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The Relationship between Health Literacy and Rehospitalization among Patients with Myocardial Infarction | ||
Journal of Health Sciences & Surveillance System | ||
دوره 11، شماره 1، فروردین 2023، صفحه 70-76 اصل مقاله (375.35 K) | ||
نوع مقاله: Original Article | ||
شناسه دیجیتال (DOI): 10.30476/jhsss.2021.92299.1335 | ||
نویسندگان | ||
Navid Mohammadi1؛ Zahra Soroosh* 2؛ Marzieh Nojomi3؛ Maryam Motamedkhah4 | ||
1Department of Community Medicine, School of Medicine, Children Growth Research Center, Research Institute for Non Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran | ||
2Department of Community and family Medicine, Social Determinants of Health Research Center, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran | ||
3Clinical Epidemiology (U.W, Seattle), Department of Community and Family Medicine, School of Medicine, Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran | ||
4Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran | ||
چکیده | ||
Background: Cardiovascular disease, the first leading cause of death worldwide, is associated with different consequences, including rehospitalization. Health literacy (HL) is a factor with potential effects on rehospitalization. This study aimed to examine the relationship between HL and rehospitalization among patients with myocardial infarction (MI). Methods: This prospective cohort study was conducted in 2015–2017. Participants were 366 hospitalized patients with MI who were conveniently recruited from four teaching hospitals in Tehran, Iran. A demographic questionnaire and the Health Literacy for Iranian Adults instrument were completed for participants at the time of their hospital discharge. One month after hospital discharge, thirty-day rehospitalization was assessed over telephone. The SPSS program (v. 16.0) was used to analyze the data through the Chi-square test, independent-sample t test, one-way analysis of variance, Pearson’s correlation analysis, and logistic regression analysis. Results: T he t otal m ean s core o f H L w as 5 3.08±16.64 ( in the possible range of 0–100). Most participants (78.6%) had inadequate or barely adequate HL. At the time of rehospitalization assessment, fifteen participants were inaccessible. Among the remaining 351 participants, 28 (8%) reported thirty-day rehospitalization. The mean scores of HL among the participants with and without rehospitalization were 55.36±19.06 and 53.08±16.53, respectively. Logistic regression analysis showed that after adjusting the effects of potential confounders, HL had a significant relationship with rehospitalization (odds ratio=1.05; 95% confidence interval: 1.007–1.1; P=0.024). Conclusion: Most hospitalized patients with MI have limited HL, and their HL has a significant relationship with rehospitalization. | ||
کلیدواژهها | ||
Myocardial infarction؛ Hospital readmission؛ Health literacy | ||
مراجع | ||
American Heart Association. 2019;8(19):e012059.doi: : 10.1161/JAHA.119.012059.PubMed PMID: 31537135
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