Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Concept Analysis of Health Literacy for Patients with Cardiovascular Disease using Hybrid Model

  • Received : 2019.08.01
  • Accepted : 2019.11.07
  • Published : 2019.12.31
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Abstract

Purpose: The purpose of this study is to provide a clear definition of the health literacy for patients with cardiovascular disease by analyzing the dimensions and properties using Hybrid concept analysis. Methods: The concept of health literacy of patients with cardiovascular disease was analyzed according to the cyclic process of theoretical phase-field work phase-final analysis phase presented in the Hybrid model. We reviewed 26 literatures and conducted in-depth interviews with 13 patients with cardiovascular disease. Results: The concept of health literacy in cardiovascular patients is derived from two dimensions and five attributes. Literacy skills, health information search ability and health information utilization skills were derived as attributes in the individual functional dimension, while active communication with the medical team and utilization of health information support resources were derived at the interrelational dimension. It is defined as the individualized and integrated ability of an individual to explore and utilize the various health information needed to make appropriate health decisions during the chronic course after diagnosis of cardiovascular disease, to communicate proactively with medical staffs and to utilize support resources. Conclusion: This study will contribute to the development and related research of health literacy measurement tools that can be used in cardiovascular nursing practice based on the attributes and indicators of health literacy for patients with cardiovascular disease.

