Effects of health literacy on postoperative self-management behavior and medication adherence in patients with cerebrovascular stent implantation

Abstract:

Objective To explore the effect of health literacy on self-management behavior and medication compliance one year after the first cerebrovascular stent implantation of patients.Methods A total of 127 patients who underwent cerebrovascular stent implantation for the first time in the First Affiliated Hospital of Anhui Medical University from May 2019 to May 2020 were selected. One year after surgery，they were followed up with general data questionnaire，health literacy scale for patients with chronic diseases，stroke self-management behavior scale and medication adherence scale. The effects of health literacy on self-management behavior and medication compliance were analyzed by binary logistic regression.Results The health literacy score of patients was 95.67±14.60. The score of self-management behavior and medication compliance was 197.82±23.29 and 7.29±1.18 respectively，both of which were in medium level. Binary logistic regression analysis showed that health literacy（OR=24.404，95%CI=6.122-97.279） and residence（OR=5.956，95%CI=1.640-21.633） were independent influencing factors of patient's self-management behavior； health literacy（OR=4.096，95%CI=1.254-13.375） and the number of chronic diseases（OR=0.479，95%CI=0.249-0.923） were independent influencing factors of medication compliance.Conclusion The level of health literacy of the patients with cerebrovascular stent implantation one year after surgery is insufficient. Medical staff should pay attention to people with low health literacy，formulate and implement scientific and reasonable health education programs to help patients improve self-management behavior and medication compliance.