0237/2017 - Letramento funcional em saúde nos portadores de doenças cardiovasculares crônicas Functional Health Literacy in chronic cardiovascular patients
Letramento Funcional em Saúde (LFS) é a capacidade de obter, processar e compreender informações de forma a tomar decisões apropriadas quanto ao autocuidado, definido pela Organização Mundial de Saúde como um determinante social da saúde. Sua avaliação tem importância especial em portadores de Doenças Crônicas não Transmissíveis, pela necessidade de cuidados permanentes em saúde. Objetivos: Avaliar o LFS em portadores de doenças cardiovasculares crônicas e possíveis implicações no entendimento da doença e orientações médicas e na adesão a medidas propostas por profissionais de saúde. Metodologia: Pesquisa transversal e quantitativa aplicando-se o instrumento S-TOFHLA e um questionário estruturado em 345 pacientes de um ambulatório de doenças cardiovasculares em Juiz de Fora. Resultados: Menos da metade (49,3%) da amostra apresentou LFS adequado. O LFS satisfatório associou-se a menor idade e maior escolaridade. O baixo LFS mostrou influenciar o déficit de compreensão da doença e de orientações médicas e o hábito menor de questionar os profissionais. Conclusão: Houve alta prevalência de LFS inadequado na amostra, associado a prejuízo no entendimento da doença e de instruções médicas, expondo a necessidade de otimizar a comunicação médica nesse grupo.
Palavras-chave:
Letramento Funcional em Saúde; doenças cardiovasculares; doença crônica; promoção da saúde.
Abstract:
Functional Health Literacy (FHL) is the ability to obtain, process and understand information in order to make appropriate decisions regarding self-care, defined by the World Health Organization as a social determinant of health. Its evaluation is important specially between patients with noncommunicable chronic diseases, given the need of permanent health care. Objectives: Evaluate the FHL in patients with chronic cardiovascular diseases and its possible implications on the understanding of the disease and medical instructions and adherence to the measures proposed by health professionals. Methodology: Cross-sectional and quantitative study in which was applied the instrument S-TOFHLA and a structured questionnaire on 345 patients of a cardiovascular disease service in Juiz de Fora. Results: Less than a half (49,3%) of the sample showed adequate FHL. Satisfactory FHL associated with lower age and higher schooling. Lower FHL showed influence on deficitary comprehension of the disease and medical orientations and rare habit to question the professionals. Conclusions: There was high prevalence of inadequate FHL on our sample, related with impaired understanding of the disease and medical instructions, showing the need to optimize medical communication in this group.
Keywords:
Health literacy; cardiovascular diseases; chronic disease; health promotion.
Functional Health Literacy in chronic cardiovascular patients
Resumo (abstract):
Functional Health Literacy (FHL) is the ability to obtain, process and understand information in order to make appropriate decisions regarding self-care, defined by the World Health Organization as a social determinant of health. Its evaluation is important specially between patients with noncommunicable chronic diseases, given the need of permanent health care. Objectives: Evaluate the FHL in patients with chronic cardiovascular diseases and its possible implications on the understanding of the disease and medical instructions and adherence to the measures proposed by health professionals. Methodology: Cross-sectional and quantitative study in which was applied the instrument S-TOFHLA and a structured questionnaire on 345 patients of a cardiovascular disease service in Juiz de Fora. Results: Less than a half (49,3%) of the sample showed adequate FHL. Satisfactory FHL associated with lower age and higher schooling. Lower FHL showed influence on deficitary comprehension of the disease and medical orientations and rare habit to question the professionals. Conclusions: There was high prevalence of inadequate FHL on our sample, related with impaired understanding of the disease and medical instructions, showing the need to optimize medical communication in this group.
Palavras-chave (keywords):
Health literacy; cardiovascular diseases; chronic disease; health promotion.
