Palavras-chave
Cardio-oncologia
Adesão e conformidade ao tratamento
Como Citar
Copyright © | Todos os direitos reservados.
A revista detém os direitos autorais exclusivos de publicação deste artigo nos termos da lei 9610/98.
Reprodução parcial
É livre o uso de partes do texto, figuras e questionário do artigo, sendo obrigatória a citação dos autores e revista.
Reprodução total
É expressamente proibida, devendo ser autorizada pela revista.
Resumo
Objetivo: Descrever a relevância da literacia em saúde no contexto da cardio-oncologia, destacando sua influência na adesão ao tratamento, no autocuidado e nos desfechos clínicos em pacientes expostos a terapias com potencial cardiotoxicidade. Revisão bibliográfica: A literacia em saúde está associada à melhor compreensão das informações em saúde, ao reconhecimento de sintomas, à navegação no sistema de saúde e à adesão terapêutica. Fatores como idade avançada, baixa escolaridade, menor renda, comorbidades, polifarmácia e desigualdades no acesso aos serviços influenciam seus níveis e ampliam as vulnerabilidades. A complexidade do tratamento, a necessidade de monitoramento contínuo e dificuldades na comunicação e integração entre serviços constituem barreiras adicionais. Entretanto, a produção científica em cardio-oncologia ainda é limitada, e o uso de instrumentos validados para sua avaliação é pouco frequente, evidenciando lacunas relevantes para a prática clínica e para a pesquisa. Considerações finais: A incorporação da literacia em saúde na cardio-oncologia pode favorecer a comunicação clínica, reduzir vulnerabilidades e orientar intervenções educativas mais eficazes. Estratégias baseadas em comunicação clara são essenciais para favorecer a adesão, o autocuidado e melhores desfechos clínicos, especialmente em contextos marcados por desigualdades no acesso aos serviços de saúde.
Referências
BOLAJI O, et al. Racial and ethnic disparities in cardio-oncology care. Current Cardiology Reports, 2025; 27: 82.
CABELLOS-GARCÍA AC, et al. Relationship between determinants of health, equity, and dimensions of health literacy in patients with cardiovascular disease. International Journal of Environmental Research and Public Health, 2020; 17(6): 2082.
CAJITA MI, et al. Health literacy and heart failure: a systematic review. Journal of Cardiovascular Nursing, 2015; 30(2): 121-130.
CHAN RWY, et al. A scoping review of health literacy measurement tools in the context of cardiovascular health. Health Literacy Research and Practice, 2020; 4(3): e147-e159.
COMO JM. Health literacy and health status in people with chronic heart failure. Clinical Nurse Specialist, 2018; 32(1): 29-42.
FABBRI M, et al. Health literacy and outcomes in patients with heart failure: a prospective community study. Mayo Clinic Proceedings, 2018; 93(1): 9-15.
FABBRI M, et al. Health literacy and outcomes among patients with heart failure: a systematic review and meta-analysis. JACC: Heart Failure, 2020; 8(6): 451-460.
FRIEDMAN DB, et al. Literacy and health literacy as defined in cancer education research: a systematic review. Health Education Journal, 2008; 67(4): 285-304.
GHISI GLM, et al. Health literacy and coronary artery disease: a systematic review. Patient Education and Counseling, 2018; 101(2): 177-184.
GIURCA BC, et al. The impact of health literacy on diagnosis and outcomes of symptomatic cancer by ethnicity: a systematic review protocol. Systematic Reviews, 2018; 7(1): 164.
HICKEY KT, et al. Low health literacy: implications for managing cardiac patients in practice. Journal of Cardiovascular Nursing, 2018; 33(6): 457-465.
HUMPHRYS E, et al. The influence of health literacy on the timely diagnosis of symptomatic cancer: a systematic review. European Journal of Cancer Care, 2019; 28(1): e12920.
KATZ A. Health literacy: what do you know? Oncology Nursing Forum, 2017; 44(5): 521-522.
KICKBUSCH I, et al. Health literacy: the solid facts. WHO Regional Office for Europe, Copenhagen, 2013.
KREPS GL. The relevance of health literacy to patient-centered care and health communication. Journal of Health Communication, 2011; 16(Suppl 3): 1-8.
LÉON-GONZÁLEZ R, et al. Health literacy and health outcomes in very old patients with heart failure. Revista Española de Cardiología (English Edition), 2018; 71(3): 178-184.
LIMA MA, et al. Health literacy and quality of life in hospitalized heart failure patients: a cross-sectional study. American Journal of Cardiovascular Disease, 2020; 10(4): 490-498.
