Correlation between health literacy and health-related quality of life in patients with hypertension, in Tehran, Iran, 2015-2016
Keywords:
Health literacy, Quality of life, HypertensionAbstract
Background and Objective: Hypertension is considered an important public health problem in developed and developing countries. This disease is closely associated with the quality of life of patients, and it seems that health literacy plays a role in this regard. Due to lack of information on the role of health literacy on the quality of life in patients with hypertension, this study has aimed to determine the correlation between health literacy and health-related quality of life in patients with hypertension.
Methods: This study is cross-sectional. The sample consisted of 400 patients with hypertension who were enrolled if available. To collect data, a demographic questionnaire (SF-36), Short Form Health Survey, and Health Literacy for Iranian Adults (HELIA) Inventory were used. Data were analyzed using SPSS software version 21 for descriptive and inferential statistics (e.g., mean, standard deviation, t-test, and Pearson correlation coefficient).
Results: The mean and standard deviation scores of health literacy and health-related quality of life were, respectively, 68.66 (±13.56) and 52.94 (±15.20). There was positive and significant correlation between health literacy and health-related quality of life (p<0.01, r=0.30).
Conclusion: According to research findings, there was a significant positive correlation between health literacy and health-related quality of life. Given the importance of health literacy in the quality of life in patients with hypertension, it seems essential that nursing officials and policymakers take steps to promote patients’ health and quality of life by using training programs appropriate for the patients’ health literacy level.
References
Naji A, Naroie S, Abdeyazdan G, Dadkani E. Effect of Applying Self-Care Orem Model on Quality of Life
in the Patient under Hemodialysis. Zahedan Journal of Research in Medical Sciences 2012; 14 (1): 8-12.
Ahmadi A, Hasanzadeh J, Rajaefard A. To Determine the Relative Factors on Hypertension in Kohrang,
Chaharmahal & Bakhtiari Province, 2007. IRJE journal. 2008; 4 (2): 19-25.
Nasri H. On the Occasion of World Hypertension Day 2016. J Isfahan Med Sch 2016; 34 (374): 229-31.
Zadirad H, Masoudi GR, Zareban I, Shahraki Poor M, Jadgal K. The Effect of Educational Program Based
on BASNEF Model on Women’s Blood Pressure with Hypertension. Journal of Torbat Heydariyeh
University of Medical Sciences. 2013; 1 (2): 22-31.
Kandula NR, Nsiah-Kumi PA, Makoul G, Sager J, Zei CP, Glass S, et al. The relationship between health
literacy and knowledge improvement after a multimedia type 2 diabetes education program. Patient
education and counseling. 2009; 75 (3): 321-327. doi: 10.1016/j.pec.2009.04.001. PMID: 19395223.
Sorensen K, Van den B roucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and pubilc
health: a systematic review and integration of definitions and models. Bio Ma Center Public Health. 2012;
(80): 1-13. doi: 10.1186/1471-2458-12-80. PMID: 22276600, PMCID: PMC3292515.
Kickbusch I, Pelikan JM, Apfel F, Tsouros A. Health Literacy The Solid Facts. Copenhagen: World Health
Organization (WHO); 2013.
Tehrani Bani hashemi S, Amirkhani MA, Haghdoost AA, Alavian S, Asgharifard H, Baradaran H, et al.
Health Literacy and the Influencing Factors: A Study in Five Provinces of Iran. Strides Dev Med Educ.
; 4 (1) :1-9.
Jabalameli S, Ther Neshat doost H, Moulavi H. Efficacy of cognitive-behavioral stress management
intervention on quality of life and blood pressure in female patients with hypertension. SJKU. 2010; 15 (2):
-97.
Niu SE, Li IC. Quality of life of patients having renal replacement therap. Journal of Advanced Nursing.
; 51 (1): 15-21. doi: 10.1111/j.1365-2648.2005.03455.x.
Cote l, Farris K, Feeny D. Is adherence to drug treatment correlated with health-related quality of life?.
Quality of life research. 2003; 12 (6): 621-633. doi: 10.1023/A:1025180524614.
Shabany Hamedan M, Mohammad AJ, Shekarabi R, Hosseini A. The Relationship Between Medication
Adherence and Quality of Life in Renal Transplant Patients. IJN. 2011; 23 (67): 29-34.
Lin xJ, Lin IM and Fan SY. Methodological issues in Measuring health-related quality of life. Tzu Chi
Medical Journal. 2012; 25 (1): 8-12. doi: 10.1016/j.tcmj.2012.09.002
Mcnaughton CD, Jacobson TA, Kripalani S. Low literacy is associated with uncontrolled blood pressure in
primary care patients with hypertension and heart disease. Patient education and counseling. 2014; 96(2):
-170. doi: 10.1016/j.pec.2014.05.007
Rothman RL, et al. Influence of patient literacy on the effectiveness of a primary care–based diabetes
disease management program. Jama. 2004; 292 (14): 1711-1716. doi:10.1001/jama.292.14.1711
Willens DE, et al. Association of brief health literacy screening and blood pressure in primary care. Journal
of health communication, 2013; 18 (1): 129-142. doi: 10.1080/10810730.2013.825663. PMID: 24093351,
PMCID: PMC3815081.
