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Exploring the Importance of Health Literacy for the Quality of Life in Patients with Heart Failure

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  • Marija Jovanić

    (Faculty of Medicine, University of Belgrade, 11 000 Belgrade, Serbia)

  • Marija Zdravković

    (Faculty of Medicine, Clinical Hospital Center Bezanijska kosa, University of Belgrade, 11 000 Belgrade, Serbia)

  • Dejana Stanisavljević

    (Faculty of Medicine, Institute for Medical Statistics and Informatics, University of Belgrade, 11 000 Belgrade, Serbia)

  • Aleksandra Jović Vraneš

    (Faculty of Medicine, Institute of Social, Medicine University of Belgrade, 11 000 Belgrade, Serbia)

Abstract

As with all other chronic noncommunicable diseases, adequate health literacy plays a key role in making the right decisions in the treatment of heart failure. Patients with heart failure and a lower health literacy have a reduced quality of life. A cross-sectional study among 200 patients with heart failure was conducted at a state university hospital in Belgrade, Serbia. The European Health Literacy Questionnaire, HLS-EU-Q47, was used to assess health literacy. Quality of life was measured with the generic SF-36 and the Minnesota Living with Heart Failure Questionnaire. Descriptive and analytical statistical analysis was applied. More than half of the respondents (64%) had limited health literacy. The lowest mean health literacy index (28.01 ± 9.34) was within the disease prevention dimension, where the largest number of respondents showed limited health literacy (70%). Our patients had a poorer quality of life in the physical dimension, and the best scores were identified in the emotional role and social functioning. Health literacy was highly statistically significant and an independent predictor of quality of life (physical, mental, and total quality of life). Improving health literacy can lead to better decisions in the treatment of disease and quality of life in heart failure patients.

Suggested Citation

  • Marija Jovanić & Marija Zdravković & Dejana Stanisavljević & Aleksandra Jović Vraneš, 2018. "Exploring the Importance of Health Literacy for the Quality of Life in Patients with Heart Failure," IJERPH, MDPI, vol. 15(8), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:8:p:1761-:d:164011
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    References listed on IDEAS

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    1. Aleksandra Jovic-Vranes & Vesna Bjegovic-Mikanovic & Jelena Marinkovic & Nikola Kocev, 2011. "Health literacy in a population of primary health-care patients in Belgrade, Serbia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(2), pages 201-207, April.
    2. David Alejandro González-Chica & Zandile Mnisi & Jodie Avery & Katherine Duszynski & Jenny Doust & Philip Tideman & Andrew Murphy & Jacquii Burgess & Justin Beilby & Nigel Stocks, 2016. "Effect of Health Literacy on Quality of Life amongst Patients with Ischaemic Heart Disease in Australian General Practice," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-15, March.
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    1. Anna Aaby & Camilla Bakkær Simonsen & Knud Ryom & Helle Terkildsen Maindal, 2020. "Improving Organizational Health Literacy Responsiveness in Cardiac Rehabilitation Using A Co-Design Methodology: Results from The Heart Skills Study," IJERPH, MDPI, vol. 17(3), pages 1-18, February.
    2. Ying-Wei Wang & Shu-Li Chia & Chien-Ming Chou & Michael S. Chen & Jürgen M. Pelikan & Cordia Chu & Mei-Hsiu Wang & Chiachi Bonnie Lee, 2019. "Development and Validation of a Self-Assessment Tool for an Integrative Model of Health Promotion in Hospitals: Taiwan’s Experience," IJERPH, MDPI, vol. 16(11), pages 1-18, June.
    3. Anna Aaby & Karina Friis & Bo Christensen & Helle Terkildsen Maindal, 2020. "Health Literacy among People in Cardiac Rehabilitation: Associations with Participation and Health-Related Quality of Life in the Heart Skills Study in Denmark," IJERPH, MDPI, vol. 17(2), pages 1-12, January.

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