Factors Influencing Health Literacy of Cardiac Rehabilitation Among Older Adults with Myocardial Infarction in Urban Area
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Abstract
Objective: This predictive research aimed to examine the level of health literacy and factors influencing health literacy related to cardiac rehabilitation among older adults with myocardial infarction an in urban area. Methods: Simple sampling was used to recruit sample that consisted of 260 myocardial infarctions in elderly and data were collected from February to June 2021. The instruments used include 1) a demographic questionnaire; 2) a measure of health literacy; 3) a measure of social support. The content
validity index and reliability of health literacy and social support were tested and yielded Cronbach’s alpha coefficients of .86 and .78, respectively. The data were analyzed using descriptive statistics and stepwise multiple regression analysis. Results: The findings showed that the older people with myocardial infarction had a moderate level of health literacy related to cardiac rehabilitation (M = 12.58, SD = 2.51). “social support” was a significant predictor that could explain 16.80% of the variance in the myocardial infarction in elderly’ s health literacy with statistical significance. Conclusion: To improve the health literacy of cardiac rehabilitation ability among elderly patients with myocardial infarction should promote social support to them.
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References
United Nations. World population prospects 2019. [Internet]. New York: United Nations; 2019 [cited 2021 Feb 11]. Available from: https://population.un.org/wpp/.
Information Technology and communication center. Ageing population in Thailand: Present and future [Internet]. Bangkok: Information Technology and Communication center; 2014. [cited 2020 Feb 22]. Available from: http://www.dop.go.th/download/knowledge/knowledge_th_20160106135752_1.pdf
Kojima T, Mizokami F, Akishita M. Geriatric management of older patients with multimorbidity. Geriatr Gerontol Int 2020; 20(12): 1105-61. doi: 10.1111/ggi.14065.
Purimano M, Songthap A. Preventive behaviors of complications from coronary artery disease in elderly people. Buddhachinaraj Med J. 2021; 38(1): 107-16. Thai.
Boonsatean W, Reantippayasakul O. Health literacy: Situation and impacts on health status of the older adults. APHEIT Journal of Nursing and Health. 2020; 2(1): 1-19. Thai.
Schopfer DW, Forman DE. Cardiac rehabilitation in older adults. Can J Cardiol. 2016; 32(9): 1088-96. doi: 10.1016/j.cjca.2016.03.003.
Nutbeam D. The evolving concept of health literacy. Social science & medicine. 2008; 67(12): 2072-8. doi: 10.1016/j.socscimed.2008.09.050.
Mattson CC, Rawson K, Hughes JW, et al. Health literacy predicts cardiac knowledge gains in cardiac rehabilitation participants. Health Educ J. 2015; 74: 96-102. doi: org/10.1177/0017896914522029.
Phimphanchaiyaboon L, Sridet R. Enhancement of health literacy among the elderly according to the ASEAN community cooperation for the establishment of the ASEAN Centre for active ageing and innovation: ACAI. JNSU. 2021; 22(42): 107-14. Thai.
Cramm JM, Hartgerink JM, Steyerberg EW, et al. Understanding older patients’ self-management abilities: Functional loss, self-management, and well-being. Quality of Life Research. 2012; 22(1): 85-92. doi: 10.1007/s11136- 012-0131-9.
Kripalani S, Goggins K, Nwosu S, et al. Vanderbilt Inpatient Cohort Study. Medication nonadherence before hospitalization for acute cardiac events. J Health Commun. 2015; 20(Suppl 2): 34-42. doi: 10.1080/10810730.2015.1080331.
Bailey SC, Fang G, Annis IE, et al. Health literacy and 30-day hospital readmission after acute myocardial infarction. BMJ Open. 2015; 5: e006975. doi: 10.1136/bmjopen-2014-006975.
Westlake C, Sethares K, Davidson P. How can health literacy influence outcomes in heart failure patients? mechanisms and interventions. Curr Heart Fail Rep. 2013; 10: 232-43. doi: 10.1007/s11897-013-0147-7.