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References

  1. Korea Centers for Disease Control and Prevention. Chronic disease current status and issues 2017, chronic illness factbook [Internet]. Cheongju: Korea Centers for Disease Control and Prevention. 2018 [cited 2019 May 1]. Available from: http://www.cdc.go.kr/gallery.es?mid=a40303020100&bid=0003&act=view&list_no=136662
  2. Centers for Disease Control and Prevention. Indicator definitions cardiovascular disease [Internet]. Atlanta: Centers for Disease Control and Prevention; 2017 [cited 2019 June 10]. Available from: https://www.cdc.gov/cdi/definitions/cardiovascular-disease.html#CVD1_1
  3. Bae YH, Lee KW. Risk factors for cardiovascular disease in adults aged 30 years and older. Journal of the Korean Society of Integrative Medicine. 2016;4(2):97-107. https://doi.org/10.15268/ksim.2016.4.2.097
  4. Lee MS. Health literacy and health behaviors among older adults with cardio-cerebro vascular disease residing in rural areas. Korean Journal of Adult Nursing. 2017;29(3):256-265. https://doi.org/10.7475/kjan.2017.29.3.256
  5. Kim SH, Lee SH. Influences of knowledge, self-efficacy, and social support on sick role behavior in patients with coronary artery disease. Journal of Korean Public Health Nursing, 2014;28(2):228-240. https://doi.org/10.5932/jkphn.2014.28.2.228
  6. Jung EY, Hwang SK. Health literacy and health behavior compliance in patients with coronary artery disease. Korean Journal of Adult Nursing. 2015;27(3):251-261. https://doi.org/10.7475/kjan.2015.27.3.251
  7. Jeong JH, Kim JS. Health literacy, health risk perception and health behavior of elders. Journal of Korean Academy Community Health Nursing. 2014;25(1):65-73. https://doi.org/10.12799/jkachn.2014.25.1.65
  8. Kim SS, Kim SH, Lee SY. Health literacy: Development of a Korean health literacy assessment tool. Korean Journal of Health Education and Promotion. 2005;22(4):215-227.
  9. Kim SH, Lee E. The influence of functional literacy on perceived health status in Korean older adults. Journal of Korean Academy Nursing. 2008;38(2):195-203. https://doi.org/10.4040/jkan.2008.38.2.195
  10. Schwartzberg JG, VanGeest J, Wang C. Understanding health literacy implications for medicine and public health. Chicago: AMA Press; 2005. 253 p.
  11. Paek KS. Impact of health literacy on adherence to self care behavior among the elderly with hypertension in a community. Crisisonomy. 2015;11(8):157-174.
  12. An JS, Yang SJ. Development of a health literacy assessment scale for asian immigrant women in South Korea. Journal of Korean Academy of Community Health Nursing. 2015;26(4):330-341. https://doi.org/10.12799/jkachn.2015.26.4.330
  13. Sin KM, Chu SH, Jang YS, Kang SM. Relationships between health literacy, knowledge and self-care behaviors in elderly patients with heart failure. Journal of Korean Clinical Nursing Research. 2016;22(1):28-37. https://doi.org/10.22650/JKCNR.2016.22.1.28
  14. Davis TC, Long SW, Jackson RH, Mayeaux EJ, George RB, Murphy PW, et al. Rapid estimate of adult literacy in medicine: A shortened screening instrument. Family Medicine. 1993;25(6):391-395.
  15. Parker RM, Baker DW, Williams MV, Nurss JR. The test of functional health literacy in adults: A new instrument for measuring patients' literacy skills. Journal of General Internal Medicine. 1995;10(10):537-541. https://doi.org/10.1007/bf02640361
  16. Lee TW. Development and evaluation of health literacy improvement program for the low income elderly with hypertension. Research Report. Seoul: Yonsei University & Korea Foundation for the Advancement of Science & Technology; 2010. Report No.: 2007-0053325.
  17. De Gagnea, Jennie C, Oh JA. Health promotion education in a virtual world: A concept analysis. The Journal of Korean Academic Society of Nursing Education. 2012;18(1):81-94. https://doi.org/10.5977/jkasne.2012.18.1.081
  18. Kim SE, Oh JN, Lee YM. Health literacy: an evolutionary concept analysis. The Journal of Korean Academic Society of Nursing Education. 2013;19(4):558-570. https://doi.org/10.5977/jkasne.2013.19.4.558
  19. Schwartz-Barcott D, Kim HS. An expansion and elaboration of the hybrid model of concept development. In: Rodgers BL, Knafl KA, editors. Concept development in nursing: foundations, techniques, and applications. 2nd ed. Philadelphia (PA): Saunders; 2000. p. 129-159.
  20. Strauss AL, Corbin JM. Basics of qualitative research: grounded theory procedures and techniques. Newbury Park, CA: Sage; 1990. 270 p.
  21. National Institute of Korean Language. Standard Korean language dictionary [Internet]. Seoul: National Institute of Korean Language; 2019 [cited 2019 Jun 1]. Available from: https://stdict.korean.go.kr/search/searchResult.do?pageSize=10&searchKeyword=%EA%B1%B4%EA%B0%95
  22. Kim YS, Park BH, Lee HY. A study on predicting health literacy of Korean elderly using Andersen's health behavior model. Journal of Welfare for the Aged Institute. 2014;65(1):35-57.
  23. Son YJ, Kim SD, Jang HJ, Yun YR, Kim HM, Park JI, et al. Factors influencing health literacy in community-dwelling adults. Korean Journal of Health Promotion. 2012;12(2):100-108.
  24. Mark K, Elizabeth G, Ying J, Christine P. The health literacy of America's adult: results from the 2003 national assessment of adult literacy. Washington DC. U.S Department of Education, 2006 September. Report No.: NCES 2006-83.
  25. Lee SM, Kim SY, You KS, Seo DC. Review on health literacy and application in pharmacoepidemiology. Korean Society for Phamacoepidemiology and Risk Management. 2016;8(1):8-18.
  26. Park HJ, Hwang SK. Linguistic and functional health literacy among community-dwelling old adults. Global Health and Nursing. 2014;4(2):49-58.
  27. Lee HJ, Chang KW. Oral health literacy of Korean adults. Journal of the Korean Academy of Dental Health. 2017;41(2):102-109. https://doi.org/10.11149/jkaoh.2017.41.2.102
  28. Park BH, Kim HJ, Kim YS. A study on mental health literacy and social relationship among marriage migration females. Korean Association of Health and Medical Sociology. 2016;42:111-135.
  29. Lee SS, Son HJ, Lee DS, Kang HW. The Influence of e-health literacy, subjective health status, and health information seeking behavior on the internet on health promoting behavior. Korean Society for Wellness. 2017;12(4):55-67. https://doi.org/10.21097/ksw.2017.11.12.4.55
  30. Roizen M, Oz M. You: the smart patient. New York: Simon & Schuster; 2006. 578 p.