HEALTH LITERACY

The Relationship Between Health Literacy And Compliance With Antihypertensive Drug Treatment In Geriatric Individuals With Hypertension: A Cross-sectional Study Abstract Introduction: The aim of this study was to examine the relationship between health literacy and compliance with antihypertensive drug therapy in older individuals. Methods: This is a cross-sectional and descriptive study conducted using questionnaires and scales. The study population consisted of individuals aged 65 years who were hospitalised in cardiology, cardiovascular surgery, internal medicine and nephrology wards in a state hospital between 01.01.2021 and 30.06.2021 and who had a diagnosis of HT and used antihypertensive drugs. The data collection forms used in the study were: Descriptive characteristics data collection form, Antihypertensive Drug Treatment Compliance Scale (TC) and Turkish Health Literacy Scale-32 (TSOY-32). Results: The sample size of this study is 289 people. The individuals’ mean age was 73.15 years. Of the individuals, 47% had hypertension for ≥180 months. Women’s health literacy levels were higher and the majority of those with perfect health literacy were illiterate. The majority of the elderly individuals (27.8%) participating in the study had insufficient health literacy, whereas 87.7% of the women had excellent health literacy. As the age increases, the level of health literacy also increases. 85.6% of individuals are compatible with antihypertensive drug therapy. 84.4% of those who had a blood pressure monitor at home and 15.6% of those who did not have a blood pressure monitor at home were compliant with the treatment. No significant relationship was found between health literacy levels and compliance with antihypertensive drug therapy in this study. Conclusion: It is necessary to develop a HL scale specific to hypertensive patients to determine their health literacy levels. Key Words: Hypertension, elderly individual, health literacy, antihypertensive drug therapy

# 《老年高血压患者健康素养与抗高血压药物治疗依从性的相关性：一项横断面研究》摘要

## 引言
本研究旨在探讨老年人群健康素养（Health Literacy）与抗高血压药物治疗（antihypertensive drug therapy）依从性之间的关联。

## 方法
本研究为横断面描述性研究（cross-sectional study），采用问卷与量表开展调研。研究对象为2021年1月1日至2021年6月30日期间，某国立医院心内科、心血管外科、内科及肾病科住院的65岁及以上确诊高血压（HT）且使用抗高血压药物的患者。本研究使用的数据收集工具包括：一般人口学特征数据收集表、抗高血压药物治疗依从性量表（Treatment Compliance, TC）以及土耳其版健康素养量表-32（Turkish Health Literacy Scale-32, TSOY-32）。

## 结果
本研究共纳入289名研究对象，研究对象的平均年龄为73.15岁。其中47%的患者高血压病程≥180个月。女性的健康素养水平更高，且健康素养优秀者中多数为文盲。参与本研究的老年患者中，多数（占比27.8%）存在健康素养不足的情况，而87.7%的女性健康素养水平优秀。健康素养水平随年龄增长而提升。85.6%的研究对象对抗高血压药物治疗依从性良好。家中拥有血压计的患者中，84.4%依从治疗；而家中无血压计的患者中，仅15.6%依从治疗。本研究未发现健康素养水平与抗高血压药物治疗依从性之间存在显著关联。

## 结论
本研究提示，需开发针对高血压患者的专用健康素养量表以准确评估其健康素养水平。

## 关键词
高血压、老年个体、健康素养（Health Literacy）、抗高血压药物治疗（antihypertensive drug therapy）