Health Literacy, Disease Knowledge and Challenges Experienced After Cardiac Surgery: A Mixed Method Study
Introduction: This study aimed to identify the challenges faced after cardiac surgery and the factors that influence therapeutic adherence through the use of mixed methods associated with health literacy (HL) and coronary artery disease (CAD) knowledge. Objective: To assess the disease knowledge and...
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| Published in | Aquichan Vol. 25; no. 3; pp. 1 - 20 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Chia
Universidad de La Sabana
25.07.2025
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1657-5997 2027-5374 2027-5374 |
| DOI | 10.5294/aqui.2025.25.3.4 |
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| Abstract | Introduction: This study aimed to identify the challenges faced after cardiac surgery and the factors that influence therapeutic adherence through the use of mixed methods associated with health literacy (HL) and coronary artery disease (CAD) knowledge. Objective: To assess the disease knowledge and HL in patients who underwent coronary artery bypass grafting (CABG) post-myocardial infarction, and identify the challenges experienced during cardiac rehabilitation. Method: A convergent parallel mixed-methods study was conducted in southern Brazil with 24 patients aged ≥18 years. Quantitative data were collected using the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV) and the Eight-Item Health Literacy Assessment Tool (HLAT-8). Data were analyzed with descriptive and inferential statistics. The qualitative data was obtained through semi-structured interviews and analyzed using the IRAMUTEQ® software. Results: Most participants demonstrated unsatisfactory HL (58.3 %) and acceptable disease knowledge (54.1 %). The qualitative analysis identified three categories: Feelings experienced during the surgical process and rehabilitation; (mis)guidance and (mis)information related to care; and daily life transformed by the surgical procedure. Data integration revealed divergences and convergences when regarding knowledge, lifestyle changes, and risk factors. Conclusion: HL and disease knowledge were insufficient. The main challenge in rehabilitation is the lack of understanding of healthcare guidelines to support lifestyle changes. |
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| AbstractList | Introduction: This study aimed to identify the challenges faced after cardiac surgery and the factors that influence therapeutic adherence through the use of mixed methods associated with health literacy (HL) and coronary artery disease (CAD) knowledge. Objective: To assess the disease knowledge and HL in patients who underwent coronary artery bypass grafting (CABG) post-myocardial infarction, and identify the challenges experienced during cardiac rehabilitation. Method: A convergent parallel mixed-methods study was conducted in southern Brazil with 24 patients aged ≥18 years. Quantitative data were collected using the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV) and the Eight-Item Health Literacy Assessment Tool (HLAT-8). Data were analyzed with descriptive and inferential statistics. The qualitative data was obtained through semi-structured interviews and analyzed using the IRAMUTEQ® software. Results: Most participants demonstrated unsatisfactory HL (58.3 %) and acceptable disease knowledge (54.1 %). The qualitative analysis identified three categories: Feelings experienced during the surgical process and rehabilitation; (mis)guidance and (mis)information related to care; and daily life transformed by the surgical procedure. Data integration revealed divergences and convergences when regarding knowledge, lifestyle changes, and risk factors. Conclusion: HL and disease knowledge were insufficient. The main challenge in rehabilitation is the lack of understanding of healthcare guidelines to support lifestyle changes. Abstract Introduction: This study aimed to identify the challenges faced after 5 cardiac surgery and the factors that influence therapeutic adherence through the use of mixed methods associated with health literacy (HL) and coronary artery disease (CAD) knowledge. Objective: To assess 5 the disease knowledge and HL in patients who underwent coronaryartery bypass grafting (CABG) post-myocardial infarction, and identify the challenges experienced during cardiac rehabilitation. Method: A convergent parallel mixed-methods study was conducted in southern g Brazil with 24 patients aged ≥18 years. Quantitative data were collected using the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV) and the Eight-Item Health Literacy Assessment 5 Tool (HLAT-8). Data were analyzed with descriptive and inferential statistics. The qualitative data was obtained through semi-structured interviews and analyzed using the IRAMUTEQ® software. Results: Most participants demonstrated unsatisfactory HL (58.3 %) and acceptable .1 disease knowledge (54.1 %). The qualitative analysis identified three & categories: Feelings experienced during the surgical process and rehabilitation; (mis)guidance and (mis)information related to care; and dailys life transformed by the surgical procedure. Data integration revealed divergences and convergences when regarding knowledge, lifestyle changes, and risk factors. Conclusion: HL and disease knowledge were insufficient. The main challenge in rehabilitation is the lack of understanding of healthcare guidelines to support lifestyle changes. Between 1990 and 2019, ischemic heart disease (IHD) remained the primary cause of mortality, the most prevalent condition was acute myocardial infarction (AMI) (2). In the postoperative phase, individuals undergoing CABG may experience feelings of restlessness, fear, vulnerability, and insecurity, with difficulties to adapt upon returning home (6). [...]the system of beliefs and values acquired throughout life can interfere with the recovery process. [...]the identification of aspects related to disease knowledge and understanding of behaviors related to health and illness, understood as health literacy (HL), are necessary to improve quality of life and help in the elaboration of ways to prevent or early detect complications (8). [...]it possible to directly compare quantitative statistical results with qualitative findings and development a more complete understanding of the subject under analysis. [...]the following research questions emerged: |
| Author | Mantovani, Maria de Fátima Lorenzini, Elisiane Paes, Robson Giovani Piccinin Paz, Vanessa Silva, Ângela Tais Mattei da |
| AuthorAffiliation | Regional Nursing Council of Paraná Universidade Federal do Paraná Universidade Federal da Bahia |
| AuthorAffiliation_xml | – name: Universidade Federal da Bahia – name: Universidade Federal do Paraná – name: Regional Nursing Council of Paraná |
| Author_xml | – sequence: 1 givenname: Vanessa orcidid: 0000-0001-7157-4886 surname: Piccinin Paz fullname: Piccinin Paz, Vanessa organization: Universidade Federal do Paraná – sequence: 2 givenname: Maria de Fátima orcidid: 0000-0001-7961-8273 surname: Mantovani fullname: Mantovani, Maria de Fátima organization: Universidade Federal do Paraná – sequence: 3 givenname: Elisiane orcidid: 0000-0001-8426-2080 surname: Lorenzini fullname: Lorenzini, Elisiane organization: Universidade Federal de Santa Catarina – sequence: 4 givenname: Ângela Tais Mattei da orcidid: 0000-0002-4927-3806 surname: Silva fullname: Silva, Ângela Tais Mattei da organization: Conselho Regional de Enfermagem do Paraná – sequence: 5 givenname: Robson Giovani orcidid: 0000-0001-6899-4054 surname: Paes fullname: Paes, Robson Giovani organization: Universidade Federal do Paraná |
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| Snippet | Introduction: This study aimed to identify the challenges faced after cardiac surgery and the factors that influence therapeutic adherence through the use of... Between 1990 and 2019, ischemic heart disease (IHD) remained the primary cause of mortality, the most prevalent condition was acute myocardial infarction (AMI)... Abstract Introduction: This study aimed to identify the challenges faced after 5 cardiac surgery and the factors that influence therapeutic adherence through... |
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| SubjectTerms | Cardiovascular disease Coronary vessels Health education Health literacy Heart attacks Heart surgery Ischemia Knowledge Lifestyles Mixed methods research Mortality NURSING Postoperative period Rehabilitation Software Vein & artery diseases |
| Title | Health Literacy, Disease Knowledge and Challenges Experienced After Cardiac Surgery: A Mixed Method Study |
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