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Development of health literacy for Regular Hemodialysis patients in Menoufia Governorate: A Cross-Sectional Study

Open Journal of Nephrology 2021年第2期11卷 199-216页

作者： Said Sayed Ahmed Khamis Mahmoud Mohammed Emara Marwa Salah Ahmed Elnashar Muhammad Abdul Mabood Khalil Zeinab A. Kasemy Department of Internal Medicine and Nephrology Faculty of Medicine Menoufia University Shibin El Kom Egypt Department of Internal Medicine and Nephrology Teaching Hospital Menoufia University Shibin El Kom Egypt Department of Renal Medicine Consultant Nephrologist RIPAS Hospital Bandar Seri Begawan Brunei Darussalam Department of Public health and Community Medicine Faculty of Medicine Menoufia University Shibin El Kom Egypt

health literacy (HL) is essential to access, comprehend, assess and use health data allowing patients to make better health and quality of life decisions. To assess the health literacy level of hemodialysis Egyptian patients, a cross-sectional study from March to September 2020 was conducted at 4 hemodialysis (HD) units on 439 patients. A translated questionnaire including demographic characteristics and health literacy components was conducted. This study adapted Nutbeam’s model incorporating critical health literacy, interactive health literacy, and functional health literacy. health literacy of hemodialysis patients was satisfactory among 35.5% of the studied patients. The average total score of health literacy questionnaire was (15.53 ± 4.32) distributed as (2.90 ± 1.26) for functional literacy, (3.10 ± 1.26) for basic health knowledge, (1.65 ± 1.21) for communicative literacy, (2.53 ± 0.70) for interactive literacy, (1.75 ± 1.30) for advanced health knowledge, (1.74 ± 0.48) for critical literacy, and (1.83 ± 0.93) for patient safety. It was found that poor health literacy was associated with low income (OR = 2.54, CI 95%: 1.66_3.89, p p p p = 0.033). There was a prevalent low health literacy among the studied regular hemodialysis patients which was affected by education, age and income and in turn it affected the adherence to treatment. Understanding the linkage between HL and self-care attitudes should enhance efforts to improve hemodialysis outcomes.

关键词： limited health literacy among dialysis patients Knowledge among Hemodialysis patients Regular Hemodialysis

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