The effect of health literacy on quality of life in patients with heart failure: the mediating role of self-care confidence - Scorecard - MDSpire

The effect of health literacy on quality of life in patients with heart failure: the mediating role of self-care confidence

  • By

  • Qian Yao

  • Meng Cao

  • Yu Ni

  • Ting Xu

  • Chunxia He

  • Xiuchuan Li

  • Jimei Zhang

  • July 1, 2026

  • 0 min

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Clinical Scorecard: The Influence of Health Literacy on Quality of Life Among Heart Failure Patients: Investigating the Mediating Role of Self-Care Confidence

At a Glance

CategoryDetail
ConditionHeart Failure
Key MechanismsHealth literacy influences self-care confidence, which mediates the relationship between health literacy and quality of life.
Target PopulationPatients with heart failure
Care SettingClinical practice focusing on heart failure management

Key Highlights

  • Health literacy is positively correlated with self-care confidence.
  • Self-care confidence negatively correlates with quality of life.
  • Self-care confidence mediates the relationship between health literacy and quality of life.
  • Improving health literacy and self-care confidence is essential for enhancing quality of life in heart failure patients.
  • A decrease in quality of life increases hospitalization and mortality rates among heart failure patients.

Guideline-Based Recommendations

Diagnosis

  • Assess health literacy and self-care confidence in heart failure patients.

Management

  • Implement targeted health education programs to improve health literacy and self-care confidence.

Monitoring & Follow-up

  • Regularly evaluate quality of life and self-care behaviors in heart failure patients.

Risks

  • Monitor the increased risk of hospitalization and mortality associated with decreased quality of life.

Patient & Prescribing Data

320 heart failure patients from three hospitals in Chengdu, China.

Focus on enhancing health literacy and self-care confidence to improve quality of life.

Clinical Best Practices

  • Encourage self-care behaviors to maintain health and improve quality of life.
  • Utilize the situation-specific theory of heart failure self-care in patient education.

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