Volume 29, Issue 3 (Summer 2021)                   Avicenna J Nurs Midwifery Care 2021, 29(3): 190-200 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bahmani R, Olyaie N, darvishi S, Sheikhakaryaee N. Investigate the Relationship Between Self-Care, Health Literacy and Social Support in Patients with Hypertension Referring to the Specialized Heart Clinic of Tohid Hospital in Sanandaj. Avicenna J Nurs Midwifery Care 2021; 29 (3) :190-200
URL: http://nmj.umsha.ac.ir/article-1-2218-en.html
1- Student, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Instractor, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Statistics Consultant, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
4- Assistant Professor, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran , n.akaryaie@gmail.com
Abstract:   (3133 Views)

Background and Objective: Self-care in hypertension is one of the most significant strategies in order to control the disease; moreover, health literacy and social support are regarded as effective factors in this case. Therefore, considering the necessity and need of society in promoting the level of health literacy and social support, as well as the role and importance of self-care in hypertension, the aim of the present study was to determine the relationship among self-care behavior and health literacy and social support in patients suffering from hypertension.
Material and Methods: The descriptive-analytical study was cross-sectional and was conducted on 400 patients with hypertension referring to the specialized heart clinic of Tohid Hospital in Sanandaj, Iran, using the convenience sampling method. The Four-part Demographic Questionnaire, the Self-Care Behavior Assessment Questionnaire, the Health Literacy for Iranian Adults Questionnaire and Social Support Questionnaire were used so as to collect the data. To analyze the data, SPSS software version 21 and parametric tests of Pearson correlation coefficient and non-parametric Kruskal-Wallis analysis were used.
Results: The findings indicated that mean and standard deviation of Self-Care Behavior Score and Health Literacy and Social Support were 38/64 ± 8/83, 63/10 ± 11/16 and 91/54 ± 6/93, respectively. There was a Positive significant relationship between Self-Care Behavior and Health Literacy (r=0/491, P=0/00), Self-Care Behavior and Social Support (r=0/322, P=0/00), Social Support and Health Literacy (r=0/337, P=0/00).
Conclusion: The results of the present study showed that having health literacy and social support would influence the individual and the occurrence of self-care behaviors, and since these cases are highly effective in preventing and controlling hypertension, it is necessary to train and promote them in the health system.

Persian Full-Text [PDF 778 kb]   (1045 Downloads) |   |   Extended Abstract (HTML)  (731 Views)  

✅ The results of the present study showed that having health literacy and social support would influence the individual and the occurrence of self-care behaviors, and since these cases are highly effective in preventing and controlling hypertension, it is necessary to train and promote them in the health system.

Type of Study: Original Research | Subject: Nursing
Received: 2020/08/3 | Accepted: 2020/09/6 | Published: 2021/09/21

