关于血液透析和相关因素的患者特定健康知识：摩洛哥的一项横断面研究

IF 1.1 Q4 NURSING

Enfermeria Clinica Pub Date : 2025-09-01 DOI:10.1016/j.enfcli.2025.502249

Loubna Mazzi , Abdelhafid Benksim , Mounia Amane , Mohamed Cherkaoui

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引用次数: 0

摘要

目的由于血液透析护理的复杂性，要求患者具备适应该疾病背景的适当健康素养水平。本研究旨在评估和确定摩洛哥马拉喀什-萨菲地区血液透析患者健康素养的预测因素。方法对马拉喀什-萨菲地区公共血液透析中心的血液透析患者进行定量横断面研究。血透患者的具体读写能力通过一份包含26个项目和7个子维度的有效问卷进行评估，问卷由调查者自行填写或在血透期间由调查者填写。采用多元线性回归分析血透患者健康素养的预测因素。结果共纳入380例患者。女性占58.2%。65岁以下人口占72.9%，文盲占56.1%，已婚人口占61.8%，城镇人口占52.4%。平均血液透析时间为2.36±0.53年，62.4%患有高血压，57.4%患有高透析间期体重，15.3%患有糖尿病。平均总分为10.46±4.16分（满分26分）。交际能力、批判能力和患者安全的平均得分最低。多元回归分析显示，受教育程度较高、居住在城市地区、单身、血液透析时间较长的患者总分较高。结论根据我们的研究结果，马拉喀什-萨菲地区大多数血液透析患者对自身健康的认知不足。

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Conocimiento sanitario específico de los pacientes en hemodiálisis y factores asociados: un estudio transversal en Marruecos

Objective

The complexity of hemodialysis care imposes self-care requiring an adequate health literacy level adapted to the context of this disease. This study aimed to assess and determine the predictive factors of health literacy specific to hemodialysis patients in the Marrakech-Safi region of Morocco.

Method

This was a quantitative cross-sectional study of hemodialysis patients in public hemodialysis centers in the Marrakech-Safi region. The specific literacy of hemodialysis patients was assessed using a validated questionnaire consisting of 26 items and 7 sub-dimensions, which was either self-administered or administered by the investigator during the hemodialysis session. The predictive factors of health literacy in hemodialysis patients were identified using multiple linear regression.

Results

A total of 380 patients were included in the study. Women accounted for 58.2% of the patients. A percentage of 72.9% were under 65 years of age, 56.1% were illiterate, 61.8% were married, and 52.4% lived in urban areas. The mean duration of hemodialysis was 2.36 ± 0.53 years, 62.4% had hypertension, 57.4% had a high Interdialytic Weight, and 15.3% were diabetic. The mean total score was 10.46 ± 4.16 out of 26. Communicative literacy, critical literacy, and patient safety had the lowest mean scores. Multiple regression analysis revealed that patients with higher education levels, those living in urban areas, single individuals, and those with longer hemodialysis experience were more likely to have a higher total score.

Conclusion

Considering the results of our study, most hemodialysis patients in the Marrakech-Safi region had inadequate literacy about their own health.

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.