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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References
Cockwell P, Fisher LA. The global burden of chronic kidney disease. The lenset. 2020;395(10225):662-3.
Lv JC, Zhang LX. Prevalence and Disease Burden of Chronic Kidney Disease. Singapore: Springer; 2019.
Bureau of Non Communicable Disease. Operation Manual Reduce chronic kidney disease, CKD in people with diabetes and high blood pressure. Bangkok: Office of Printing Works Veterans Relief Organization under the Royal patronage; 2016. (in Thai)
Kanjanabuch T, Takkavatakarn K. Global Dialysis Perspective: Thailand kidney 360. 2020; 1(7):671–5.
National Kidney Association Thai. Thailand Renal Replacement Therapy Year 2020. Bangkok: [publisher unknown]; 2020. (in Thai)
Non communicable disease clinic of Faktha hospital. Patient with Chronic Kidney Disease report of Faktha hospital. Uttaradit: Faktha hospital; 2020. (in Thai)
Intarakamhang U. Health Literacy: Measurement and Development. Bangkok: Sukhumvit Printing; 2017. (in Thai)
Sharif I, Blank AE. Relationsship betaween child health literacy and body mass index in overweight children. Patient Education and Counseling. 2010;79(1):43-8.
Kaewdamkeeng K. Health literacy, access, understanding and application. 2nd ed. Bangkok: Amarin Printing and Publishing; 2017. (in Thai)
Punyawai S. Effectiveness of a health literacy developmental program among diabetic and hypertension patients with stage 3 chronic kidney disease in Chaehom District, Lampang Province. Journal of Public Health Naresuan University. 2021;3(2):75-86. (in Thai)
Sarin S, Moolsart S, Chailimpamontree W. The Effectiveness of a Health Literacy Development Program in Patients with Type 2 Diabetes Risking to Chronic Kidney Disease. Nursing Journal of the Ministry of Public Health. 2019;29(2):86-101. (in Thai).
Kim KB, Han HR, Huh B, Nguyen T, Lee H, Kim M. The effect of a community-based self-help multimodal behavioral intervention in Korean American seniors with high blood pressure. American Journal of Hypertension. 2014; 27(9):1199-208.
Han HR, Delva S, Greeno RV, Negoita S, Cajita M, Will W. A health literacy-focused Intervention for latinos with hypertension. Health literacy Research and Practice. 2018;2(1): 21-5.
Halladay JR, Donahue KE, Cene CW, Quefeng L, Cummings DM, Hinderliter AL, et al. The association of health literacy and blood pressure reduction in a cohort of patients with hypertension: The heart healthy lenoir trial. Patient Education and Counseling. 2017; 100(3):542-9.
Edwards M, Wood F, Davies M, Edwards A. The development of health literacy in patients with a long–term health condition: the health literacy pathway model. Biomedcentral Public Health. 2012;12(130):1-15.
Miller WR, Rollnick S. Motivational interviewing: Preparingpeopletochange addictive behavior. New York: Guilford Press; 1991.
Faul F, Erdfelder E, Buchner A, Lang A. G* statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009; 41(4):1149-60.
Sridaket S, Chotichai T, Chatchaipolrat A, Chotichai N, Padpai I. Effectiveness of a Health Literacy Development Program for Kidney Degenerative Prevention among Type II Diabetic Mellitus Patients with Stage 3 Chronic Kidney Condition. Nursing Journal of the Ministry of Public Health. 2021;32(1):195-205. (in Thai)
Techaboonya R. The Effectiveness of a Health Literacy Development Program for Patients with Type 2 Diabetes Risk of Chronic Kidney Disease [Master thesis]. Nonthaburi Sukhothai Thammathirat Open University. 2020. (in Thai).
Sarakshetrin A, Tongpeth J, Sriwongsa A. The Effectiveness of Health Literacy Enhancing and Developing Program on A1C Blood Pressure Level Health Literacy and Diabetes and Hypertension Control Behaviors. Journal of The Royal Thai Army Nurses. 2022;23(1): 333-43. (in Thai)
Puttapunyo S, Toontom N, Putthanachote N. Effectiveness of a health behavior development program on health literacy, weight loss behavior and weight of overweight personnel in Roi Et Hospital, Mueang District, Roi Et Province, Thailand. Journal of Nursing and Education. 2016;9(4):42-59. (in Thai)
Shi D, Li J, Wang Y, Wang S, Liu K, Shi R, et al. Association between health literacy and hypertension management in a Chinese community: a retrospective cohort study. Internal and Emergency Medicine. 2017;12(6):765-76.
Ricardo AC, Yang W, Lora CM, Gordon EJ, Diamantidis CJ, Ford V, Lash JP. Limited health literacy is associated with low glomerular filtration in the Chronic Renal Insufficiency Cohort (CRIC) study. Clinical nephrology. 2014;81(1):30-7.
Janthapuek J, Chopsiang L. Relationships between health literacy and self-care behaviors to delay the progression of chronic kidney disease among patients with chronic kidney disease stages 1 and 2. Regional Health Promotion Center 9 Journal. 2020;14(34):243-58. (in Thai)
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