Health literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomes.
| Autor: | Cabellos-García AC; Hospital Universitario y politécnico La Fe, Valencia, Spain.; Health Research Institut La Fe, Research Group GREIACC, Valencia, Spain., Martínez-Sabater A; Nursing Department, Universitat de València, Valencia, Spain. antonio.martinez-sabater@uv.es.; Facultat d'Infermeria i Podologia. Nursing Care and Education Research Group. (GRIECE). Grupo Investigación en Cuidados (INCLIVA), Hospital Clínico Universitario, Valencia, Spain. antonio.martinez-sabater@uv.es., Díaz-Herrera MÁ; Direcció d'Atenció Primaria Costa Ponent, Institut Català de la Salut, Avinguda de la Gran via de l'Hospitalet, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain.; Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08940, Cornellà de Llobregat, Spain., Gea-Caballero V; Health Research Institut La Fe, Research Group GREIACC, Valencia, Spain.; Escuela de Enfermería La Fe, centre affiliated to Universitat de Valencia, Valencia, Spain., Castro-Sánchez E; School of Health Sciences, University of London, London, UK.; National Institute for Health Research Health Protection Research Unit in Healthcare-Associated Infections and Antimicrobial Resistance at Imperial College London, London, UK. |
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| Jazyk: | angličtina |
| Zdroj: | BMC public health [BMC Public Health] 2021 Jul 09; Vol. 21 (1), pp. 1363. Date of Electronic Publication: 2021 Jul 09. |
| DOI: | 10.1186/s12889-021-11259-w |
| Abstrakt: | Background: 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. Aim: 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. Methods: 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. Results: 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). Conclusion: 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. Trial Registration: ACC-ACE-2016-01. Registration date: December 2015. (© 2021. The Author(s).) |
| Databáze: | MEDLINE |
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