LIMA MT, et al. Insuficiência cardíaca induzida por quimioterapia. Revista Eletrônica Acervo Saúde, 2024; 24(9): e15998.
LIU XB, et al. Health literacy and mortality in patients with heart failure: a systematic review and meta-analysis. Research in Gerontological Nursing, 2019; 12(2): 99-108.
LOGAN RA, et al. Health literacy in clinical practice and public health: new initiatives and lessons learned at the intersection with other disciplines. IOS Press: Amsterdam, 2020; 3-136.
MAGNANI JW, et al. Health literacy and cardiovascular disease: fundamental relevance to primary and secondary prevention. Circulation, 2018; 138(2): e48-e74.
MÅRTENSSON L, HENSING G. Health literacy – A heterogeneous phenomenon: A literature review. Scandinavian Journal of Caring Sciences, 2012; 26(1): 151–160.
MARZANGI A, et al. Health literacy and its relation to quality of life in people with heart disease. International Journal of Pharmaceutical and Phytopharmacological Research, 2018; 8(3): 25-32.
MAZOR KM, et al. Health literacy and cancer prevention: two new instruments to assess comprehension. Patient Education and Counseling, 2012; 88(1): 54-60.
MCNAUGHTON CD, et al. Health literacy and mortality: a cohort study of patients hospitalized for acute heart failure, 2015. Journal of the American Heart Association, 2015; 4(5): e001799.
MORRIS NS, et al. The association between health literacy and cancer-related attitudes, behaviors, and knowledge. Journal of Health Communication, 2013; 18(Suppl 1): 223-241.
MOSS LS, et al. Trastuzumab-induced cardiotoxicity. Oncology Nursing Forum, 2009; 36(6): 676-685.
NUTBEAM D, et al. Health literacy in context. International Journal of Environmental Research and Public Health, 2018; 15(12): 2657.
OSCALICES MIL, et al. Health literacy and adherence to treatment of patients with heart failure. Revista da Escola de Enfermagem da USP, 2019; 53: e03447.
PARNELL TA, et al. A concept analysis of health literacy. Nursing Forum, 2019; 54(3): 315-327.
PERES F. Alfabetização, letramento ou literacia em saúde? Traduzindo e aplicando o conceito de health literacy no Brasil. Ciência & Saúde Coletiva, 2023; 28: 1563-1573.
PERRIN A, et al. Considering health literacy in cardiovascular disease management: a qualitative study on healthcare professionals’ and patients’ perspectives. BMC Health Services Research, 2022; 22: 1121.
PETERSEN GS, et al. Patients' health literacy is associated with timely diagnosis of cancer: a cross-sectional study in Denmark, 2022. European Journal of Cancer Care, 2022; 31(1): e13532.
PETERSON PN, et al. Health literacy and outcomes among patients with heart failure. JAMA, 2011; 305(16): 1695-1701.
RAYNOR DK. Health literacy. BMJ, 2012; 344: e2188.
ROTHERMEL LD, et al. Health literacy in surgical oncology patients: an observational study at a comprehensive cancer center. Journal of the National Comprehensive Cancer Network, 2021; 19(12): 1407-1414.
RUDD RE. Health literacy: Insights and issues. Studies in Health Technology and Informatics, 2017; 240: 60–78.
RUDD RE. Health literacy considerations for a new cancer prevention initiative. Revista Panamericana de Salud Pública, 2019; 43: e56.
RYMAN C, et al. Health literacy in cancer care: a systematic review. European Journal of Oncology Nursing, 2024; 70: 102582.
SANTESMASES-MASANA R, et al. Health literacy in patients with heart failure treated in primary care. Atención Primaria, 2017; 49(1): 28-34.
SCHIAVO R. Health communication: from theory to practice. 2nd ed. San Francisco: Jossey-Bass, 2014; 27-32.
SIMONDS SK. Health Education as Social Policy. Health Education Monographs, 1974; 2(1_suppl): 1-10.
SØRENSEN K, PLEASANT A. Understanding the conceptual importance of the differences among health literacy definitions. In Logan RA, Siegel ER. Health literacy: new directions in research, theory and practice. IOS Press: Amsterdam, 2017; 3-14.
STREET RL Jr, et al. How does communication heal? Pathways linking clinician–patient communication to health outcomes. Patient Educ Couns, 2009; 74(3): 295-301.
TELES M, KAYA S. Health literacy of cardiology patients: determinants and effects on patient outcomes. Social Work in Health Care, 2021; 60(10): 656-673.