Correlation between Health Literacy and Self-Management Among Older Persons with Chronic Kidney Disease
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Abstract
Self-management among older persons with chronic kidney disease in early stages can prevent the progression into end-stage kidney disease. The objective of this descriptive correlational research was to study health literacy and self-management and examine the correlation between health literacy and self-management in older persons with chronic kidney disease. The sample of the study consisted of 88 patients diagnosed with chronic kidney disease between stage 1 and stage 3 who resided in Saraphi District, Chiang Mai. Data collection took place between January and February 2020. The research instruments were comprised of demography and medical data questionnaire, health literacy questionnaire, and self-management behavior questionnaire in older persons with chronic kidney disease. Data analysis was performed by descriptive statistics and Spearman’s rank correlation.
The results showed a high level of health literacy and self-management among older persons with chronic kidney disease. Health literacy was found to have a moderate level of statistical significant positive relationship with self-management (r=.67, p<.001).
The results of this research can serve as fundamental knowledge for public health personnel in promoting self-management in older persons with stage 1-3 chronic kidney disease through health literacy enhancement.
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References
Mallappallil M, Friedman AE, Delano GB, McFarlane IS, Salifu OM. Chronic kidney disease in the elderly: evaluation and management. Clin Pract 2014; 11(5): 525-535. doi: 10.2217/cpr.14.46.
Ministry of Public Health. Strategy and Planning Division. Public health statistics 2017 [Internet]. 2017 [cited 2019 March 2]. Available from: http://bps.moph.go.th/new_bps/sites/default/files/stratistics60.pdf (in Thai)
Kidney Disease Improving Global Outcomes. Clinical practice guideline for the prevention, diagnosis, evaluation, and treatment of hepatitis C in chronic kidney disease. Kidney Int Suppl 2018 Oct; 8(3): 91-165. doi: 10.1016/j.kisu.2018.06.001.
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014 Feb 5; 311(5): 507-20. doi: 10.1001/jama.2013.284427.
Thungtong S. Delayed progression diabetic nephropathy in patients with uncontrolled type 2 diabetes mellitus. J Royal Thai Army Nurses 2017; 18: 17-24. (in Thai)
The Nephrology Society of Thailand. Clinical practice recommendation for the evaluation and management of chronic kidney disease in adults 2015. Bangkok: Takeda (Thailand) Ltd.; 2015. (in Thai)
Lorig KR, Holman H. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med 2003 Aug; 26(1): 1-7. doi: 10.1207/S15324796ABM2601_01.
Chanapan S. The effect of social support program on self-management behaviors in elder with pre-dialysis chronic kidney disease [dissertation]. Bangkok: Chulalongkorn Univ.; 2015. (in Thai)
Nutbeam D. Health promotion glossary. Health Promot Int 1998; 13(4): 349–64. doi: 10.1093/heapro/13.4.349
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int 2000; 15(3): 259–67. doi: 10.1093/heapro%2F15.3.259
Chen YC, Chang LC, Liu CY, Ho YF, Weng SC, Tsai TI. The roles of social support and health literacy in self-management among patients with chronic kidney disease. J Nurs Scholarsh 2018 May; 50(3): 265-75. doi: 10.1111/jnu.12377.
Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. Baltimore: Lippincott Williams and Wilkins; 2008.
Noppakraw J. Health literacy and self-management in older persons with type 2 diabetes mellitus [dissertation]. Chiang Mai: Chiang Mai Univ.; 2018. (in Thai)
Ardkhitkarn S, Pothiban L, Lasuka D. Self-management behaviors and predicting factors in elders with end stage renal disease undergoing continuous ambulatory peritoneal dialysis. Nursing Journal 2013; 40: 22-32. (in Thai)
Nilnate W. Health literacy in Thai elders in senior citizens club of Bangkok [dissertation]. Bangkok: Chulalongkorn Univ.; 2014. (in Thai)
Panurat S, Bhoosahas P, Thutsaringkarnsakul S, Krachangpho P, Thuratham W, Natetipawan P. Factors related to health literacy among the elderly in Pak Phli district, Nakhon Nayok province. JOPN 2019; 11(1): 86-94. (in Thai)
Bohanny W, Wu SF, Liu CY, Yeh SH, Tsay SL, Wang TJ. Health literacy, self‐efficacy, and self‐care behaviors in patients with type 2 diabetes mellitus. J Am Assoc Nurse Pract 2013 Sep; 25(9): 495-502. doi: 10.1111/1745-7599.12017.
Washington T, Zimmerman S, Browne T. Factors associated with chronic kidney disease self-management. Soc Work Public Health 2016; 31(2): 58-69. doi: 10.1080/19371918.2015.1087908.
Lai AY, Ishikawa H, Kiuchi T, Mooppil N, Griva K. Communicative and critical health literacy, and self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient Educ Couns 2013 May; 91(2): 221-7. doi: 10.1016/j.pec.2012.12.018.