1. SheikhSharafi H, Seyedamini B. Assessment of health literacy and self-care in heart failure patients. J. Health Lit. 2017;1(4):203-19.
2. Avaznejad N, Ravanipour M, Bahreyni M, Motamed N. Comparison of spiritual health in mothers with healthy children and mothers of children with chronic disease in Kerman 2015-2016. nvj. 2016;3(8):13-25.
3. Hinkle JL, Cheever KH. Brunner and Suddarth's textbook of medical-surgical nursing. Wolters kluwer india Pvt Ltd; 2018;14 th ed: 884.
4. Farzad F. National Non Communicable Diseases Surveillance Survey. Endocrine & Metabolism Research Institute Tehran University of Medical Sciences. 2016.
5. Lacruz ME, Kluttig A, Hartwig S, Löer M, Tiller D, Greiser KH. Prevalence and Incidence of Hypertension in the General Adult Population: Results of the CARLA-Cohort Study. Medicine. 2015;94(22):e952. [DOI:10.1097/MD.0000000000000952]
6. Park JB, Kario K, Wang JG. Systolic hypertension: an increasing clinical challenge in Asia. Hypertension. 2015;38(4):227-36. [DOI:10.1038/hr.2014.169]
7. Haghranjbar F, Shirzad M, Taghdisi MH, Sarami GR, Ahadi H. The mediating role of subjective-wellbeing in terms of perceived stress and hypertension. Iran J Health Educ Health Promot. 2016;4(1):50-7. [DOI:10.18869/acadpub.ihepsaj.4.1.50]
8. Gheshlagh RG, Parizad N, Ghalenoee M, Dalvand S, Baghi V, Najafi F, Ebadi A. Psychometric features of the persian version of self-efficacy tool for patients with hypertension. Int. Cardiovasc. Res. J. 2018;12(2):50-6.
9. Patel KV, Li X, Kondamudi N, Vaduganathan M, Adams-Huet B, GC F. Prevalence of apparent treatment-resistant hypertension in the United States according to the 2017 high blood pressure guideline. Mayo Clin. Proc. 2019;94(5):776-82. [DOI:10.1016/j.mayocp.2018.12.033]
10. Matura LA, McDonough A, Carroll DL. Symptom prevalence, symptom severity, and health-related quality of life among young, middle, and older adults with pulmonary arterial hypertension. Am. J. Hosp. Palliat. Med. 2016;33(3):214-21. [DOI:10.1177/1049909114554079]
11. Brown C, Lynch Y, Modes M, Steiner J, Leary P, RA E. Palliative Care Needs and Attitudes of Patients with Pulmonary Arterial Hypertension. Am J Respir. 2019;199(1):A1075. [DOI:10.1164/ajrccm-conference.2019.199.1_MeetingAbstracts.A1075]
12. Banerjee T, Crews DC, Tuot DS, Pavkov ME, Burrows NR, Stack AG, Saran R, Bragg-Gresham J, Powe NR, Powe N, Tuot D. Poor accordance to a DASH dietary pattern is associated with higher risk of ESRD among adults with moderate chronic kidney disease and hypertension. Kidney Int. 2019;95(6):1433-42. [DOI:10.1016/j.kint.2018.12.027]
13. Ovayolu OU, Ovayolu N, Karadag G. The relationship between self‐care agency, disability levels and factors regarding these situations among patients with rheumatoid arthritis. JCN. 2012. 21(1): 10-101. [DOI:10.1111/j.1365-2702.2011.03710.x]
14. Tanimura C, Matsumoto H, Tokushima Y, Yoshimura J, Tanishima S, Hagino H. Self‐care agency, lifestyle, and physical condition predict future frailty in community‐dwelling older people. Nurs Health Sci. 2018;20(1):31-8. [DOI:10.1111/nhs.12376]
15. Rezaei H, Jamil DI, Ebadi A, Gheshlagh RG. Psychometric Properties of the Persian Version of the Instrument for Assessing Cardiac Patients' Knowledge, Attitude, and Beliefs regarding Heart Attack. Int. Cardiovasc. Res. J. 2019;13(2):62-8.
16. Rush KL, Hatt L, Janke R, Burton L, Ferrier M, Tetrault M. The efficacy of telehealth delivered educational approaches for patients with chronic diseases: A systematic review. Patient Educ Couns. 2018;101(8):1310-21. [DOI:10.1016/j.pec.2018.02.006]
17. Nam S, Chesla C, Stotts NA, Kroon L, Janson SL. Barriers to diabetes management: patient and provider factors. Diabetes Res Clin Pract J. 2011; 96(1): 1-9. [DOI:10.1016/j.diabres.2011.02.002]
