Highlights
- •Health literacy of Tibetan patients with coronary heart disease is significantly associated with their quality of life.
- •Self-efficacy and self-management mediate the relationship between health literacy and quality of life.
- •Targeted interventions for health literacy are important ways to improve the quality of life of Tibetan patients with coronary heart disease.
Abstract
Background
The disease burden of coronary heart disease patients in Tibet, China, ranks high
in the country. Due to the local culture and environment, patients with coronary heart
disease have increased risk factors for the disease, and their survival is worrisome.
Objectives
The purpose of this study was to determine the relationship between health literacy
and quality of life for patients with coronary heart disease in Tibet, China, and
to explore the mediating roles of self-efficacy and self-management.
Methods
A cross-sectional study was conducted from August 2020 to July 2021 in Tibet. A total
of 258 patients with coronary heart disease in Tibet participated. Self-reported questionnaires
were used to assess health literacy, self-efficacy, self-management, and quality of
life. Pearson correlation analysis and the SPSS PROCESS macro were used to analyze
the data.
Results
The mean total score for the health literacy of patients with coronary heart disease
in Tibet was 3.59 ± 0.80 points, showing the existence of a limited level of literacy.
The quality of life was of an average level, with scores of 57.20 ± 21.70 points and
63.63 ± 20.66 points for physical and mental status, respectively. Self-efficacy and
self-management mediated the relationship between health literacy and quality of life.
Conclusions
Self-efficacy and self-management mediate the relationship between health literacy
and quality of life. Targeted interventions for health literacy, self-efficacy, and
self-management skills are important to improve the quality of life of Tibetan patients
with coronary heart disease.
Keywords
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Article info
Publication history
Published online: October 28, 2022
Accepted:
October 17,
2022
Received in revised form:
October 17,
2022
Received:
April 8,
2022
Identification
Copyright
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