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.

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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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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.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.rights.uri info:eu-repo/semantics/openAccess
dc.source 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.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 info:eu-repo/semantics/article
dc.date.updated 2018-10-11T12:13:08Z
dc.identifier.doi https://doi.org/10.1186/s12889-018-6070-9
dc.identifier.idgrec 127878

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