Health literacy profiles in kidney transplanted patients: A cluster analysis

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2024-11-11 DOI:10.1111/jorc.12515

Tone Karine Vidnes MSc, Astrid Klopstad Wahl, Marie Hamilton Larsen, Käthe Birgitte Meyer PhD, Åsmund Hermansen, Marit Helen Andersen

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Abstract

Background

Health literacy is important in chronic conditions, such as kidney transplantation. Understanding patients' health literacy profiles can assist tailoring follow-up and educational programmes to the health literacy needs of vulnerable kidney transplant recipients. This approach enabled us to cluster patients according to their profiles of challenges and strengths in different health literacy domains.

Objectives

This study aimed to identify different health literacy profiles within kidney transplant recipients and what characterized the different profiles.

Design

Cross-sectional study.

Participants

One hundred ninety-five kidney transplanted recipients were included.

Measurements

We used the self-reported Health Literacy Questionnaire and analyzed using Ward's method (hierarchical cluster approach). We also collected background characteristics and clinical variables, including psychological distress (Hopkins Symptoms Checklist) and perceived health status (visual analogue scale, EuroQol-5D).

Results

The analysis revealed four clusters with substantial differences in health literacy profiles. One cluster's patients had the most challenges in all health literacy domains constituting 24% of the sample. Compared to the other three clusters, this cluster was associated with shorter duration of kidney disease, higher number of patients in dialysis before transplantation, higher percentage of male patients, lower number of kidneys from living donors, higher number of patients not working and higher representation of psychological distress. All four clusters reported the most challenges in the same domain: the ability to critically appraise health information.

Conclusion

In kidney transplant recipients, profiling clusters with the Health Literacy Questionnaire and Ward's method aids in identifying health literacy needs in vulnerable groups, enabling transplant professionals to offer tailored health literacy support.

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肾移植患者的健康素养概况：聚类分析。

背景：健康素养对于肾移植等慢性疾病非常重要。了解患者的健康素养概况有助于针对肾移植受者在健康素养方面的弱势需求制定后续治疗和教育计划。这种方法使我们能够根据患者在不同健康素养领域的挑战和优势对他们进行分组：本研究旨在确定肾移植受者的不同健康素养状况，以及不同状况的特点：设计：横断面研究：研究对象：195名肾移植受者：我们使用了自我报告的健康素养问卷，并使用沃德方法（分层聚类法）进行了分析。我们还收集了背景特征和临床变量，包括心理困扰（霍普金斯症状检查表）和感知健康状况（视觉模拟量表，EuroQol-5D）：结果：分析结果显示，四个群组在健康素养方面存在很大差异。其中一个群组的患者在所有健康素养领域面临的挑战最大，占样本的 24%。与其他三个群组相比，该群组患者的肾病病程较短、移植前透析患者人数较多、男性患者比例较高、活体捐献肾脏数量较少、无工作的患者人数较多以及心理困扰比例较高。所有四个群组在同一领域面临的挑战最大：批判性评估健康信息的能力：结论：在肾移植受者中，使用健康素养调查问卷和沃德方法进行分组分析有助于确定弱势群体的健康素养需求，从而使移植专业人员能够提供有针对性的健康素养支持。

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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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.