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Factors Influencing Medication Literacy in Young and Middle-Aged Patients with NYHA Class I-III Heart Failure After

Jiang-Ying Li1, Zhen-Qing Ren1, Xiao-Cui Wang2

  • 1Department of Nursing, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, Jiangsu, 225300, People's Republic of China.

Patient Preference and Adherence
|August 20, 2026
PubMed

Insights

Barriers to medication literacy in heart failure patients post-PCI include poor drug knowledge, communication gaps, and weak critical appraisal skills. Addressing these requires better education and support for medication management.

Area of Science:

  • Cardiology
  • Patient Education
  • Health Literacy

Background:

  • Heart failure patients undergoing percutaneous coronary intervention (PCI) often face challenges with medication management.
  • Medication literacy is crucial for adherence and positive health outcomes in this demographic.

Purpose of the Study:

  • To identify and understand factors influencing medication literacy in young and middle-aged patients (18-65 years) with NYHA class I-III heart failure post-PCI.
  • To explore barriers to effective medication understanding and management in this specific patient group.

Main Methods:

  • A qualitative study involving 21 post-PCI patients (NYHA class I-III, aged 18-65) using purposive sampling.
  • Semi-structured interviews were conducted, and data were analyzed using directed content analysis.

Main Results:

  • Four key themes emerged: deficiencies in foundational drug knowledge, insufficient communication channels, lack of critical appraisal skills (including reliance on online information), and poor medication management literacy due to lifestyle and emotional challenges.
  • Patients struggled with understanding drug information, communicating with providers and family, evaluating health resources, and integrating medication into daily life.

Conclusions:

  • Enhancing medication literacy necessitates a multifaceted approach.
  • Strategies include developing interactive education, strengthening communication and support systems, addressing cognitive biases and e-health literacy, and facilitating seamless integration of medication management into daily routines.
Abstract

Keywords:
NYHA class I–III heart failureinfluencing factorsmedication literacypercutaneous coronary interventionqualitative researchyoung and middle-aged adults

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