Osborne RH, Batterham RW, Elsworth GR, et al. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health. 2013; 13(1): 1-17.
World Health Organization. Health literacy and health promotion. Definitions, concepts and examples in the Eastern Mediterranean region. Individual empowerment conference working document. 7 th Global conference on health promotion promoting health and development [Internet]. Kenya: Nairobi; 2009 [cited 2021 Feb 11]. Available from: https://www.who.int/healthpromotion/conferences/7gchp/Track1_Inner.pdf.
Saisin B, Kengganpanich T, Kengganpanich M, et al. Health literacy and self-care behaviors among patients with ischemic heart disease at Central Chest Institute of Thailand. TH. J. of Health Edu. 2021; 44(2): 113-25.
Ploysuwan C, Wongkpratoom S, Rattanakamonkarn C, et al. Factors affecting the health literacy of older adults with hypertension in Nong Prue community, Samut Prakan province. JONAE. 2020; 14(2): 52-64. Thai.
Trainattawan W, Wirojratana V, Watanakukrilert D. Factors influencing health literacy among older adults. J Hlth Sci Res. 2019; 13(2): 41-51. Thai.
Ruaisungnoen W, Silarat M, Wonggom P. Home-based Cardiac Rehabilitation for Patients with Coronary Artery Disease. Journal of Nursing and Health Care. 2020; 38(4): 18-27. Thai.
Meebunmak Y, Intana J, Kijnopakieat K, et al. Health Literacy among older adults in a semi-urban community in Ratchaburi province. SCNJ. 2019; 6(Suppl): 129-41. Thai.
Lemeshow S, Hosmer, DW, Klar J, et al. Organization WH. Adequacy of sample size in health studies [Internet]. Colchester: Courier International; 1990 [Cited 2021 Apr 11]. Available from: https://apps.who.int/iris/bitstream/handle/10665/41607/0471925179_eng.pdf?sequence=1&isAllowed=y
Jitaphakul S. Principles of geriatric medicine. Bangkok: Chulalongkorn University Printing House; 1998. Thai.
Train the Brain Forum Committee. Thai Mental State Examination (TMSE). Siriraj Hospital Gazette. 1993; 45: 359-74. Thai.
Srison P, Hachuck W, Ratchapakdee P, et al. Health literacy and self-care behavior among post valvular heart surgery patients. JNATNO. 2019; 25(1): 1-13. Thai.
Rattana W. Health care behavior and social support with elderly’s of life quality of aging club at Surat Thani CentralHhospital [master’s thesis].[Bangkok]: Srinakharinwirot University; 2009. 108 p.
Blazer DG, Yaffe K, Liverman CT, Editor. Cognitive aging: Progress in understanding and opportunities for action. Washington, DC: National Academies Press; 2015.
Nilnate W, Hengpraprom S, Hanvoravongchai P. Level of health literacy in Thai elders, Bangkok, Thailand. J Health Res. 2016; 30(5): 315-21. Thai.
Heijmans M, Waverijn G, Rademakers J, et al. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Educ Couns. 2015; 98(1): 41-8. doi: 10.1016/j.pec.2014.10.006.
Nakphu T, Sontirat S. Self-reliance, health empowerment, health literacy and happiness of the elderly at Tambon Thap Yai Chiang in Amphoe Phrom Phiram, Phitsanulok province. J of Soc Sci & Hum. 2015; 41(1): 88-104. Thai.
Sriwirun A, Sumngern C, Somanusorn S. Predictive factors of hope among the elderly with coronary artery disease. JPNC. 2018; 29(1): 101-12. Thai.
Saeloo J, Kaewkrachok T, Samdaengsarn D. How social support and health literacy influence quality of life of elders in Mueang District of Nakhon Si Thammarat. SCNJ. 2021; 8(2): 39-52. Thai.