The Effects of Health Literacy Enhancement Program on Self-care Behaviors and Clinical Outcomes among Diabetes and Hypertension Patients with Chronic Kidney Disease Stage III, Faktha District Uttaradit Province
Keywords:
Health Literacy, Self-care Behaviors, Diabetes and Hypertension, Chronic Kidney DiseaseAbstract
This quasi-experimental research was a two-group pretest-posttest design. The purposes of the research were to study the effects of a health literacy enhancement program on self-care behaviors and clinical outcomes among diabetes and hypertension patients with chronic kidney disease stage III. The samples were diabetes and hypertension patients with chronic kidney disease stage III who came to receive services at Faktha hospital. The sample was selected by Simple random sampling and put into an experimental group and a comparative group with 30 persons each. Research instruments were 1) a health literacy enhancement program among diabetes and hypertension patients with chronic kidney disease stage III. The program was based on the concept of health literacy pathway model by Edwards, Wood, Davies, & Edwards and The content validity indexes were 1.00 2) a handbook of health literacy in chronic kidney disease. and 3) Questionnaires on health literacy and self-care behaviors. The content validity indexes were .94 and 1.00, respectively. KR-20 of health literacy test was .82 and Cronbach’s alpha coefficient of self-care behaviors were .84. Data were analyzed by descriptive statistics and a t-test.
The result revealed as follows: after enrolling in the program, the health literacy and self-care behaviors of the experimental group was better than before enrolling in the program and better than the comparative group to a statistically significant degree at p-value < .05
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