Korean J Adult Nurs.  2023 Feb;35(1):23-34. 10.7475/kjan.2023.35.1.23.

Impact of Type D Personality and Health Literacy on Resilience of Inpatients with Cardiovascular Diseases: A Cross-Sectional Study

• Kim DE
• Hwang SY

• KMID: 2540051
• DOI: http://doi.org/10.7475/kjan.2023.35.1.23

Abstract

Purpose
This study aims to confirm the influence of type D personality and health literacy on resilience of patients hospitalized for Cardiovascular Diseases (CVDs), and provide basic information for improving resilience as a post-discharge strategy to promote self-care among patients with chronic diseases.
Methods
A questionnaire-based survey was carried out in this cross-sectional study. The subjects were 142 patients who were being treated at a tertiary general hospital for CVDs such as coronary artery disease, arrhythmia, and heart failure. Data were collected from July to October 2022 using a structured questionnaire, and then analyzed using the SPSS program version 26.0.
Results
75.3% of the study subjects (n=107) had type D personalities, and the average health literacy and resilience scores were 48.96±9.13 points and 68.27±13.02 points, respectively, indicating relatively low grades. Following a hierarchical regression analysis, low monthly income (β=-.62, p<.001), current smokers (β=-.23, p=.010), patients with type D personality (β=-.24, p=.001), and patients with low health literacy (β=.27, p<.001) were identified as significant predictors of resilience (Adjusted R2=.57, F=14.32, p<.001).
Conclusion
In order to increase the resilience of patients hospitalized for CVD, it is necessary to identify and take into account smokers with low socioeconomic status, poor health literacy, and type D personality. We advise doing a follow-up study to ascertain if the resilience of patients hospitalized for CVD influences post-discharge self-care and clinical outcomes.

Keyword

Cardiovascular diseases; Inpatients; Type D personality; Health literacy; Resilience; Psychological