Preventive Care in Nursing and Midwifery Journal
Wed, Mar 19, 2025
[Archive]
Volume 13, Issue 4 (10-2023)
PCNM 2023, 13(4): 30-40 |
Back to browse issues page
Ethics code: IR.ZUMS.REC.1400.106
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Bakhshayesh M, Hojatansari M, Rabie Siahkali S. Investigating the relationship of electronic health literacy and self-care behaviors with life quality in patients with heart failure. PCNM 2023; 13 (4) :30-40
URL: http://nmcjournal.zums.ac.ir/article-1-869-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-869-en.html
Department of Operating Room and Anesthesiology, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , dr.mitraansari@gmail.com
Abstract: (1018 Views)
Background: A suitable approach to improve the quality of life (QoL) of patients with heart failure (HF) is to promote electronic health literacy (e-HL) and encourage self-care behaviors among patients.
Objectives: This study was conducted to divulge the association of e-HL and self-care behaviors with QoL in patients with HF.
Methods: This cross-sectional descriptive study was conducted on 200 patients suffering from HF admitted to the CCU and POST-CCU departments of the Amir-Al Momenin Hospital of Maragheh City, Iran, who were enrolled by convenience sampling. Data were collected using WHO Quality of Life-BREF (WHOQOL-BREF), the e Health Literacy Scale (e HEALS), and the European Heart Failure Self-care Behavior Scale (EHFScBs) and analyzed using SPSS v. 21 Software. The statistical tests included ANOVA, the independent t-test, Pearson correlation, and hierarchical linear regression.
Results: The Pearson correlation test showed that there was a direct and statistically significant relationship between e HL, self-care behaviors, and QoL (P-value <0.05). The correlation between self-care behaviors and QoL was the strongest (r=0.747, P-value <0.001). According to hierarchical linear regression analysis, self-care behaviors were the strongest predictors of QoL (β =0.647, P-value =0.001). Overall, e-HL (β=0.163, P-value=0.001), self-care behaviors (β=0.647, P-value <0.001), and demographic variables were able to predict 57.6% of the variance of QoL (R=0.576, P-value <0.001).
Conclusion: Electronic health literacy and self-care behaviors may play an important role in improving the QoL of HF patients. Regarding the role of these parameters in preventing and managing HF, the health system should pay attention to upgrading these elements by appropriate training.
Objectives: This study was conducted to divulge the association of e-HL and self-care behaviors with QoL in patients with HF.
Methods: This cross-sectional descriptive study was conducted on 200 patients suffering from HF admitted to the CCU and POST-CCU departments of the Amir-Al Momenin Hospital of Maragheh City, Iran, who were enrolled by convenience sampling. Data were collected using WHO Quality of Life-BREF (WHOQOL-BREF), the e Health Literacy Scale (e HEALS), and the European Heart Failure Self-care Behavior Scale (EHFScBs) and analyzed using SPSS v. 21 Software. The statistical tests included ANOVA, the independent t-test, Pearson correlation, and hierarchical linear regression.
Results: The Pearson correlation test showed that there was a direct and statistically significant relationship between e HL, self-care behaviors, and QoL (P-value <0.05). The correlation between self-care behaviors and QoL was the strongest (r=0.747, P-value <0.001). According to hierarchical linear regression analysis, self-care behaviors were the strongest predictors of QoL (β =0.647, P-value =0.001). Overall, e-HL (β=0.163, P-value=0.001), self-care behaviors (β=0.647, P-value <0.001), and demographic variables were able to predict 57.6% of the variance of QoL (R=0.576, P-value <0.001).
Conclusion: Electronic health literacy and self-care behaviors may play an important role in improving the QoL of HF patients. Regarding the role of these parameters in preventing and managing HF, the health system should pay attention to upgrading these elements by appropriate training.
