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

  • 1Master's Student, College of Nursing, Hanyang University, Seoul, Korea
  • 2Professor, College of Nursing, Hanyang University, Seoul, Korea


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.
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.
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).
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.


Cardiovascular diseases; Inpatients; Type D personality; Health literacy; Resilience; Psychological
Full Text Links
  • KJAN
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2023 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr