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Int. J. Environ. Res. Public Health 2018, 15(11), 2474; https://doi.org/10.3390/ijerph15112474

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

1
Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea
2
Medical director of Cardio-cerebrovascular Center, Good Morning Hospital, Pyeongtaek 17874, Korea
3
Director, Department of Nursing, Good Morning Hospital, Pyeongtaek 17874, Korea
4
Ajou University College of Nursing and Research Institute of Nursing Science, Suwon 16499, Korea
*
Author to whom correspondence should be addressed.
Received: 3 October 2018 / Revised: 31 October 2018 / Accepted: 3 November 2018 / Published: 6 November 2018
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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. View Full-Text
Keywords: heart failure; health literacy; self-care; frailty heart failure; health literacy; self-care; frailty
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Son, Y.-J.; Shim, D.K.; Seo, E.K.; Seo, E.J. Health Literacy but Not Frailty Predict Self-Care Behaviors in Patients with Heart Failure. Int. J. Environ. Res. Public Health 2018, 15, 2474.

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