Powers BJ, Olsen MK, Oddone EZ, Thorpe CT, Bosworth HB. Literacy and blood pressure–do healthcare
systems influence this relationship? A cross-sectional study. BMC health services research. 2008; 8 (1):
doi: 10.1186/1472-6963-8-219. PMID: 18947408, PMCID: PMC2600788.
War JE, Sherbourne CD. The MOS 36-item short form health survey (SF-36). I. Conceptual framework and
item selection. Med Care 1992; 30 (6): 473-83. PMID: 1593914.
Montazeri A, Goshtasbi A, Vahdaninia MAS. The short form health survey (SF-36): Translation and
validation study of the Iranian version. Payesh 2006; 5 (1): 49-56.
Dehdari T, Heydarnia A, Ramezankhani A, Sadeghian S, Ghofrani Pour Rouchi FA, Babaei GH, et al.
Effects of phase III cardiac rehabilitation programs on anxiety and quality of life in anxious patients after
coronary artery bypass surgery. The Journal of Tehran University Heart Center 2007; 2 (7): 207-212.
Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian
Adults (HELIA): develoment and psychometric properties. Payesh. 2014; 13 (5): 589-599.
Reisi M, Javadzade H, Mostafavi F, Tavassoli E, Sharifirad Gh. Health Literacy and Health Promoting
Behaviors among OlderAdults. J Health Syst Res. 2013; 9 (8): 827-836.
Mollakhalili H, Papi A, Sharifirad Gh, Zare-Farashbandi F, Hasanzadeh A. Health literacy in patients
hospitalized at educational hospitals affi liated to Isfahan University of Medical Sciences. Health
information management. 2014; 11 (4): 364-373.
Motamedi F, Malekzadeh S, Azami M, Mirzaei M. Health literacy of cardiovascular patients admitted to
private hospitals in Kerman. International Journal of Advanced Biotechnology and Research. 2016; 7 (1):
-247.
Tung HH, Lu TM, Chen LK, Liang Sh, Wu SF, Chu KH. Health literacy impact on elderly patients with
heart failure in Taiwan. Journal of Clinical Gerontology & Geriatrics. 2014; 5 (3): 72-76. doi:
1016/j.jcgg.2014.01.005
Moser DK, Robinson S, Biddle MJ, Pelter MM, Nesbitt TS, Suthard J, et al. Health literacy predicts
morbidity and mortality in rural patients with heart failure. Journal of Cardiac Failure. 2015; 21 (8): 612–
doi: 10.1016/j.cardfail.2015.04.004
Afshari M, Khazaei S, Bahrami M, Merati H. Investigating Adult Health Literacy in Tuyserkan City.
Journal of Education and Community Health. 2014; 1 (2): 48-55. doi: 10.20286/jech-010248
Zahedi S. The correlation between self-care and health literacy in patients undergoing hemodialysis in
Valiasr Hospital in Arak in 2015 [dissertation]. Shahid Beheshti University of Medical Sciences and
Health; 2016.
Mahmoudi H, Taheri A. Relation between Information Literacy and Health Literacy of Students in
Ferdowsi University of Mashhad. HII. 2015; 2 (2): 31-41.
Ahmadi F, Salar A, Faghihzadeh S. Quality of life in Zahedan elderly population. Hayat. 2004; 10 (3): 61- 67.
Ali-Akbari F, Khalifehzadeh A, Parvin N. The effect of short time telephone follow-up on
physicalconditions and quality of life in patients after pacemaker implantation. J Shahrekord Med Sci.
; 11 (3): 23-28.
Nejati V, Ashayeri H. Health related quality of life in the elderly in Kashan. Iranian J Psychiatr Clin
Psychol. 2008; 14(1): 56-61.
Nejati V, Ashayeri H. Health Related Quality of Life in the Elderly in Kashan. IJPCP. 2008; 14 (1): 56-61.
Ghahremani L, Nazari M, Mosavi M. Improvement of Quality of Life in Elderly men in Kahrizak nursing
home based on educational intervention. Knowledge & Health 2008;4 (2): 18-23.
Sabbah I, Drouby N, Sabbah S, Retel-Rude N, Mercier M. Quality of life in rural and urban populations in
Lebanon using SF-36 Health Survey. Health and Quality of Life Outcomes. 2003; 1 (30): 1-14. Doi:
1186/1477-7525-1-30
Khorsandi M, Jahani F, Rafie M, Farazi A. Health-related quality of life in staff and hospital personnel of
Arak university of medical sciences in 2009. Arak Med Univ J. 2010; 13 (1): 40-48.
Namdar A, Beigizadeh S, Najafipour S. Health- related quality of life in dialysis patients. Journal of
Jahrom University of Medical Sciences. 2013; 10 (4): 19-27.
