Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Relationship Between Health Literacy and Adherence to Treatment in Hypertension Patients During theCOVID-19 Pandemic: A Web-Based Cross-Sectional Study
COVID-19 Pandemi Sürecinde Hipertansiyon Hastalarında Sağlık Okuryazarlığı ve Tedaviye Uyum Arasındaki İlişki:Web Tabanlı Kesitsel Bir Çalışma
Esra ÇAVUŞOĞLUa, Abdullah AVCIb, Meral GÜNa
aDepartment of Internal Medicine Nursing, Mersin University Faculty of Nursing, Mersin, Türkiye
bDepartment of Cardiology, Mersin University Health Research and Application Center, Mersin, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):784-91
doi: 10.5336/nurses.2023-95326
Article Language: EN
Full Text
ABSTRACT
 Objective: Inadequate health literacy and treatment incompatible are seen as an important factors in accelerating the development of hypertension-related complications and increasing the rate of admission to hospital in patients with hypertension during the coronavirus disease-2019 (COVID-19) pandemic. This research was conducted to determine the relationship between health literacy and adherence to treatment in hypertension patients during the pandemic process. Material and Methods: This web-based cross-sectional study was carried out with 223 hypertension patients. The research data were collected using the online questionnaire method and snowball sampling method. Multiple regression analysis and Pearson correlation test were utilized for statistical analysis. Results: The model established according to the results of the regression analysis is significant, and the variables in the model account for 74.7% of treatment compliance. In order of importance, regular blood pressure monitoring, passing COVID-19, application/use, health literacy, age, and duration of diagnosis was found to affect treatment compliance according to the model. In our research, it was determined that as the level of health literacy increased, the adherence to hypertension treatment increased. Conclusion: It was determined that regular blood pressure monitoring, having COVID-19, and health literacy were the most important variables that predicted adherence to treatment during the pandemic, respectively. In this context, it is suggested that use of methods to promote treatment adherence, such as using telehealth apps and web-based training.

Keywords: Hypertension; adherence to treatment; health literacy; COVID-19
ÖZET
 Amaç: Yetersiz sağlık okuryazarlığı ve tedavi uyumsuzluğu, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisi sırasında hipertansiyona bağlı komplikasyonların gelişimini hızlandıran ve hipertansiyonu olan hastalarda hastaneye başvuru oranlarını artıran önemli bir faktör olarak görülmektedir. Bu araştırma, pandemi sürecinde hipertansiyon hastalarında sağlık okuryazarlığı ve tedaviye uyum arasındaki ilişkiliyi belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu web tabanlı kesitsel çalışma, 223 hipertansiyon hastası ile gerçekleştirilmiştir. Araştırma verileri çevrim içi anket yöntemi ve kartopu örnekleme yöntemi kullanılarak toplanmıştır. İstatistiksel analiz için çoklu regresyon analizi ve Pearson korelasyon testi kullanılmıştır. Bulgular: Regresyon analizi sonuçlarına göre kurulan model anlamlı olup, modelde yer alan değişkenler tedavi uyumunun %74,7'sini açıklamaktadır. Modede önem sırasına göre düzenli tansiyon takibi, COVID-19 geçirme, uygulama/kullanım, sağlık okuryazarlığı, yaş ve tanı süresinin tedaviye uyumu etkilediği bulunmuştur. Araştırmamızda, sağlık okuryazarlığı düzeyi arttıkça hipertansiyon tedavisine uyumun da arttığı belirlenmiştir. Sonuç: Pandemi sürecinde tedaviye uyumu yordayan en önemli değişkenlerin sırasıyla düzenli tansiyon takibi, COVID-19 hastası olma ve sağlık okuryazarlığı olduğu belirlendi. Bu bağlamda, tedaviye uyumu artırmak için telesağlık uygulamaları ve web tabanlı eğitim gibi yöntemlerin kullanılması önerilmektedir.

Anahtar Kelimeler: Hipertansiyon; tedaviye uyum; sağlık okuryazarlığı; COVID-19
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