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Health literacy in patients with intermittent claudication in relation to clinical characteristics, demographics, self-efficacy and quality of life – A cross-sectional study

Striberger, Rebecka ; Axelsson, Malin LU ; Kumlien, Christine and Zarrouk, Moncef LU (2022) In Journal of Vascular Nursing 40(3). p.121-127
Abstract

Background: Intermittent claudication requires treatment with secondary prevention to reduce disease progression and the risk of cardiovascular events and to improve quality of life. Health literacy and self-efficacy are important preconditions for the health behaviour changes necessary for adhering to secondary prevention. Aim: Evaluate health literacy in patients with intermittent claudication regarding clinical characteristics, demographics, self-efficacy and quality of life. Methods: A cross-sectional study evaluating health literacy, self-efficacy and quality of life using questionnaires. Patients with intermittent claudication from vascular units in the south of Sweden were included. Results: In total, 158 patients were included,... (More)

Background: Intermittent claudication requires treatment with secondary prevention to reduce disease progression and the risk of cardiovascular events and to improve quality of life. Health literacy and self-efficacy are important preconditions for the health behaviour changes necessary for adhering to secondary prevention. Aim: Evaluate health literacy in patients with intermittent claudication regarding clinical characteristics, demographics, self-efficacy and quality of life. Methods: A cross-sectional study evaluating health literacy, self-efficacy and quality of life using questionnaires. Patients with intermittent claudication from vascular units in the south of Sweden were included. Results: In total, 158 patients were included, of which, 52.5% reported “inadequate” (0-8 points) or “problematic” (9-12 points) health literacy with no differences between men and women. A significant higher proportion of patients living alone reported “inadequate” or “problematic” health literacy than “sufficient” (13-16 points) health literacy. Patients with “sufficient” health literacy reported significantly higher self-efficacy and quality of life and were more physically active than patients with “inadequate” or “problematic” health literacy. Also, patients with a university degree reported a significantly higher ability to “access” (seek, find and obtain) and “understand” (comprehend the accessed) information relevant to health. Conclusion: The majority of patients with intermittent claudication have “inadequate” or “problematic” health literacy. Also, an “inadequate” or “problematic” health literacy level is more common among patients living alone, and education level appears to be more important when “accessing” and “understanding” information relevant to health. This illuminates the importance of not only the patients’ health literacy but also demographics when planning for secondary prevention.

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Contribution to journal
publication status
published
subject
in
Journal of Vascular Nursing
volume
40
issue
3
pages
7 pages
publisher
Elsevier
external identifiers
  • pmid:36414366
  • scopus:85140248394
ISSN
1062-0303
DOI
10.1016/j.jvn.2022.09.001
language
English
LU publication?
yes
id
9615dcf8-4bdd-4587-89cb-99509209b9e5
date added to LUP
2023-01-16 13:52:11
date last changed
2024-04-17 20:34:53
@article{9615dcf8-4bdd-4587-89cb-99509209b9e5,
  abstract     = {{<p>Background: Intermittent claudication requires treatment with secondary prevention to reduce disease progression and the risk of cardiovascular events and to improve quality of life. Health literacy and self-efficacy are important preconditions for the health behaviour changes necessary for adhering to secondary prevention. Aim: Evaluate health literacy in patients with intermittent claudication regarding clinical characteristics, demographics, self-efficacy and quality of life. Methods: A cross-sectional study evaluating health literacy, self-efficacy and quality of life using questionnaires. Patients with intermittent claudication from vascular units in the south of Sweden were included. Results: In total, 158 patients were included, of which, 52.5% reported “inadequate” (0-8 points) or “problematic” (9-12 points) health literacy with no differences between men and women. A significant higher proportion of patients living alone reported “inadequate” or “problematic” health literacy than “sufficient” (13-16 points) health literacy. Patients with “sufficient” health literacy reported significantly higher self-efficacy and quality of life and were more physically active than patients with “inadequate” or “problematic” health literacy. Also, patients with a university degree reported a significantly higher ability to “access” (seek, find and obtain) and “understand” (comprehend the accessed) information relevant to health. Conclusion: The majority of patients with intermittent claudication have “inadequate” or “problematic” health literacy. Also, an “inadequate” or “problematic” health literacy level is more common among patients living alone, and education level appears to be more important when “accessing” and “understanding” information relevant to health. This illuminates the importance of not only the patients’ health literacy but also demographics when planning for secondary prevention.</p>}},
  author       = {{Striberger, Rebecka and Axelsson, Malin and Kumlien, Christine and Zarrouk, Moncef}},
  issn         = {{1062-0303}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{121--127}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Vascular Nursing}},
  title        = {{Health literacy in patients with intermittent claudication in relation to clinical characteristics, demographics, self-efficacy and quality of life – A cross-sectional study}},
  url          = {{http://dx.doi.org/10.1016/j.jvn.2022.09.001}},
  doi          = {{10.1016/j.jvn.2022.09.001}},
  volume       = {{40}},
  year         = {{2022}},
}