Effects of a Health Literacy Education Program on Mental Health and Renal Function in Patients With Chronic Kidney Disease: A Randomized Controlled Trial.

Hsiao-Ling Huang, Ya-Hui Hsu, Chung-Wei Yang, Min-Fang Hsu, Yu-Chu Chung
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Abstract

Background: Chronic kidney disease (CKD) refers to permanent damage to the kidneys that occurs gradually over time. Further progression may be preventable depending on its stage.

Purpose: This study was developed to evaluate the effect of a health literacy education program (HLEP) on mental health and renal functioning in patients with CKD.

Methods: A single-blind, randomized controlled trial study was conducted. Data were collected from March 25 to December 18, 2021. Participants were randomly assigned to either the experimental group (n = 42), which received multidisciplinary care and HLEP, or the control group (n = 42), which received multidisciplinary care only. Data were collected at baseline (T1), Month 3 (T2), and Month 6 (T3), and the data included patient characteristics, estimated glomerular filtration rate, and responses to the Mandarin Multidimensional Health Literacy Questionnaire and Beck Depression Inventory.

Results: After 6 months of the HLEP intervention, the results of generalized estimating equations analysis showed that, compared with the control group, the experimental group had significantly higher health literacy at Month 3 (β = -3.37, 95% CI [-5.68, -1.06]), significantly improved depression at Month 3 (β = -2.24, 95% CI [-4.11, -0.37]) and Month 6 (β = -4.36, 95% CI [-6.60, -2.12]), and a significantly higher estimated glomerular filtration rate at Month 6 (β = 5.87, 95% CI [1.35, 10.38]).

Conclusions/implications for practice: The findings of this study may provide a reference for healthcare providers to educate patients with Stage 3-4 CKD using the HLEP. Positive effects on health literacy, depression, and renal function in patients with Stage 3-4 CKD were observed in the short term. Findings from this study may facilitate the implementation of multidisciplinary and nurse-led strategies in primary care to reinforce patients' health literacy, self-care ability, and adjustment to CKD as well as delay disease progression.

健康知识教育计划对慢性肾病患者心理健康和肾功能的影响:随机对照试验
背景:慢性肾脏病(CKD)是指随着时间的推移逐渐出现的肾脏永久性损伤。目的:本研究旨在评估健康知识教育计划(HLEP)对 CKD 患者心理健康和肾功能的影响:研究采用单盲、随机对照试验的方法。数据收集时间为 2021 年 3 月 25 日至 12 月 18 日。参与者被随机分配到实验组(42 人)或对照组(42 人),前者接受多学科护理和 HLEP,后者仅接受多学科护理。在基线(T1)、第3个月(T2)和第6个月(T3)收集数据,数据包括患者特征、估计肾小球滤过率以及对普通话多维健康素养问卷和贝克抑郁量表的回答:经过 6 个月的 HLEP 干预后,广义估计方程分析结果显示,与对照组相比,实验组在第 3 个月的健康素养显著提高(β = -3.37,95% CI [-5.68, -1.06]),在第 3 个月和第 6 个月时抑郁状况明显改善(β = -2.24,95% CI [-4.11, -0.37]),在第 6 个月时估计肾小球滤过率明显提高(β = 5.87,95% CI [1.35, 10.38]):本研究的结果可为医疗服务提供者使用 HLEP 教育 3-4 期 CKD 患者提供参考。在短期内观察到了对 3-4 期 CKD 患者的健康素养、抑郁和肾功能的积极影响。这项研究的结果可能有助于在初级保健中实施多学科和护士主导的策略,以加强患者的健康素养、自我护理能力和对慢性肾脏病的适应能力,并延缓疾病的进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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