Type of Study: Orginal research |
Subject:
Nursing
Received: 2023/02/19 | Accepted: 2023/10/2 | Published: 2023/10/2
Received: 2023/02/19 | Accepted: 2023/10/2 | Published: 2023/10/2
References
1. Liou HL, Chen HI, Hsu SC, Lee SC, Chang CJ, Wu MJ. The effects of a self-care program on patients with heart failure. J Chin Med Assoc. 2015; 78(11): 648-56. doi: 10.1016/j. jcma.2015.06.004. [Crossref]
2. Coats AJS. Ageing, demographics, and heart failure. Eur Heart J Suppl. 2019; 21(Suppl L): L4-L7. doi: 10.1093/ eurheartj/suz235. [Crossref]
3. Savarese G, Lund LH. Global public health burden of heart failure. Card Fail Rev. 2017; 3(1): 7-11. doi: 10.15420/ cfr.2016:25:2.
4. Ahmadi A, Soori H, Mobasheri M, Etemad K, Khaledifar A.Heart failure, the outcomes, predictive and related factors in Iran. Journal of Mazandaran University of Medical Sciences. 2014; 24(118): 180-8. [In Persian]
5. Reyes EB, Ha JW, Firdaus I, Ghazi AM, Phrommintikul A, Sim D, et al. Heart failure across Asia: same healthcare burden but differences in organization of care. Int J Cardiol. 2016; 223: 163-7. doi: 10.1016/j.ijcard.2016.07.256. [Crossref]
6. Hwang B, Moser DK, Dracup K. Knowledge is insufficient for self-care among heart failure patients with psychological distress. Health Psychology. 2014;33(7):588. [Crossref]
7. Goodman H, Firouzi A, Banya W, Lau-Walker M, Cowie MR. Illness perception, self-care behaviour and quality of life of heart failure patients: a longitudinal questionnaire survey. Int J Nurs Stud. 2013;50(7):945-53. [Crossref]
8. Bos-Touwen I, Jonkman N, Westland H, Schuurmans M, Rutten F, de Wit N, et al. Tailoring of self-management interventions in patients with heart failure. Curr Heart Fail Rep. 2015; 12(3): 223-35. doi: 10.1007/s11897-015-0259-3. [Crossref]
9. Jalilian M, Mostafavi F, Sharifirad G. Association between self-efficacy, perceived social support and quality of life in patients with cardiovascular diseases: A cross-sectional study. J Health Syst Res. 2013;9(5):531-9.
10. Burg MM, Barefoot J, Berkman L, Catellier DJ, Czajkowski S, Saab P, et al. Low perceived social support and post-myocardial infarction prognosis in the enhancing recovery in coronary heart disease clinical trial: the effects of treatment. Psychosomatic medicine. 2005; 67(6): 879-88. [Crossref]
11. Woodend AK, Sherrard H, Fraser M, Stuewe L, Cheung T, Struthers C. Telehome monitoring in patients with cardiac disease who are at high risk of readmission. Heart & lung. 2008;37(1):36-45. [Crossref]
12. Mårtensson J, Dracup K, Canary C, Fridlund B. Living with heart failure: depression and quality of life in patients and spouses. The Journal of heart and lung transplantation. 2003; 22(4): 460-7. [Crossref]
13. ABBASI A, Fayazi S, Ahmadi F, Haghighizadeh M. The efficacy of home walking exercise program on functional performance and quality of life in patients with heart failure. 2007.
14. Kodiath M, Kelly A, Shivelly M. Improving quality of life in patient with heart failure. J Cardiovasc Nurs 2005; 20(1): 43-4. [Crossref]
15. Jaarsma T, Halfen R, Abusaad H, Dracup K, Diederiks j.Self care and quality of life in patient with advanced heart failure:the effect of a supporative educational intervaention. Heart Lung 2000;29(5):319-330. [Crossref]
16. Aboutalebi Daryasari G, Memarian R, Vanaki Z, Kazemnezhad A, Naderi N. Limitations of self-care behaviour in heart failure patients-a qualitative research with approach Orems theory. Biomed Res. 2016; Special Issue: S437-S42.