Mena-Martin FJ, Martin-Escudero JC, Simal-Blanco F, Carretero-Ares JL, Arzua-Mouronte D, Herreros- Fernandez V. Health-related quality of life of subjects with known and unknown hypertension: results from
the population-based Hortega study. Journal of Hypertension. 2003; 21 (7): 1283–1289. doi:
1097/01.hjh.0000059086.43904.17. PMID: 12817174.
Ahroni JH, Boyko EJ. Responsiveness of the SF-36 among veterans with diabetes mellitus. J Diabet
Complications. 2000; 14 (1): 31–9. PMID: 10925064. doi: 10.1016/S1056-8727(00)00066-0
Lawrence WF, Fryback DG, Martin PA, Klein R, Klein BE. Health status and hypertension: apopulation- based study. J Clin Epidemiol. 2004; 49 (11): 1239-45. PMID: 8892491. doi: 10.1016/S0895- 4356(96)00220-X
Shamsi A, akbarRefahi A, Malmir M, Mollahadi M, Ebadi A. Comparison of quality of life in military
personnel with and without hypertension. Ann Mil Health Sci Res. 2012; 10 (3): 213-218.
Ebadi A, Shamsi A, Refahi AA, Saied Y. Comparison of the Quality of Life in Men with and Without
Hypertension. Sci J Hamdan Nurs Midwifery Fac. 2012; 20 (1): 5-13.
Masroor DD, Rafii F, Fadaeeaghdam N, Hoseini AF. Health-Related Quality of Life in Patients with
Chronic Obstructive Pulmonary Disease. IJN. 2012; 25 (76): 19-27.
Rahnavard Z, Zolfaghari M, Kazemnejad A, Hatamipour K. An investigation of quality of life and factors
affecting it in the patients with congestive heart failure. Hayat. 2006; 12 (1): 77-86.
Christensen BI, KockRow ED. Adult health nursing. St. Louis: Mosby; 1999.
Smeltzer SC, Bare BG. Textbook of medical surgical nursing. Philadelphia: Lippincott Williams &
Wilkins; 2004.
Hadi N, Malekan Makan L. Evaluation of health state and quality of life in primary school teachers of
Shiraz, 2003. Med J Hormozgan Univ. 2007; 10 (4): 387-392.
Rejeski WJ, Mihalko SL. Physical activity and quality of life in older adults. J Gerontol Series A Biol Sci
Med Sci. 2001; 56 (2): 23-35. doi: 10.1093/gerona/56.suppl_2.23
Kooshyar H, Shoorvazi M, Dalir Z, Hosseini M. Health Literacy and its Relationship with Medical
Adherence and Health-Related Quality of Life in Diabetic Community-Residing Elderly. J Mazandaran
Univ Med Sci. 2014; 23 (1): 134-143.
Hosieni F, Mirzaei T, Ravari A, Akbary A. The relationship between health literacy and quality of life in
retirement of Rafsanjan University of Medical Sciences. Journal of Health Literacy. 2016; 1 (2): 92-99.
Macabasco-O' Connell A, De Walt DA, Broucksou KA, Hawk V, Baker DW, Schillinger D, et al.
Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life
among patients with heart failure. J Gen Intern Med. 2011; 26 (9): 979-986. doi: 10.1007/s11606-011- 1668-y. PMID: 21369770, PMCID: PMC3157534.
Song L, Mishel M, Bensen JT, Chen RC, Knafl GJ, Blackard B, et al. How does health literacy affect
quality of life among men with newly diagnosed clinicallylocalized prostate cancer. Cancer. 2012; 118
(15): 3842-3851. doi: 10.1002/cncr.26713. PMID: 22180041.
Zhang XH, Li SC, Fong KY, Thumboo J. The impact of health literacy on healthrelated quality of life
(HRQoL) and utility assessment among patients with rheumatic diseases.Value Health. 2009; 12 Suppl 3:S
-109. doi: 10.1111/j.1524-4733.2009.00640.x. PMID: 20586970.
Osborn CY, Cavanaugh K, Wallston KA, Kripalani S, Elasy TA, Rothman RL, et al. Health literacy
explainsracial disparities in diabetes medication adherence. J Health Commun. 2011; 16 Suppl 3: 268-278.
doi: 10.1080/10810730.2011.604388. PMID: 21951257, PMCID: PMC3561717.
Shaw SJ, Huebner C, Armin J, Orzech K, Vivian J. The role of culture in health literacy and chronic
disease screening and management. J Immigr Minor Health. 2009; 11 (6): 460-467. doi: 10.1007/s10903- 008-9135-5. PMID: 18379877.
Von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health promoting behaviour
in a national sample of British adults. J EpidemiolCommunity Health. 2007; 61 (12): 1086-1090. doi:
1136/jech.2006.053967. PMID: 18000132, PMCID: PMC2465677.
Published
Issue
Section
License
Copyright (c) 2020 KNOWLEDGE KINGDOM PUBLISHING
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
