篇名 | The Effect of Health Literacy on Health-Related Quality of Life Among Saudi Women With Chronic Diseases |
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卷期 | 31:3 |
作者 | Eman ALHALAL 、 Bayan HADIDI 、 Abeer Fouad SAAD 、 Jahra Ali HADIDI |
頁次 | 009-009 |
關鍵字 | health-related quality of life 、 health literacy 、 healthy lifestyle 、 patient-centered care 、 chronic disease 、 MEDLINE 、 Scopus 、 SSCI 、 TSCI 、 TSSCI 、 SCIE |
出刊日期 | 202306 |
DOI | 10.1097/jnr.0000000000000558 |
Background: Women have unique health concerns in the context of chronic illness. Although health literacy has been linked to health-related quality of life, the pathway by which some factors mediate this relationship has not been well examined among Saudi women with chronic disease.
Purpose: This study was designed to examine the relationship between health literacy and health-related quality of life and determine the mediating roles of healthy lifestyle and patient-centered care in explaining this relationship.
Methods: A cross-sectional study was used. A random sample of 20 primary healthcare centers in Saudi Arabia was selected. A convenience sample of 300 women diagnosed with a chronic illness was recruited from these centers. Structural equation modeling was used to test the proposed relationships.
Results: Controlling for women's age and education, the hypothesized model adequately fit the data. Health literacy and its dimensions were found to positively and directly affect both patient-centered care (β = 0.614, B = 0.189, p < .001) and healthy lifestyle behaviors (β = 0.550, B = 1.211, p < .001). Furthermore, both patient-centered care (β = 0.390, B = 1.301, p < .001) and healthy lifestyle behaviors (β = 0.322, B = 0.150, p < .001) were found to positively and directly affect health-related quality of life, whereas health literacy had significant, direct (β = 0.285, B = 0.292, p < .001) and indirect (β = 0.417, B = 0.428, p < .001) effects on health-related quality of life through patient-centered care and healthy lifestyle behaviors.
Conclusions/Implications for Practice: Special consideration should be given to health literacy, patient-centered care, and healthy lifestyle behaviors to enhance health-related quality of life in women with chronic illness. Gender-specific health services and interventions are needed to improve women's health literacy.