Browse > Article
http://dx.doi.org/10.14367/kjhep.2017.34.1.35

The impact of health literacy on self-care behaviors among hypertensive elderly  

Oh, Ji Hye (College of Nursing, The Catholic University of Korea)
Park, Eunok (College of Nursing, Jeju National University)
Publication Information
Korean Journal of Health Education and Promotion / v.34, no.1, 2017 , pp. 35-45 More about this Journal
Abstract
Objectives: This study thus set out to examine the health literacy and self-care behaviors of community-dwelling elderly patients with hypertension and investigate their relations and influential factors, thus providing basic data to develop a nursing intervention program to promote self-care behaviors among hypertension patients. Methods: The subjects include 180 hypertension patients using community health centers, public senior centers, and welfare centers in Jeju. Results: The subjects scored a mean of 49.8 (${\pm}12.4$) points on health literacy and 55.8 (${\pm}6.7$) points on self-care behaviors. In the results of hierarchical regression analysis, health literacy independently predicted self-care behaviors (${\beta}=.12$, p=.050) after controlling for general characteristics, hypertension-related knowledge and self-efficacy. Conclusions: These results suggest that interventions for improving health literacy are important to enhance elder's ability of self-care behaviors. It is necessary to understand the health literacy of elderly patients with hypertension before providing them with educational intervention and information and to develop appropriate educational materials and intervention programs.
Keywords
health literacy; self-care behaviors; hypertension; elderly;
Citations & Related Records
Times Cited By KSCI : 10  (Citation Analysis)
연도 인용수 순위
1 Son, Y. J., & Song, E. K. (2012). Impact of health literacy on disease-related knowledge and adherence to self-care in patients with hypertension. Journal of Korean Academy of Fundamentals of Nursing, 19(1), 6-15.   DOI
2 Sorensen, K., Van den Broucke, S., Pelikan, J. M., Fullam, J., Doyle, G., Slonska, Z., et al. (2013). Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 13(1). 948.   DOI
3 Statistics Korea. (2016). Population projections for Korea: 1960-2065. Retrieved January 26, 2017, from http://kosis.kr
4 Statistics Korea (2016). Annual report on the cause of death statistics 2016. Retrieved September 27, 2016, from http://kosis.kr
5 The Korean Society of Hypertension. (2013). 2013 Hypertention Management Guidelines. Seoul: The Guideline Committee of the Korean Society of Hypertension.
6 Weiss, B. D., Mays, M. Z., Martz, W., Castro, K. M., DeWalt, D. A., Pignone, M. P., et al. (2005). Quick assessment of literacy in primary care: The Newest Vital sign. Annals of Family Medicine, 3(6), 514-522.   DOI
7 Yang, S. O., Jeong, G. H., Kim, S. J., & Lee, S. H. (2013). Correlates of self-care behaviors among low-income elderly women with hypertension in South Korea. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 43(1), 97-106.   DOI
8 Aboumatar, H. J., Carson, K. A., Beach, M. C., Roter, D. L. & Cooper, L. A. (2013). The impact of health literacy on desire for participation in healthcare, medical visit communication, and patient reported outcomes among patients with hypertension. Journal of General Internal Medicine, 28(11), 1469-76.   DOI
9 Baker, D. W., Wolf, M. S., Feinglass, J., Thompason, J. A., Gazmarian, J. A., Huang, J. A., et al. (2007). Health literacy and mortality among elderly person. Archives of Internal Medicine, 167(14), 1503-1509.   DOI
10 Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., Viera, A., Crotty, K., et al. (2011). Health literacy interventions and outcomes: an updated systematic review. Washington D. C.: AHRQ Publication.
11 Chew, L. D., Bradley, K. A., & Boyko, E. J. (2004). Brief questions to identify patients with inadequate health literacy. Family Medicine, 36, 588-594.
12 Chung, K. H., Oh, Y. H., Kang, E. N., Kim, J. H., Sunwoo, D., Oh, M. A., et al. (2014). National Survey on Korean Older Persons 2014. Ministry of Health and Welfare & Korea Institute for Health and Social Affairs.
