Electronic Health Literacy and Self-Care Among Older Persons with Heart Failure
DOI:
https://doi.org/10.60099/jtnmc.v39i03.269603Keywords:
electronic health literacy, self-care, older adults, heart failureAbstract
Introduction Electronic health literacy plays a crucial role in the self-care of people with chronic diseases. However, older adults may face limitations in electronic health literacy, potentially affecting their self-care, particularly those with heart failure, who require information to manage their conditions continuously.
Objectives This study aimed to study electronic health literacy and self-care and investigate the associations between electronic health literacy and self-care in older people with heart failure.
Design This study was a correlation descriptive research, using the electronic health literacy concept as a study framework.
Methodology Through purposive sampling, the participants included 84 older adults diagnosed with heart failure for at least three months. Data were collected from December 2022 to November 2023 using questionnaires on demographic and health, electronic health literacy, and self-care heart failure index. Data were analyzed using descriptive statistics and Pearson’s product-moment correlation.
Results The participants had an average age of 69.48 years (SD = 8.29). Almost all of them used smartphones (96.43%), having overall electronic health literacy and subscales at moderate levels, while the overall self-care and its subscales were inadequate. Correlational analysis revealed that overall electronic health literacy had a significant correlation (p < .001) with overall self-care and its subscales, including self-maintenance, symptom awareness, and self-management, at moderate levels with Pearson’s correlation coefficients of .607, .508, .551, .520 respectively.
Recommendations Findings from this study highlight the significance of electronic health literacy and self-care. Healthcare teams can use this information as a baseline to plan for promoting electronic health literacy and self-care in older adults with heart failure, particularly those with similar characteristics to the study participants.
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References
Díez-Villanueva P, Jiménez-Méndez C, Alfonso F. Heart failure in the elderly. J Geriatr Cardiol. 2021;13(2):115. https://doi.org/10.11909/j.issn.1671-5411.2021.03.009 PMID: 33907552
Emmons-Bell S, Johnson C, Roth G. Prevalence, incidence and survival of heart failure: a systematic review. Heart. 2022;108(17):1351-1360. https://doi.org/10.1136/heartjnl-2021-320131 PMID: 35042750
Danielsen AK, Park J, Jansen JE, Bock D, Skullman S, Wedin A, et al. Early closure of a temporary ileostomy in patients with rectal cancer: A multicenter randomized controlled trial. Ann Surg. 2017;265(2):284-90. https://doi.org/10.1097/SLA.0000000000001829 PMID: 27322187
Bytyçi I, Bajraktari G. Mortality in heart failure patients. Anatol J Cardiol. 2015;15(1):63-68. https://doi.org/10.5152/akd.2014.5731 PMID: 25550250
The Heart Association of Thailand Under the Royal Patronage of H.M. The King. Medical practice guidelines for the diagnosis and care of patients with heart failure 2019 (1st edition). Samut Prakan: NeckStep Design Limited Partnership; 2019. (in Thai)
Damnong N, Phowang P. Factors predicting nutrition status of heart failure patients. Institute for Urban Disease Control and Prevention Journal. 2023;8(2): 67-80. (in Thai)
McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2021; 42(36):3599-726. https://doi.org/10.1093/eurheartj/ehab368 PMID: 34447992
Jonkman NH, Westland H, Groenwold RH, Ågren S, Atienza F, Blue L, et al. Do self-management interventions work in patients with heart failure? An individual patient data meta-analysis. Circulation. 2016;133(12):1189-98. https://doi.org/10.1161/CIRCULATIONAHA.115.018006 PMID: 26873943
Riegel B, Dickson VV, Faulkner KM. The situationspecific theory of heart failure self-care: revised and updated. J Cardiovasc Nurs. 2016;31(3):226-35. https://doi.org/10.1097/JCN.0000000000000244 PMID: 25774844
