Examining the relationship between health literacy and quality of life in patients with coronary heart disease: a quantitative study at a cardiology clinic

Submitted: 20 September 2023
Accepted: 11 June 2024
Published: 3 July 2024
Abstract Views: 331
PDF: 123
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Coronary Heart Disease (CHD) is the leading cause of death worldwide and is rising, annually. Improved health outcomes require early treatment and self-monitoring, which need health literacy. This study examined how health literacy affects CHD patients’ Quality of Life (QoL) at the Hospital’s Cardiology Clinic. This quantitative, descriptive correlation study was cross-sectional. The sample was 164 respondents, sampled consecutively. Patients must be willing to participate, diagnosed with CHD, and attend cardiology outpatient follow-up appointments. Health literacy was measured with the HLS-EU-SQ10 and QoL with the Seattle Angina Questionnaire. This study used chi-square to analyze the relationship between two ordinal scale variables in a contingency table. The average age was 58.07 years, according to research. Of the respondents, 59 (36.0%) had graduated high school. Health literacy was assessed in three QoL domains: physical limitation (P=0.024), angina frequency (P=0.570), and QoL (P=0.338). Service agencies should be able to use pamphlets to improve health literacy and provide rehabilitation to acute coronary syndrome patients to improve QoL.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

World Health Organization. Global action plan on physical activity 2018-2030: more active people for a healthier world. World Health Organization; 2019.
Roth GA, Mensah GA, Johnson CO, et al. Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. J Am Coll Cardiol 2020;76:2982-3021. DOI: https://doi.org/10.1016/j.jacc.2020.11.010
Irianto K. Epidemiologi penyakit menular dan tidak menular. kedua. Bandung: Cv. ALFABETA; 2018.
Haryuni S, Wahyuni CU, Basuki H, et al. Blood glucose and systolic blood pressure as predictors of hospital length of stay in patients with coronary heart disease. J Public Health Africa 2023;14. DOI: https://doi.org/10.4081/jphia.2023.2567
Yusuf Alsagaff M, Thaha M, Aminuddin M, et al. Asymmetric dimethylarginine: a novel cardiovascular risk factor in end-stage renal disease. J Int Med Res 2012;40:340-9. DOI: https://doi.org/10.1177/147323001204000135
Kemenkes RI. Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia tahun 2018. Riset Kesehatan Dasar 2018:182-3.
Magnani JW, Mujahid MS, Aronow HD, et al. Health literacy and cardiovascular disease: fundamental relevance to primary and secondary prevention: a scientific statement from the American Heart Association. Circulation 2018;138:e48-74. DOI: https://doi.org/10.1161/CIR.0000000000000579
Osman N, Michel C, Schimmelmann BG, et al. Influence of mental health literacy on help-seeking behaviour for mental health problems in the Swiss young adult community: a cohort and longitudinal case–control study. Eur Arch Psychiatry Clin Neurosci 2023;273:649-62. DOI: https://doi.org/10.1007/s00406-022-01483-9
Kalanjati VP, Hasanatuludhhiyah N, D’Arqom A, et al. Health literacy on COVID-19 and COVID-19 vaccinations in Indonesia. F1000Res 2022;11. DOI: https://doi.org/10.12688/f1000research.125551.1
Tilahun D, Gezahegn A, Tegenu K, Fenta B. Functional health literacy in patients with cardiovascular diseases: cross-sectional study in ethiopia. Int J Gen Med 2021;14:1967-74. DOI: https://doi.org/10.2147/IJGM.S304007
Ghisi GLM, Chaves GSS, Britto RR, Oh P. Health literacy and coronary artery disease: a systematic review. Patient Educ Couns 2018;101:177-84. DOI: https://doi.org/10.1016/j.pec.2017.09.002
Lalenoh I, Oepangat E, Purwowiyoto BS, et al. Cardiovascular protection variables based on exercise intensity in stable coronary heart disease patients after coronary stenting: a comparative study. Vasc Health Risk Manag 2020;16:257-70. DOI: https://doi.org/10.2147/VHRM.S259190
Balti DR, Andrianto A, Dharmadjati BB, Asmarani DN. Immature platelet level in stable coronary heart disease (CHD) patients with diabetes mellitus compared to stable chd patients without diabetes mellitus. In: 2nd International Conference on Fisheries and Marine Science, InCoFiMS 2019. Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia: Institute of Physics Publishing; 2020. DOI: https://doi.org/10.1088/1755-1315/441/1/012165
Nurlina. Kualitas Hidup Wanita Menopause. Bandung Jawa Barat: Cv. Media Sains Indonesia; 2021.
Wantiyah W, Riko Saputra M, Deviantony F. Self-efficacy and health status in coronary artery disease patients. J Ners 2020;15. DOI: https://doi.org/10.20473/jn.v15i1.17628
Junaid Farrukh M, Makmor Bakry M, Hatah E, Hui Jan T. Medication adherence status among patients with neurological conditions and its association with quality of life. Saudi Pharm J 2021;29:427-33. DOI: https://doi.org/10.1016/j.jsps.2021.04.003
