Association of mental health literacy with advance care planning condition in elderly patients with coro-nary heart disease
10.3969/j.issn.1008-0074.2025.01.24
- VernacularTitle:老年冠心病患者心理健康素养与预立医疗照护计划状况的相关性研究
- Author:
Juan WANG
1
;
Jiao YIN
1
;
Min SHI
1
;
Shu-min XUE
1
;
Qian-yi YU
1
;
Xiao-yang LIU
1
Author Information
1. 中国人民解放军空军军医大学第二附属医院心血管内科,陕西西安 710038
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Advance care planning;
Root Cause Analysis
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(1):114-119
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate mental health literacy and advance care planning(ACP)condition,their influencing fac-tors,and their correlation in elderly patients with coronary heart disease(CHD).Methods:General data of 500 elderly CHD patients admitted in the Second Affiliated Hospital of Chinese PLA Air Force Military Medical University between January 2020 and December 2021 were collected.Mental health literacy and ACP condition were assessed.Multivariate linear regres-sion was used to analyze their influencing factors,and Pearson method was used to analyze their association.Results:Total score of Multicomponent Mental Health Literacy(MHL)was(10.78±2.57)points,and total score of Advance Care Plan-ning Readiness Scale(ACPRS)was(71.41±4.84)points in the 500 elderly CHD patients.Multivariate linear regression a-nalysis indicated that level of disease uncertainty had negative impact on MHL score,presence of spouse and trust in medical care had positive impact on MHL score(P＜0.05 or＜0.01);number of complications had negative impact on ACPR score,while presence of spouse and family mean monthly income had positive impact on ACPRS score(P＜0.05 or＜0.01).Pearson correlation analysis indicated that MHL score was positively correlated with ACPRS score(r=0.476,P＜0.001).Conclusion:Both mental health literacy and ACP status need to be improved in elderly CHD patients.They are posi-tively correlated with each other.Presence of spouse,number of complications and trust in medical care are the important influencing factors.Therefore,medical staff can take targeted measures to improve ACP readiness and mental health quality.
