<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-5997</journal-id>
<journal-title><![CDATA[Aquichan]]></journal-title>
<abbrev-journal-title><![CDATA[Aquichan]]></abbrev-journal-title>
<issn>1657-5997</issn>
<publisher>
<publisher-name><![CDATA[Universidad de La Sabana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-59972025000302534</article-id>
<article-id pub-id-type="doi">10.5294/aqui.2025.25.3.4</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Health Literacy, Disease Knowledge and Challenges Experienced After Cardiac Surgery: A Mixed Method Study]]></article-title>
<article-title xml:lang="es"><![CDATA[Alfabetización en salud, conocimiento de la enfermedad y desafíos después de una cirugía cardiaca: un estudio de método mixto]]></article-title>
<article-title xml:lang="pt"><![CDATA[Letramento em saúde, conhecimento da doença e desafios após a cirurgia cardíaca: um estudo de método misto]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piccinin Paz]]></surname>
<given-names><![CDATA[Vanessa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mantovani]]></surname>
<given-names><![CDATA[Maria de Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lorenzini]]></surname>
<given-names><![CDATA[Eíisiane]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mattei da Silva]]></surname>
<given-names><![CDATA[Ângela Taís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giovani Paes]]></surname>
<given-names><![CDATA[Robson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Federal University of Paraná  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Federal University of Paraná  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Federal University of Santa Catarina  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Regional Nursing Council of Paraná  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Federal University of Paraná  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<volume>25</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-59972025000302534&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-59972025000302534&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-59972025000302534&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: This study aimed to identify the challenges faced after 5 cardiac surgery and the factors that influence therapeutic adherence through the use of mixed methods associated with health literacy (HL) and coronary artery disease (CAD) knowledge.  Objective: To assess 5 the disease knowledge and HL in patients who underwent coronaryartery bypass grafting (CABG) post-myocardial infarction, and identify the challenges experienced during cardiac rehabilitation.  Method: A convergent parallel mixed-methods study was conducted in southern g Brazil with 24 patients aged &#8805;18 years. Quantitative data were collected using the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV) and the Eight-Item Health Literacy Assessment 5 Tool (HLAT-8). Data were analyzed with descriptive and inferential statistics. The qualitative data was obtained through semi-structured interviews and analyzed using the IRAMUTEQ® software.  Results: Most participants demonstrated unsatisfactory HL (58.3 %) and acceptable .1 disease knowledge (54.1 %). The qualitative analysis identified three &amp; categories: Feelings experienced during the surgical process and rehabilitation; (mis)guidance and (mis)information related to care; and dailys life transformed by the surgical procedure. Data integration revealed divergences and convergences when regarding knowledge, lifestyle changes, and risk factors.  Conclusion: HL and disease knowledge were insufficient. The main challenge in rehabilitation is the lack of understanding of healthcare guidelines to support lifestyle changes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El objetivo de este estudio fue identificar los desafíos que se surgen después de una cirugía cardiaca y los factores que influyen en la adherencia al tratamiento terapéutico, haciendo uso de métodos mixtos asociados con alfabetización en salud y el conocimiento sobre la enfermedad de las arterias coronarias (EAC).  Objetivo: Evaluar el conocimiento y la alfabetización en salud de los pacientes sometidos a una cirugía de revascularización miocárdica o bypass coronario luego de un infarto al miocardio, e identificar los desafíos durante la rehabilitación cardiaca.  