Interdisciplinary Journal of Acute Care

Interdisciplinary Journal of Acute Care

The Relationship Between Health Literacy and Treatment Adherence in Cardiovascular Patients Hospitalized in Khorramabad Educational Hospitals

Document Type : Research

Authors
1 Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
2 Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
Abstract
Insufficient health literacy and incomplete information related to disease management can affect the adherence to treatment regimens. This study was performed to determine the relationship between health literacy and treatment regimen adherence in patients with CVD hospitalized in the educational hospitals of Khorramabad City in 2017. In this descriptive cross-sectional study, 161 CVD patients hospitalized in two educational hospitals in Khorramabad City were selected through a non-probabilistic sampling method to participate in the study. Data collection instruments included a sociodemographic information form, health literacy questionnaire, and treatment regimen adherence questionnaire. Descriptive statistics and Pearson and Spearman correlation coefficients were used for the data analysis. The health literacy of 75.2% of the cases was borderline or average. In addition, 68.9% of the patients adhered to the treatment regimen at an average level. There was a significant positive relationship between the total health literacy score and the total score of treatment regimen adherence (p<0.000, r=0.74). In this study, those with higher health literacy also showed greater adherence to the treatment regimen. Thus, promoting health literacy can be an effective tool for enhancing treatment regimen adherence.
Keywords

1.Baljani E, Rahimi Z, Heidari S, Azimpour A. The effect of self management interventions on medication adherence and life style in cardiovascular patients. Avicenna Journal of Nursing and Midwifery Care. 2012 Dec 10;20(3):58-68.
2. Seyam SH, Hiedarnia AR, Tavafian SS. Self-caring behaviors among cardiac patients after coronary artery bypass graft surgery. Journal of Guilan University of medical sciences. 2011 Oct 10;20(79):31-9.
3. Chen AM, Yehle KS, Albert NM, Ferraro KF, Mason HL, Murawski MM, Plake KS. Health literacy influences heart failure knowledge attainment but not self‐efficacy for self‐care or adherence to self‐care over time. Nursing research and practice. 2013;2013(1):353290.
4. Kripalani S, Gatti ME, Jacobson TA. Association of age, health literacy, and medication management strategies with cardiovascular medication adherence. Patient education and counseling. 2010 Nov 1;81(2):177-81.
5. Zhang NJ, Terry A, McHorney CA. Impact of health literacy on medication adherence: a systematic review and meta-analysis. Annals of Pharmacotherapy. 2014 Jun;48(6):741-51. 
6. Kooshyar H, Shoorvazi M, Dalir Z, Hosseini M. Health literacy and its relationship with medical adherence and health-related quality of life in diabetic community-residing elderly. Journal of Mazandaran University of Medical Sciences. 2013 Feb 10;22(1):134-43.
7. Resi M, Mostafavi F, Hassanzadeh A, Sharifirad G. Health literacy relationship with General Health Status and Health Behaviors in the Elderly of Isfahan. Journal of health systems research. 2011; 7(4): 1-11. Persian.
8. Dennison CR, McEntee ML, Samuel L, Johnson BJ, Rotman S, Kielty A, Russell SD. Adequate health literacy is associated with higher heart failure knowledge and self-care confidence in hospitalized patients. Journal of Cardiovascular Nursing. 2011 Sep 1;26(5):359-67.
9. Gholami M, Tarrahi MJ, Hossein Pour AH, Valiniaei S, Bazgir Z. The relationship between health literacy and perceived self-efficacy in cardiovascular patients hospitalized in Khorramabad educational hospitals in 1396. Journal of Nursing Education. 2018 Aug 10;7(3):14-21.
10.  Montazeri AL, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, Naderimagham S, Solimanian A, Sarbandi F, Motamedi A, Sistani MM. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Payesh (Health Monitor). 2014 Oct 15;13(5):589-99. 
11. Thomas CM. The influence of self-concept on adherence to recommended health regimens in adults with heart failure. Journal of Cardiovascular Nursing. 2007 Sep 1;22(5):405-16.
12. Heydari A, Ahrari S, Vaghee S. The relationship between self-concept and adherence to therapeutic regimens in patients with heart failure. Journal of Cardiovascular Nursing. 2011 Nov 1;26(6):475-80.
13.  Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient education and counseling. 2015 Jan 1;98(1):41-8.
14. Chowdhury R, Khan H, Heydon E, Shroufi A, Fahimi S, Moore C, Stricker B, Mendis S, Hofman A, Mant J, Franco OH. Adherence to cardiovascular therapy: a meta-analysis of prevalence and clinical consequences. European heart journal. 2013 Oct 7;34(38):2940-8.
15.  Friis K, Lasgaard M, Pedersen MH, Duncan P, Maindal HT. Health literacy, multimorbidity, and patient-perceived treatment burden in individuals with cardiovascular disease. A Danish population-based study. Patient Education and Counseling. 2019 Oct 1;102(10):1932-8.
16. Elbashir M, Awaisu A, El Hajj MS, Rainkie DC. Measurement of health literacy in patients with cardiovascular diseases: a systematic review. Research in Social and Administrative Pharmacy. 2019 Dec 1;15(12):1395-405.
17. Akhu-Zaheya LM, Wa’ed YS. The effect of short message system (SMS) reminder on adherence to a healthy diet, medication, and cessation of smoking among adult patients with cardiovascular diseases. International journal of medical informatics. 2017 Feb 1;98:65-75.
18. Geboers B, de Winter AF, Luten KA, Jansen CJ, Reijneveld SA. The association of health literacy with physical activity and nutritional behavior in older adults, and its social cognitive mediators. Journal of health communication. 2014 Oct 14;19(sup2):61-76

Volume 1, Issue 2
December 2020
Pages 58-65

  • Receive Date 19 May 2020
  • Revise Date 30 September 2020
  • Accept Date 23 October 2020