The effect of health literacy on treatment adherence in maintenance haemodialysis patients: a cross-sectional study.
| Autor: | Indino, Kristian, Sharp, Rebecca, Esterman, Adrian |
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| Předmět: |
CHRONIC kidney failure
CONFIDENCE intervals HEMODIALYSIS patients HEMODIALYSIS facilities PATIENT compliance QUESTIONNAIRES SCALE analysis (Psychology) SELF-evaluation STATISTICS SURVEYS LOGISTIC regression analysis HOME environment EDUCATIONAL attainment CROSS-sectional method HEALTH literacy DATA analysis software DESCRIPTIVE statistics ODDS ratio |
| Zdroj: | Renal Society of Australasia Journal; Mar2019, Vol. 15 Issue 1, p11-18, 8p, 4 Charts |
| Abstrakt: | Background Treatment non-adherence may be prevalent in patients requiring haemodialysis (HD). Health literacy plays an important role in self-management. However, most research has only assessed basic literacy skills in the haemodialysis cohort. Aim To determine the association between a multidimensional concept of health literacy and self-reported treatment adherence in HD patients. Method A cross-sectional survey was undertaken with 42 maintenance HD patients from two South Australian dialysis centres. The Functional, Communicative and Critical Health Literacy (FCCHL) tool was used to assess health literacy. Treatment adherence was measured using a self-report tool developed by the researchers. Results Higher overall health literacy was associated with increased adherence to food (OR 3.66; 95% CI 1.08-12.43; p=0.038), fluid (OR 4.92; 95% CI 1.13-21.35; p=0.033) and medications (OR 11.88; 95% CI 2.26-62.44; p=0.003). Conclusion Interventions should be designed to facilitate a multidimensional concept of health literacy to assist patients to follow treatment recommendations. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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