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

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

dc.contributor.author	Cabellos Garcia, Ana Cristina
dc.contributor.author	Martínez Sabater, Antonio
dc.contributor.author	Castro Sánchez, Enrique
dc.contributor.author	Kangasniemi, Mari
dc.contributor.author	Juárez Vela, Raul
dc.contributor.author	Gea Caballero, Vicente
dc.date.accessioned	2018-10-11T12:13:08Z
dc.date.available	2018-10-11T12:13:08Z
dc.date.issued	2018
dc.identifier.citation	Cabellos Garcia, Ana Cristina Martínez Sabater, Antonio Castro Sánchez, Enrique Kangasniemi, Mari Juárez Vela, Raul Gea Caballero, Vicente 2018 Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review. BMC Public Health 18 1 1 12
dc.identifier.uri	http://hdl.handle.net/10550/67752
dc.description.abstract	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.
dc.language.iso	eng
dc.relation.ispartof	BMC Public Health, 2018, vol. 18, num. 1, p. 1-12
dc.subject	Anticoagulants (Medicina)
dc.subject	Cor Malalties
dc.title	Relation between health literacy, self-care and adherence to treatment with oral anticoagulants in adults: a narrative systematic review.
dc.type	journal article	es_ES
dc.date.updated	2018-10-11T12:13:08Z
dc.identifier.doi	10.1186/s12889-018-6070-9
dc.identifier.idgrec	127878
dc.rights.accessRights	open access	es_ES