17. Stephen SA. Fatigue in older adults with stable heart failure. Heart & Lung. 2008;37(2):122-31. [Crossref]
18. Howard DH, Sentell T, Gazmararian JA. Impact of health literacy on socioeconomic and racial differences in health in an elderly population. Journal of general internal medicine. 2006;21(8):857-61. [Crossref]
19. Howard DH, Sentell T, Gazmararian JA. Impact of health literacy on socioeconomic and racial differences in health in an elderly population. Journal of general internal medicine. 2006;21(8):857-61. [Crossref]
20. Soltani R, Kafee M, Salehi E, Karashki H, Rezaee S. Survey the quality of life in Guilan university students. 2010; 10;19(75): 25-35. [In Persian]
21. Farghadani Z, Taheri-Kharameh Z, Amiri-Mehra A, Ghajari H, Barati M. The relationship between health literacy and self-care behaviors among patients with heart failure. Journal of hayat. 2018;24(2):186-96. [In Persian]
22. Matsuoka S, Tsuchihashi-Makaya M, Kayane T, Yamada M, Wakabayashi R, Kato NP, et al. Health literacy is independently associated with self-care behavior in patients with heart failure. Patient education and counseling. 2016;99(6):1026-32. [Crossref]
23. Fox S DM. Health online. Pew Internet and American Life Project; 2013. Jan 15, Retrieved from http://www.pewinternet.org/~/media//Files/Reports/PIP_HealthOnline.pdf.
24. Cajita MI, Cajita TR, Han HR. Health literacy and heart failure: a systematic review. J Cardiovasc Nurs. 2016; 31(2): 121-30. doi: 10.1097/jcn.0000000000000229. [Crossref]
25. Bazm S, Mirzaei M, Fallahzadeh H, Bazm R. Validity and reliability of the Iranian version of eHealth literacy scale. Journal of Community Health Research. 2016;5(2):121-30.
26. Jaarsma T, Årestedt KF, Mårtensson J, Dracup K, Strömberg A. The European Heart Failure Self‐care Behaviour scale revised into a nine‐item scale (EHFScB‐9): a reliable and valid international instrument. European journal of heart failure. 2009;11(1):99-105. [Crossref]
27. Jaarsma T, Årestedt KF, Mårtensson J, Dracup K, Strömberg A. The European Heart Failure Self‐care Behaviour scale revised into a nine‐item scale (EHFScB‐9): a reliable and valid international instrument. European journal of heart failure. 2009;11(1):99-105. [Crossref]
28. Lee CS, Lyons KS, Gelow JM, Mudd JO, Hiatt SO, Nguyen T, et al. Validity and reliability of the European Heart Failure Self-care Behavior Scale among adults from the United States with symptomatic heart failure. European journal of cardiovascular nursing. 2013;12(2):214-8. [Crossref]
29. Salehzadeh A, Rahmatpour P. Self-care behaviors and related factors in patients with heart failure reffering to medical & educational center of heart in Rasht. Journal of Holistic Nursing And Midwifery. 2013;23(1):22-9. [In Persian]
30. Darvishpoor Kakhki A, Abed Saeedi Z, Yaghmaie F, Alavi Majd H, Montazeri A. Survey correlation between quality of life and disease and demographic variables of diabetic patients referred to Tehran hospitals in 2004. Iranian Journal of Endocrinology and Metabolism. 2006; 8(1): 49-56. [In Persian]
31. Heidari S, Salahshoorian A, Rafiee F. Relationship between perceived social support and social network with quality of life in cancer patients. Journal of Feyz. 2008;12(2):101-8. [In Persian]
32. Khaje-Bishak Y, Payahoo L, Pourghasem B, Jafarabadi MA. Assessing the quality of life in elderly people and related factors in tabriz, iran. Journal of caring sciences. 2014;3(4):257.