18. Ingram RR, Ivanov LL. Examining the association of health literacy and health behaviors in African American older adults: does health literacy affect adherence to antihypertensive regimens?. J Gerontol Nurs. 2013;39(3):22-32. [DOI:10.3928/00989134-20130201-01]
19. Shabibi P, Mansourian M, Abedzadehzavareh M, Sayehmiri K. The status of self-care behaviors in patients with type 2 diabetes in the city of Ilam in 2014. J Ilam Univ Med Sci. 2016; 24(2):63-71. [DOI:10.18869/acadpub.sjimu.24.2.63]
20. Rahimi MA, Izadi N, Rezvan Madani F, Eghbalian A. Knowledge and practice level of self-directed care among diabetics in Kermanshah city in 2014: a short report. J. Rafsanjan Univ. Med. Sci. Health Serv. 2015;14(2):167-72.
21. Firooz M, Hosseini SJ, Mazlom SR, Hasan Zadeh F, Kimiyaee SA. Self-care of patient with diabetes type II. J Sabzevar Univ Med Sci. 2016;22(6):1018-25.
22. Allahyari J, Shirani N, Sargolzaei MS, Jafari J, Afshari J. Self-care behavior and rrelated factors of patients with diabetes type II in Saravan in 2017. J. Diabetes Nurs. 2018 Oct 10;6(3):550-7.
23. Newell M, Modeste N, Marshak HH, Wilson C. Health beliefs and the prevention of hypertension in a black population living in London. Ethn. Dis. 2009 1;19(1):35-41.
24. Peyman T, Pirzadeh A, Hasnzadeh A, Mostafavi F. The Relationship of Self-Care Behaviors and Health Literacy in Patients with Hypertension in Isfahan City, Iran, in 2015-2016. J Health Syst Res. 2017;13(3):381-7.
25. Rahmati M, Rejeh N, Heravi-Karimooi M, Tadrisi D. Investigating the Relationship between Health Literacy and Adherence with Treatment Regimen in the Elderly with Hypertension. IJNR. 2018;13(5):15-21.
26. Marzangi A, Ahangarzadeh Rezaei S, Ghareagaji Asl R. Health Literacy In Heart Disease Community Coverd By Health Services Centers In South Of West Aarbaijan Province. J Clin Nurs Midwifery. 2018;16(1):45-54.
27. Warren-Findlow J, Hutchison J, Patel P, Dulin M, Tapp H, Kuhn L. Assessing health literacy of hypertensive patients in a primary care setting using a self-administered questionnaire. J Health Care Poor Underserved.2014; 25(4): 1833-43. [DOI:10.1353/hpu.2014.0187]
28. Seyedoshohadaee M, Barasteh S, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. Iran J Nurs Res. 2016;4(10):43-51.
29. Rafiezadeh GS, Tabarsy B, Hassanjani S, Razavi M, Amjady M, Hojjati H. Relationship between the health literacy with selfefficacy of the diabetic patient's type 2 referred to Gorgan city clinic in. J Diabetes Nurs. 2014;2(2):30-42.
30. Saadati M, Guidance M. Relation between family social support & coping strategies in recovery breast cancer. Iran J Breast Dis. 2014; 6(4):35-40.
31. Mirzaei Z, Moghimbeigi A, Arabi A. The correlation between social support and management of hypertension in menopausal females at the Farshchian hospital, Hamadan. Avicenna J Nurs Midwifery Care. 2017 Jul 10;25(2):75-83. [DOI:10.21859/nmj-250210]
32. Mardanian Dehkordi L, Kahangi LS. Relationship between structural and contextual dimensions in organizational structure of ZahedanKhatamolanbia hospital. J Health Syst Res. 2015; 11(2):229-38.
33. Chen AM, Yehle KS, Albert NM, Ferraro KF, Mason HL, Murawski MM, Plake KS. Relationships between health literacy and heart failure knowledge, self-efficacy, and self-care adherence. Res Social Adm Pharm. 2014;10(2):378-86. [DOI:10.1016/j.sapharm.2013.07.001]
34. Lora CM, Gordon EJ, Sharp LK, Fischer MJ, Gerber BS, Lash JP. Progression of CKD in Hispanics: Potential roles of health literacy, acculturation, and social support. Am J Kidney Dis. 2011;58(2):282‐90. [DOI:10.1053/j.ajkd.2011.05.004]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Nursing and Midwifery Care

Designed & Developed by : Yektaweb