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Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review

BACKGROUND: Oral anticoagulants (OAC) are widely used in patients with cardiovascular diseases. However, for optimal OAC self-care patients must have skills, among which health literacy (HL) is highlighted. We aimed to describe the relation between HL and self-care in cardiovascular patients on OAC...

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Autores principales: Cabellos-García, Ana Cristina, Martínez-Sabater, Antonio, Castro-Sánchez, Enrique, Kangasniemi, Mari, Juárez-Vela, Raul, Gea-Caballero, Vicente
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172776/
https://www.ncbi.nlm.nih.gov/pubmed/30286744
http://dx.doi.org/10.1186/s12889-018-6070-9
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author Cabellos-García, Ana Cristina
Martínez-Sabater, Antonio
Castro-Sánchez, Enrique
Kangasniemi, Mari
Juárez-Vela, Raul
Gea-Caballero, Vicente
author_facet Cabellos-García, Ana Cristina
Martínez-Sabater, Antonio
Castro-Sánchez, Enrique
Kangasniemi, Mari
Juárez-Vela, Raul
Gea-Caballero, Vicente
author_sort Cabellos-García, Ana Cristina
collection PubMed
description BACKGROUND: Oral anticoagulants (OAC) are widely used in patients with cardiovascular diseases. However, for optimal OAC self-care patients must have skills, among which health literacy (HL) is highlighted. We aimed to describe the relation between HL and self-care in cardiovascular patients on OAC treatment. METHODS: Electronic searches were carried out in the PubMed, Scopus, Embase, CINAHL, Web of Science, Cochrane Library, SciELO, IME-Biomedicina, CUIDEN Plus and LILACS databases, limited to Spanish and English language and between January 2000–December 2016. Papers reported on adults older than 18 years, taking OAC by themselves for at least three months. PRISMA guidelines were used for paper selection. RESULTS: We identified 142 articles and finally included 10; almost all of them about warfarin. Our results suggest that in patients taking OAC treatments there is a positive relationship between HL and the level of knowledge. In addition, a small percentage of participants on the selected papers recognized the side effects and complications associated with OAC treatment. Lower HL level was associated with greater knowledge deficits and less adherence to treatment. CONCLUSION: There is a paucity of research evaluating the effect of HL on diverse aspects of OAC treatments. There is a need to expand the evidence base regarding appropriate HL screening tools, determinants of adequate knowledge and optimal behaviours related to OAC self-management. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-018-6070-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-61727762018-10-15 Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review Cabellos-García, Ana Cristina Martínez-Sabater, Antonio Castro-Sánchez, Enrique Kangasniemi, Mari Juárez-Vela, Raul Gea-Caballero, Vicente BMC Public Health Research Article BACKGROUND: Oral anticoagulants (OAC) are widely used in patients with cardiovascular diseases. However, for optimal OAC self-care patients must have skills, among which health literacy (HL) is highlighted. We aimed to describe the relation between HL and self-care in cardiovascular patients on OAC treatment. METHODS: Electronic searches were carried out in the PubMed, Scopus, Embase, CINAHL, Web of Science, Cochrane Library, SciELO, IME-Biomedicina, CUIDEN Plus and LILACS databases, limited to Spanish and English language and between January 2000–December 2016. Papers reported on adults older than 18 years, taking OAC by themselves for at least three months. PRISMA guidelines were used for paper selection. RESULTS: We identified 142 articles and finally included 10; almost all of them about warfarin. Our results suggest that in patients taking OAC treatments there is a positive relationship between HL and the level of knowledge. In addition, a small percentage of participants on the selected papers recognized the side effects and complications associated with OAC treatment. Lower HL level was associated with greater knowledge deficits and less adherence to treatment. CONCLUSION: There is a paucity of research evaluating the effect of HL on diverse aspects of OAC treatments. There is a need to expand the evidence base regarding appropriate HL screening tools, determinants of adequate knowledge and optimal behaviours related to OAC self-management. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-018-6070-9) contains supplementary material, which is available to authorized users. BioMed Central 2018-10-04 /pmc/articles/PMC6172776/ /pubmed/30286744 http://dx.doi.org/10.1186/s12889-018-6070-9 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Cabellos-García, Ana Cristina
Martínez-Sabater, Antonio
Castro-Sánchez, Enrique
Kangasniemi, Mari
Juárez-Vela, Raul
Gea-Caballero, Vicente
Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review
title Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review
title_full Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review
title_fullStr Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review
title_full_unstemmed Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review
title_short Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review
title_sort relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172776/
https://www.ncbi.nlm.nih.gov/pubmed/30286744
http://dx.doi.org/10.1186/s12889-018-6070-9
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