sectional study aimed to identify the impact of health literacy and frailty on self-care behaviors in patients with HF. Data were collected from 281 adults attending a cardiovascular outpatient clinic in Korea. Health literacy, frailty, and self-care behaviors were measured using Korean-validated instruments. The mean scores of health literacy and self-care behaviors were 8.89 (±3.44) and 31.49 (±5.38), respectively. The prevalence of frailty was around 26.3%. Health literacy was significantly associated with frailty and self-care behaviors. In a hierarchical linear regression analysis, health literacy was a significant determinant of self-care behaviors after adjusting for confounding variables, but frailty was not. Educational level was also a significant predictor of self-care behaviors. Our main findings showed that health literacy can facilitate improvements in HF self-care behaviors. Healthcare professionals should assess patients’ health literacy and educational backgrounds when designing self-management programs.

Keywords: heart failure; health literacy; self-care; frailty (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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