Status and influencing factors of health literacy in elderly patients with coronary heart disease complicated with hypertension based on health ecology
Objective To analyze the status and influencing factors at different levels of health literacy in elderly patients with coronary heart disease complicated with hypertension from the perspective of health ecology.Methods From December 2021 to May 2022,convenience sampling method was used to investigate 175 elderly patients with coronary heart disease complicated with hypertension by The General Information Questionnaire,Chronic Disease Health Literacy Scale,Chronic Disease Self-Efficacy Scale and Social Support Rating Scale.Chinese citizens health literacy Questionnaire was used to investigate the caregivers.Results The total score of health literacy in elderly patients with coronary heart disease complicated with hypertension was(95.69±20.86).The results of multiple linear regression analysis showed that,NYHA cardiac function grade,chronic disease self-efficacy,social support and education level were the main influencing factors of health literacy in elderly patients with coronary heart disease complicated with hyperten-sion(P<0.05),explaining 43.7%of the total variation.Conclusion The overall level of health literacy in elderly pa-tients with coronary heart disease complicated with hypertension need to be improved.Medical staff should adopt targeted health education for patients with different characteristics,focusing on patients with low education level,poor cardiac function and low social support level,encouraging patients to build positive interpersonal relationship network,improving patients'self-efficacy,and then improving patients' health literacy level.
Health ecologyHealth literacyCoronary heart diseaseHypertensionSelf-efficacySocial support