Permarupan PY, Al Mamun A, Hayat N, et al. Nursing management challenges: effect of quality of work life on depersonalization. Int J Healthc Manag 2021;14:1040-9. DOI: https://doi.org/10.1080/20479700.2020.1728924
Amarullah M, Rosyid FN. Gambaran Kualitas Hidup pada Pasien Jantung Koroner. In Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta; 2021.
Alfian R, Susanto Y, Khadizah S. Kualitas hidup pasien hipertensi dengan penyakit penyerta di poli jantung RSUD Ratu Zalecha Martapura. J Pharmasci 2017;4. DOI: https://doi.org/10.20527/jps.v4i2.5774
Jennings CS, Astin F, Prescott E, et al. Illness perceptions and health literacy are strongly associated with health-related quality of life, anxiety, and depression in patients with coronary heart disease: results from the EUROASPIRE V cross-sectional survey. Eur J Cardiovasc Nurs 2023;22:719-29. DOI: https://doi.org/10.1093/eurjcn/zvac105
Jiang S, Zhang X, Li X, et al. Exploring health literacy categories in patients with heart failure: a latent class analysis. J Cardiovasc Nurs 2023;38:13-22. DOI: https://doi.org/10.1097/JCN.0000000000000889
Munhall P. Nursing Research. Jones & Bartlett Learning; 2012.
Chan PS, Jones PG, Arnold SA, Spertus JA. Development and validation of a short version of the seattle angina questionnaire. Circ Cardiovasc Qual Outcomes 2014;7:640-7. DOI: https://doi.org/10.1161/CIRCOUTCOMES.114.000967
Zakeri MA, Tavan A, Nadimi AE, et al. Relationship between health literacy, quality of life, and treatment adherence in patients with acute coronary syndrome. Heal Lit Res Pract 2023;7:e71-9. DOI: https://doi.org/10.3928/24748307-20230320-01
Brørs G, Dalen H, Allore H, et al. The association of electronic health literacy with behavioural and psychological coronary artery disease risk factors in patients after percutaneous coronary intervention: a 12-month follow-up study. Eur Hear J Digit Heal 2023;4:125-35. DOI: https://doi.org/10.1093/ehjdh/ztad010
Zheng M, Jin H, Shi N, et al. The relationship between health literacy and quality of life: a systematic review and meta-analysis Prof Holger Schunemann. Health Qual Life Outcomes 2018;16:1-10. DOI: https://doi.org/10.1186/s12955-018-1031-7
Ehmann AT, Groene O, Rieger MA, Siegel A. The relationship between health literacy, quality of life, and subjective health: results of a cross-sectional study in a rural region in Germany. Int J Environ Res Public Health 2020;17. DOI: https://doi.org/10.3390/ijerph17051683
Mehralian G, Yusefi AR, Davarani ER, et al. Examining the relationship between health literacy and quality of life: evidence from older people admitted to the hospital. BMC Geriatr 2023;23:1-9. DOI: https://doi.org/10.1186/s12877-023-03838-w
Couture ÉM, Chouinard MC, Fortin M, Hudon C. The relationship between health literacy and quality of life among frequent users of health care services: a cross-sectional study. Health Qual Life Outcomes 2017;15:1-7. DOI: https://doi.org/10.1186/s12955-017-0716-7
Zaben K, Khalil A. Health literacy, self-care behavior and quality of life in acute coronary syndrome patients: an integrative review. Open J Nurs 2019;09:383-95. DOI: https://doi.org/10.4236/ojn.2019.94035
Perrin A, Abdalla G, Viprey M, et al. Prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patients. ESC Hear Fail 2021;8:1446-59. DOI: https://doi.org/10.1002/ehf2.13230
Do Amaral MG, Reijneveld SA, Almansa J, et al. Do uncontrolled hypertension, diabetes, dyslipidemia, and obesity mediate the relationship between health literacy and chronic kidney disease complications? Int J Environ Res Public Health 2021;18. DOI: https://doi.org/10.3390/ijerph18105235
Kanejima Y, Shimogai T, Kitamura M, et al. Impact of health literacy in patients with cardiovascular diseases: A systematic review and meta-analysis. Patient Educ Couns 2022;105:1793-800. DOI: https://doi.org/10.1016/j.pec.2021.11.021
Beauchamp A, Talevski J, Nicholls SJ, et al. Health literacy and long-term health outcomes following myocardial infarction: Protocol for a multicentre, prospective cohort study (ENHEARTEN study). BMJ Open 2022;12. DOI: https://doi.org/10.1136/bmjopen-2021-060480
Pratiwi NP, Untari EK, Robiyanto. Hubungan Persepsi Pasien Tentang Penyakit Hipertensi dengan Kualits hidup Pasien Lanjut Usia, Tekanan Darah, dan Jenis Terapi Antihipetensi. J Mhs Farm Fak Kedokt Untan 2019;4:1-11.
Nurlaila, Ginandjar P, Martini. Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pengobatan Masal Di Kelurahan Non Endemis Filariasis Kota Pekalongan. J Kesehat Masy 2017;5:2356-3346.

How to Cite

Lita, L., Khairiyah, N., Utami, A., Anggreini, S. N., & Said, F. M. (2024). Examining the relationship between health literacy and quality of life in patients with coronary heart disease: a quantitative study at a cardiology clinic. Healthcare in Low-Resource Settings, 12(3). https://doi.org/10.4081/hls.2024.11851