13 Gazmararian, J. A., Williams, M, V., Peel, J., & Baker, D. W. (2003). Health literacy and knowledge of chronic disease. Patient Education and Counseling, 51(5), 267-275.   DOI
14 Jordan, J. E., Buchbinder, R., Briggs, A. M., Elsworth, G, R., Busija, L., Batterham, R., et al. (2013). The Health Literacy Management Scale (HeLMS): A measure of an individual's capacity to seek, understand and use health information within the healthcare setting. Patient education and counseling. 91(2), 228-35.   DOI
15 Kang, S. J., Lee, T. W., Kim, G. S., & Lee, J. H. (2012). The levels of health literacy and related factors among middle-aged adults in Seoul, Korea. Korean Journal of Health Education and Promotion, 29(3), 75-89.
16 Kim, Y. S., Park, B. H, & Lee, H. Y. (2014). A Study on predicting health literacy of korean elderly using Andersen's health behavior model. Journal of Welfare for the Aged, 65, 35-57.
17 Kara, K. M., & Alberto, J. (2007). Family support, perceived self-efficacy and self-care behaviour of Turkish patients with chronic obstructive pulmonary disease. Journal of Clinical Nursing, 16, 1468-1478.   DOI
18 Kim, S. H. (2010). Older adults self-reported difficulty in understanding and utilizing health information. Journal of the Korean Gerontological Society, 30(4), 1281-1292.
19 Kim, S. H., & Lee, E. (2008). The influence of functional literacy on perceived health status in Korean older adults. Journal of Korean Academy of Nursing, 38(2), 195-203.   DOI
20 Ko, Y. J., & Park, E. O. (2013). Factors related to blood pressure control in hypertensive patients in Jeju Province. Journal of Korean Public Health Nursing, 27(2), 267-279.   DOI
21 Kwon, M. S., Noh, G. Y., & Jang, J. H. (2013). A Study on Relationships between Health Literacy, Disease-related Knowledge and Compliance to Medical Recommendations in Patients with Hypertension. Journal of Korean Public Health Nursing, 27(1), 190-202.   DOI
22 Lee, E. J., & Park, E. (2015). Predictors of self-care behaviors among elderly with hypertension using quantile regression method. Korean Journal of Adult Nursing, 27(3), 273-282.   DOI
23 Lee, J. M., & Lee, E. (2013). Factors influencing level of health literacy of migrant workers in Korea. Journal of Korean Academy of Fundamentals of Nursing, 20(3), 269-277.   DOI
24 Lee, T. W., Kang, S. J., Kim, H. H., Woo, S. R., & Kim, S. (2011). Suitability and readability assessment of printed educational materials on hypertension. Journal of Korean Academy of Nursing, 41(3), 333-343.   DOI
25 Ministry of Health and Welfare, & Korea Centers for Disease Control & Prevention. (2016). Korea health statistics 2015: Korea national health and nutrition examination survey(KNHANES VI-3). Seoul: Author.
26 Lee, Y. W. (1995). A study of the effect of an efficacy expectation promoting program on self-efficacy and self-care. Journal Korean Society of Adult Nursing, 7(2), 212-227.
27 Min, E. S. & Hur, M. H. (2011). Predictors of compliance in hypertensive patients. Journal of Korean Academy of Fundamentals of Nursing, 19(4), 474-482.   DOI
28 Kim, Y. J., & Kim, S. M. (2014). The effect of self-efficacy promotion exercise program for the elderly hypertensives. Journal of Digital Convergence, 12(11), 487-497.   DOI
29 Ministry of Health and Welfare, & Management Center for Health Promotion. (2008). Case management for patients with hypertension. Seoul: Author.
30 Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078.   DOI
31 Park, J. Y. & June, K. J. (2011). Influencing factors on functional health literacy among the rural elderly. Journal of Korean Academy of Community Health Nursing, 22(1), 75-85.   DOI
32 Pignone, M., DeWalt, D. A., Sheridan, S., Berkman, N., & Lohr, K. N. (2005). Interventions to improve health outcomes for patients with low literacy: a systematic review. Journal of General Internal Medicine, 20, 185-192.   DOI
33 Shibuya, A., Inoue, R., Ohkubo, T., Takeda, Y., Teshima, T., Imai, Y., et al. (2011). The relation between health literacy, hypertension knowledge, and blood pressure among middle-aged Japanese adults. Clinical Methods and Pathophysiology, 16(5), 224-230.