Healthcare systems and professionals are key to improving health literacy in chronic kidney disease.

IF 1.5 4区 医学 Q3 NURSING
Journal of renal care Pub Date : 2022-03-01 Epub Date: 2021-07-22 DOI:10.1111/jorc.12395
Ha T T Dinh, Nguyet T Nguyen, Ann Bonner
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引用次数: 19

Abstract

Background: Comorbidity is prevalent in people with chronic kidney disease (CKD) and this status burdens one's health literacy skills to understand about their health, make decisions, and to adhere with treatment.

Objectives: To examine health literacy in people with CKD and comorbidities.

Design: A cross-sectional study was conducted between November 2018 and April 2019.

Participants: Convenience sampling recruited 367 adults with CKD and at least one comorbid disease.

Measurements: Data were collected using the 9-domain Health Literacy Questionnaire. Demographic and clinical characteristics were also collected. Charlson Comorbidity Index calculated comorbidity status. Parametric tests were used to distinguish health literacy between various groups.

Results: Participants' average age was 58.8 years, 54.7% had CKD Grade 5, 72.5% had a severe comorbidity index (≥6), and nearly 40% were on haemodialysis. Lower health literacy proportions were found in domains related to Healthcare providers' support (58.3%) and Appraisal of health information (38.4%). Lower levels of education, income, or living in rural areas were each significantly more likely to contribute to lower health literacy levels (range 4-7 domains). Greater comorbidity severity was also significantly associated with lower health literacy in two domains.

Conclusion: People with CKD had difficulties in various health literacy domains primarily related to communication and critical appraisal. These domains can be improved by healthcare professionals and changes in hospital policies. Due to frequent contact with patients in kidney services, renal clinicians have a crucial role in ensuring greater communication occurs as this will better assist patients to understand their healthcare needs.

卫生保健系统和专业人员是提高慢性肾脏疾病健康素养的关键。
背景:慢性肾脏疾病(CKD)患者普遍存在合并症,这一状况给人们的健康素养技能带来负担,使他们无法了解自己的健康状况,做出决定并坚持治疗。目的:了解慢性肾病及其合并症患者的健康素养。设计:一项横断面研究于2018年11月至2019年4月进行。参与者:方便抽样招募了367名患有CKD和至少一种合并症的成年人。测量方法:采用9域健康素养问卷收集数据。还收集了人口统计学和临床特征。Charlson共病指数计算共病状态。使用参数检验来区分不同组间的健康素养。结果:参与者的平均年龄为58.8岁,54.7%患有CKD 5级,72.5%患有严重合并症指数(≥6),近40%进行血液透析。在卫生保健提供者的支持(58.3%)和卫生信息评价(38.4%)相关领域,卫生素养比例较低。较低的教育水平、收入水平或生活在农村地区都更有可能导致较低的卫生素养水平(范围4-7个领域)。在两个领域,较高的合并症严重程度也与较低的健康素养显著相关。结论:慢性肾病患者存在以沟通和批判性评价为主的健康素养障碍。这些领域可以通过医疗保健专业人员和医院政策的变化来改进。由于经常与肾脏服务的患者接触,肾脏临床医生在确保更多的沟通方面发挥着至关重要的作用,因为这将更好地帮助患者了解他们的医疗保健需求。
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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
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.
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