Método: Se realizó un estudio de diseño paralelo convergente al sur de Brasil con 24 pacientes de &#8805;18 años. La información cuantitativa se recolectó usando el Cuestionario de Educación de la Enfermedad de Arterías Coronarias - versión corta (CAE-Q SV, por sus siglas en inglés) y la Herramienta de ocho Items para Evaluar la Alfabetización en Salud (HLAT-8, por sus siglas en inglés). Los datos fueron analizados, a través de estadísticas descriptivas e inferenciales. La información cualitativa se obtuvo por medio de una entrevista semiestructurada y analizada usando el software IRAMUTEQ®.  Resultados: La mayoría de los participantes demostraron una alfabetización en salud insatisfactoria (58,3 %) y un conocimiento de la enfermedad aceptable (54,1 °%). El análisis cualitativo identificó tres categorías: sentimientos durante el procedimiento quirúrgico y la rehabilitación; (mal) acompañamiento y (des)información en relación con el cuidado, y transformación de la vida diaria por el procedimiento quirúrgico. La integración de los datos reveló divergencias y convergencias frente al conocimiento, los cambios en el estilo de vida y los factores de riesgo.  Conclusiones: La alfabetización en salud y el conocimiento de la enfermedad fueron insuficientes. El mayor reto en la rehabilitación es la falta de comprensión de los lineamientos en salud para apoyar los cambios en el estilo de vida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: O objetivo deste estudo foi identificar os desafios que surgem após a cirurgia cardíaca e os fatores que influenciam a adesão ao tratamento terapêutico, utilizando métodos mistos associados ao letramento em saúde e ao conhecimento sobre a doença arterial coronariana (DAC).  Objetivo: Avaliar o conhecimento e o letramento em saúde de pacientes submetidos à cirurgia de revascularização do miocárdio ou by-pass coronário após infarto do miocárdio e identificar desafios durante a reabilitação s cardíaca.  Materiais e método: Realizou-se um estudo de método misto, do tipo convergente paralelo, no Sul do Brasil, com 24 pacientes de &#8805;18 anos. As informações quantitativas foram coletadas por meio do Questionário de Educação em Doença Arterial Coronariana - versão curta (CAE-Q SV, sigla em inglês) e da Ferramenta de oito itens para avaliar o letramento em saúde (HLAT-8, sigla em inglês). Os dados foram analisados mediante estatística descritiva e inferencial. As informações qualitativas foram obtidas por meio de entrevista semiestruturada e analisadas por meio do software IRAMUTEQ®.  Resultados: A maioria dos participantes demonstrou letramento em saúde insatisfatório (58,3 %) e conhecimento aceitável sobre a doença (54,1 %). A análise qualitativa identificou três categorias: sentimentos durante o procedimento cirúrgico e reabilitação; (des)acompanhamento e (des)informação em relação ao cuidado; e transformação da vida diária devido ao procedimento cirúrgico. A integração dos dados revelou divergências e convergências quanto ao conhecimento, às mudanças no estilo de vida e a fatores de risco.  Conclusões: O letramento em saúde e o conhecimento da doença foram insuficientes. O maior desafio na reabilitação é a falta de compreensão das diretrizes de saúde para apoiar as mudanças no estilo de vida.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Health literacy]]></kwd>
<kwd lng="en"><![CDATA[adult health]]></kwd>
<kwd lng="en"><![CDATA[cardiovascular disease]]></kwd>
<kwd lng="en"><![CDATA[nursing]]></kwd>
<kwd lng="en"><![CDATA[myocardial ischemia]]></kwd>
<kwd lng="en"><![CDATA[myocardium revascularization]]></kwd>
<kwd lng="es"><![CDATA[Alfabetización en salud]]></kwd>
<kwd lng="es"><![CDATA[salud del adulto]]></kwd>
<kwd lng="es"><![CDATA[enfermedad cardiovascular]]></kwd>
<kwd lng="es"><![CDATA[Enfermería]]></kwd>
<kwd lng="es"><![CDATA[isquemia miocárdica]]></kwd>
<kwd lng="es"><![CDATA[revascularización del miocardio]]></kwd>
<kwd lng="pt"><![CDATA[Alfabetização em saúde]]></kwd>
<kwd lng="pt"><![CDATA[saúde do adulto]]></kwd>
<kwd lng="pt"><![CDATA[doença cardiovascular]]></kwd>
<kwd lng="pt"><![CDATA[Enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[isquemia miocárdica]]></kwd>
<kwd lng="pt"><![CDATA[revascularização do miocárdio]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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