Chenli Wang|Juntao Lang|Lixia Xuan|Xuemei Li|Liang Zhang
The effect of health literacy and self-management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China: a cross-sectional study
Huazhong University of Science and Technology|Fudan University|Weifang Medical University|Weifang Medical University|Huazhong University of Science and Technology
hypertension common frequently occurring chronic disease cardiovascular system besides pathological factors occurrence exacerbation hypertension also associated many factors lifestyle behaviors thus hypertensive patients healthrelated quality life hrql influenced disease also many subjective factors health literacy selfmanagement efficacy especially deeper part southwestern china thus less developed compared places purpose study examine association hrql hypertensive patients health literacy selfmanagement efficacy well affect hrql provide theoretical reference improving hrql patients hypertension less developed areasthis crosssectional study baseline data clustered randomized controlled trial study design passed crossnational peer review accepted grants china medical board also registered chinese clinical trial registry chictroor14005563 standardized questionnaire adapted previous validated questionnaire used survey included detailed questions patients sociodemographic characteristics selfreported information patients hrql measured mandarin version 36item short form used validated mandarin version selfefficacy managing chronic disease 6item scale assess patients selfmanagement efficacy validated threeitem brief health literacy screening bhls used measure patients health literacy structural equation model constructed p 005 taken significantdemographic characteristics health literacy selfmanagement efficacy significant effects hrql age education level selfmanagement efficacy health literacy significantly related hrql constructed model good fit data according model fit indices based model health literacy r 0604 p 0029 selfmanagement efficacy r 0714 p 0018 significant impact hrql demographic characteristics inversely related hrql r 0419 p 0007 significant impact health literacy r 0675 p 0029 selfmanagement efficacy r 0379 p 0029 time selfmanagement efficacy positively correlated health literacy r 0413 p 001age education level selfmanagement efficacy health literacy related hrql patient hypertension means patients elderly lower education level low selfmanagement efficacy poor health literacy get worse hrql may imply necessary introduce routine assessment health literacy selfmanagement efficacy assessment procedures hypertensive patients health management assessment help professionals identify population greatest risk poor health outcomes low wellbeing future clinical practice effective interventions direct guidance education raise selfmanagement efficacy enhance health literacy might improve hrql patients hypertensionretrospectively registered chinese clinical trial registry chictroor14005563 name registry effects integrated delivery system payment system communitybased intervention rural patients chronic diseases qianjiang district china date registration retrospectively registered 23 november 2014 date enrolment first participant trial 5 july 2012