Relationship between Health Literacy and Frailty in Older Adults with Chronic Kidney Disease.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-05-01 DOI:10.1080/0361073X.2022.2068326

Burcu Candemir, Funda Yıldırım, Emre Yaşar, Yasemin Erten, Berna Göker

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引用次数: 1

Abstract

Background: Chronic kidney disease (CKD) is associated with an increased risk of frailty, morbidity, and mortality in older adults. Limited health literacy (HL) is a condition that can cause frailty in CKD. Frailty leads to a decreased resistance to stress situations caused by activities of daily living and increased morbidity and mortality. The aim of this study was to investigate the relationship between HL and frailty in older adults with stage 4-5 CKD.

Methods: A total of 109 patients with stage 4-5CKD were included. All patients underwent a comprehensive geriatric assessment. Health literacy was assessed by the Turkish version of the European Health Literacy Questionnaire. Frailty status was measured using the Fried Frailty Index.

Results: The median age was 72 (68-80) years and 72 patients (66.1%) had lowHL. Forty-six patients (42.2%) were frail, and frailty was more common in the low HL group.

Conclusion: The present study demonstrated that low HL level was common in geriatric patients with stage 4-5 CKD and was associated with frailty, as well as a decrease in daily and instrumental life activities, decrease in acceptance of illness scale, and compliance with medical treatment.

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老年慢性肾病患者健康素养与虚弱的关系

背景:慢性肾脏疾病(CKD)与老年人虚弱、发病率和死亡率的风险增加有关。有限的健康素养(HL)是一种可能导致CKD虚弱的条件。虚弱导致对日常生活活动造成的压力情况的抵抗力下降，发病率和死亡率增加。本研究的目的是研究4-5期CKD老年人HL与虚弱之间的关系。方法:共纳入109例4-5期ckd患者。所有患者都进行了全面的老年评估。卫生知识普及程度由土耳其版《欧洲卫生知识普及调查表》进行评估。虚弱状态用Fried虚弱指数来衡量。结果:中位年龄为72(68 ~ 80)岁，低whl 72例(66.1%)。46例(42.2%)患者虚弱，虚弱在低HL组中更为常见。结论:本研究表明，低HL水平在老年4-5期CKD患者中很常见，并与虚弱、日常生活和工具性生活活动减少、疾病量表接受度降低、药物治疗依从性降低有关。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.