Chen AM, Yehle KS, Plake KS, Murawski MM, Mason HL. Health literacy and self-care of patients with heart failure. J Cardiovasc Nurs. 2011;26(6): 446-51. https://doi.org/10.1097/JCN.0b013e3182032349
Barello S, Triberti S, Graffigna G, Libreri C, Serino S, Hibbard J, et al. eHealth for patient engagement: a systematic review. Front Psychol. 2016;6:2013. https://doi.org/10.3389/fpsyg.2015.02013 PMID: 26779108
Seckin G, Hughes S. Patient-Reported Outcomes in a Nationally Representative Sample of Older Internet Users: Cross-sectional Survey. JMIR Aging. 2021; 4(4):e16006. https://doi.org/10.2196/16006 PMID: 34822340
Paige SR, Stellefson M, Krieger JL, Anderson-Lewis C, Cheong J, Stopka C. Proposing a transactional model of eHealth literacy: concept analysis. J Med Internet Res. 2018;20(10):e10175. https://doi.org/10.2196/10175 PMID: 30279155
Chuang HW, Kao CW, Lin WS, Chang YC. Factors affecting self-care maintenance and management in patients with heart failure: testing a path model. J Cardiovasc Nurs. 2019;34(4):297-305. https://doi.org/10.1097/JCN.0000000000000564
Promwong W, Meenongwah J, Ginggeaw S, Charoensri R. Knowledge and self-care behavior among patients with heart failure in the 50th anniversary Mahavajiralongkorn Hospital, Ubon Ratchathani Province. J Health Nurs Res. 2022;38(1):172-185. (in Thai)
Aslani N, Garavand A, Lazem M, Davoodi F, Asadi H, Afsharifard P. Assessing the e-health literacy level and its predictors in heart patients: A case study in a heart hospital center in Iran. J Educ Health Promot. 2024;12: 436. https://doi.org/10.4103/jehp.jehp_436_23.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
Damrongratnuwong W, Masingboon K. Self-care measures. Bangkok: Self-Care Measures; 2019. (in Thai)
Riegel B, Lee CS, Dickson VV, Carlson B. An update on the self-care of heart failure index. J Cardiovasc Nurs. 2009;24(6):485-97. https://doi.org/10.1097/JCN.0b013e3181b4baa0 PMID: 19786884
Brislin RW. Back-translation for cross-cultural research. J Cross Cult Psychol. 1970;1(3):185-216. https://doi.org/10.1177/135910457000100301
Kespichayawattana J, Wivatvanit S, Wanwacha C. Health literacy of older persons participation in senior clubs and learning centers in the Bangkok metropolitan region. Journal of Demography. 2020;36(2):40-57. (in Thai)
Lin CY, Ganji M, Griffiths MD, Bravell ME, Broström A, Pakpour AH. Mediated effects of insomnia, psychological distress and medication adherence in the association of eHealth literacy and cardiac events among Iranian older patients with heart failure: a longitudinal study. Eur J Cardiovasc Nurs. 2020;19(2):155-164. https://doi.org/10.1177/1474515119873648 PMID: 31516036
Niriayo YL, Yemane B, Asgedom SW, Teklay G, Gidey K. Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure. Sci Rep. 2024;14(1):1984. https://doi.org/10.1038/s41598-024-52611-5 PMID: 38263418
Pimpasan P, Wirojratana V, Jitramontree N. Factors related to self-care behaviors in older adults with heart failure. Thai Journal of Nursing Council. 2018;33(1): 103-115. (in Thai)
Uchmanowicz I, Nessler J, Gobbens R, Gackowski A, Kurpas D, Straburzynska-Migaj E, Kałuzna-Oleksy M. Coexisting frailty with heart failure. Front Physiol. 2019;10:791. https://doi.org/10.3389/fphys.2019.00791 PMID: 31333480
Vellone E, Fida R, Ghezzi V, D’Agostino F, Biagioli V, Paturzo M, et al. Patterns of self-care in adults with heart failure and their associations with sociodemographic and clinical characteristics, quality of life, and hospitalizations: A cluster analysis. J Cardiovasc Nurs. 2017;32(2):180-9. https://doi.org/10.1097/JCN.0000000000000325 PMID: 26938506
Neter E, Brainin E. eHealth literacy: extending the digital divide to the realm of health information. J Med Internet Res. 2012;14(1):e19. https://doi.org/10.2196/jmir.1619 PMID: 22357448
Xie L, Zhang S, Xin M, Zhu M, Lu W, Mo PK. Electronic health literacy and health-related outcomes among older adults: A systematic review. Prev Med. 2022; 157:106997. https://doi.org/10.1016/j.ypmed.2022.106997 PMID: 35189203
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