33. Xesfingi S, Vozikis A. eHealth literacy: in the quest of the contributing factors. Interactive journal of medical research. 2016;5(2):e4749. [Crossref]
34. Norman CD, Skinner HA. eHEALS: the eHealth literacy scale. Journal of medical Internet research. 2006;8(4):e27. [Crossref]
35. Park H, Cormier E, Gordon G, Baeg JH. Identifying health consumers' eHealth literacy to decrease disparities in accessing eHealth information. CIN: Computers, Informatics, Nursing. 2016;34(2):71-6. [Crossref]
36. Hsu W, Chiang C, Yang S. The effect of individual factors on health behaviors among college students: the mediating effects of eHealth literacy. Journal of medical Internet research. 2014;16(12):e3542. [Crossref]
37. Kim S, Jeon J. Factors influencing eHealth literacy among Korean nursing students: A cross‐sectional study. Nursing & health sciences. 2020;22(3):667-74. [Crossref]
38. Tsukahara S, Yamaguchi S, Igarashi F, Uruma R, Ikuina N, Iwakura K, et al. Association of eHealth literacy with lifestyle behaviors in university students: Questionnaire-based cross-sectional study. Journal of medical Internet research. 2020;22(6):e18155. [Crossref]
39. Mitsutake S, Shibata A, Ishii K, Oka K. Associations of eHealth literacy with health behavior among adult internet users. Journal of medical Internet research. 2016;18(7):e192. [Crossref]
40. Shojaei F, Asemi S, NAJAF YA, Hosseini F. Self - care behaviors in patient with heart failure. Payesh J. 2009;8(4): 361-9. [In Persian]
41. Asadi P, Ahmadi S, Abdi A, Shareef OH, Mohamadyari T, Miri J. Relationship between self-care behaviors and quality of life in patients with heart failure. Heliyon. 2019;5(9):e02493. [Crossref]
42. Javadi S ST, Anticchi M. The Self-Care Behaviors in Patients with Heart Failure Admitted to Afshar Hospital in Yazd. Aflak Journal. 2017;9(32):1-12.
43. Audi G, Korologou A, Koutelekos I, Vasilopoulos G, Karakostas K, Makrygianaki K, et al. Factors affecting health related quality of life in hospitalized patients with heart failure. Cardiology research and practice. 2017;2017. [Crossref]
44. Aggelopoulou Z, Fotos NV, Chatziefstratiou AA, Giakoumidakis K, Elefsiniotis I, Brokalaki H. The level of anxiety, depression and quality of life among patients with heart failure in Greece. Applied Nursing Research. 2017;34:52-6. [Crossref]
45. Isazadeh M, Asadi ZS, Tahmasebi Gharajehmalek M, Soleimanifar M. Evaluation of Electronic Health Literacy Level of Patients Referring to a Selected Military Hospital in Tehran. Journal of Piavard. 2020;14(1):79-85. [In Persian]
46. Tennant B SM, Dodd V, Chaney B,, Chaney D PS, et al. . eHealth literacy and Web 2.0 health information seeking behaviors among baby boomers and older adults. J Med Internet Res. 2015;17(3):e70. [Crossref]
47. Cho GY, Ha MN. Mediating effects of health belief on the correlations among disease-related knowledge, eHealth literacy, and self-care behaviors in outpatients with hypertension. Korean Journal of Adult Nursing. 2019; 31(6): 638-49. [Crossref]
48. Wong AKC, Bayuo J, Wong FKY. Investigating predictors of self‐care behavior among homebound older adults: The role of self‐efficacy, eHealth literacy, and perceived social support. Journal of Nursing Scholarship. 2021. [Crossref]
49. Li S, Cui G, Yin Y, Wang S, Liu X, Chen L. Health-promoting behaviors mediate the relationship between eHealth literacy and health-related quality of life among Chinese older adults: a cross-sectional study. Quality of Life Research. 2021:1-9. [Crossref]
50. Tong Y, Xie K, Li S. Self-care and quality of life in elderly Chinese patients with benign prostatic hyperplasia. Nursing science quarterly. 2020;33(1):79-84. [Crossref]
51. Pakaya RE, Syam Y, Syahrul S. Correlation of self-efficacy and self-care of patients undergoing hemodialysis with their quality of life. Enfermería Clínica. 2021;31:S797-S801. [Crossref]
52. Polikandrioti M, Vasilopoulos G, Dousis E, Gerogianni G, Panoutsopoulos G, Dedes V, et al. Quality of Life and Self-care Activities in Diabetic Ulcer Patients, Grade 3: Gender Differences. Journal of Caring Sciences. 2021;10(4):184. [Crossref]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
