The? Analysis of regulatory effects of? Health literacy between the burden of symptoms and disease uncertainty in patients with chronic heart failure?? Xue Qin dan, Chen Jie ru, Hu Bin mei, Wang Jin yu ,Chen Xiu qing

DOI: 10.12201/bmr.202407.00062

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  Abstract: 【】 Objective Analyze the relationship between symptom burden and disease uncertainty in patients with chronic heart failure, and verify the moderating effect of health literacy on the relationship between symptom burden and disease uncertainty. Methods A convenient sampling method was used to select 234 patients with chronic heart failure who were hospitalized in the Cardiovascular Department of a tertiary A general hospital in Wenzhou from April , 2021 to April , 2022. The Chinese version of the Memorial Heart Failure Symptom Assessment Scale, The Chronic Disease Patient Health Literacy Scale,and Mishels Adult Disease Uncertainty Scale were used for questionnaire surveys. Results The symptom burden of patients with chronic heart failure is positively correlated with disease uncertainty (r=0.497,P＜0.01), and negatively correlated with health literacy(r=-0.252 ,P＜0.01), health literacy is negatively correlated with disease uncertainty (r=-0.593 ,P＜0.01). Analysis of moderating effects shows that health literacy has a moderating effect on the relationship between symptom burden and disease uncertainty in patients with chronic heart failure(β=-0.258,P<0.05) .Conclusion The symptom burden of patients with chronic heart failure can affect the level of disease uncertainty and be regulated by health literacy, Nursing staff should pay attention to the impact of symptom burden on disease uncertainty in patients with chronic heart failure, and develop intervention measures to reduce symptom burden combined with improving health literacy, which can reduce their level of disease uncertainty

  Key words: Chronic Heart Failure；Symptom Burden；Illness Uncertainty； Health literacy；regulatory effects

  Submit time: 28 July 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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