Artigo Acesso aberto Produção Nacional Revisado por pares

Health literacy and adherence to treatment of patients with heart failure

2019; UNIVERSIDADE DE SÃO PAULO; Volume: 53; Linguagem: Inglês

10.1590/s1980-220x2017039803447

ISSN

1980-220X

Autores

Monica Isabelle Lopes Oscalices, Meiry Fernanda Pinto Okuno, Maria Carolina Barbosa Teixeira Lopes, Ruth Ester Assayag Batista, Cássia Regina Vancini Campanharo,

Tópico(s)

Heart Failure Treatment and Management

Resumo

To relate the level of functional health literacy with adherence and barriers to non-adherence, rehospitalization, readmission and death in patients with heart failure.A cross-sectional, analytical study with patients admitted to the emergency room with a diagnosis of heart failure. Literacy was assessed by the Newest Vital Sign. Patient adherence to medication treatment and barriers to non-compliance were assessed 90 days after discharge by the Morisky-Green test and the Brief Medical Questionnaire, respectively.100 patients participated in the study. The mean age was 63.3 years (± 15.2), with a predominance of white women. Medication adherence was low in 41.1% of participants, of which 55.9% presented inadequate literacy. Re-hospitalization and death were present in patients with inadequate literacy (p<0.001).The low level of literacy was directly related to lower adherence and the presence of barriers to medication adherence, as well as higher rehospitalization rates and death.

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