94% of researchers rate our articles as excellent or good
Learn more about the work of our research integrity team to safeguard the quality of each article we publish.
Find out more
ORIGINAL RESEARCH article
Front. Cardiovasc. Med.
Sec. Cardiovascular Nursing
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1518175
The chain mediating role of social support and yielding coping style between health literacy and symptom burden in patients with chronic heart failure
Provisionally accepted- 1 The First People’s Hospital of Lianyungang, Lianyungang, China
- 2 Lianyungang Fourth People's Hospital, Lianyungang, China
Objective: To explore the mediating effects of social support and coping style on health literacy and symptom burden in patients with chronic heart failure. Methods: A total of 200 patients with chronic heart failure in Grade 3A Hospitals in Jiangsu province of China were investigated by using General Data Questionnaire, Memorial Symptom Assessment Scale for Heart Failure, Chinese Version of Heart Failure Specific Health Literacy Scale, Perceived Social Support Scale, and Medical Coping Modes Questionnaire. Results: Symptom burden score of patients with chronic heart failure was (0.73±0.45), health literacy score was (29.38±9.76), social support score was (59.15±10.58), and yielding coping style score was (9.18±4.13).There were significant correlations among health literacy, social support, coping style and symptom burden in patients with chronic heart failure. The results of mediating effect analysis showed that health literacy of patients with chronic heart failure could influence symptom burden through the chain mediating effect of social support - yielding coping style. The effect size was -0.008, and the 95% confidence interval did not include 0 (-0.011, -0.006). Conclusion: The health literacy of patients with chronic heart failure has an indirect impact on the burden of symptoms through social support and yielding coping style, suggesting that medical staff should take social support and coping style as a breakthrough from the perspective of health literacy of patients with chronic heart failure, so as to achieve the purpose of improving the health literacy of patients with chronic heart failure and reducing the burden of symptoms.
Keywords: chronic heart failure, Health Literacy, social support, Coping styles, Symptom burden
Received: 28 Oct 2024; Accepted: 19 Feb 2025.
Copyright: © 2025 Jing, zhou, yu and yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
song guang yu, The First People’s Hospital of Lianyungang, Lianyungang, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.