Relationship between Health Literacy and Tardiness of Renal Progression in Chronic Kidney Disease with Diabetes Mellitus and/or Hypertension Patient in Ngao District, Lampang

Authors

  • Pariwat Innual Ngao hospital
  • Watthana Tasan Ngao Hospital, Lampang
  • Krid Thongbunjob Ngao Hospital, Lampang
  • Sriprapai Inchaithep Boromarajonani College of Nursing, Nakhon Lampang, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

Chronic kidney disease, Health literacy, tardiness of renal progression

Abstract

         This cross-sectional study research aimed to study relationship between Health Literacy and tardiness of renal progression in Chronic Kidney Disease’s patients with multimorbidities: Diabetes Mellitus and/or Hypertension from Ngao district, Lampang, Thailand. Designed as a cross-sectional study, a total of 147 patients are included from Taro Yamane Formula, to identify individuals’ Health Literacy using Chanuantong’s assessment and categorized into three levels: ‘above-average’, ‘average’ and ‘below-average’. Estimated Glomerular Filtration Rate (eGFR) record of each samples in year 2020 and 2021 are collected to assess the tardiness of renal progression. The data area analyzed using descriptive statistics and Chi-square test with p-value less than .05 (p<.05).

           In terms of Health Literacy level, the results showed 1) that the majority, 69 samples (46.90%), are categorized as ‘below-average’, while 54 samples (36.70%) are defined as ‘average’ group and only 24 samples (16.30%) are ‘above-average’. 2) An eGFR change from year 2020 to 2021 are decreased, in a significant level of statistics, at 3.48 ml/min/1.73 m2   3) Levels of Health Literacy are statistically significantly related to tardiness of renal progression in patients with Diabetes Mellitus and/or Hypertension in Chronic kidney disease patients whose eGFR are below 5 ml/min/1.73 m2.

References

Boonstra, M. D., Reijneveld, S. A., Foitzik, E. M., Westerhuis, R., Navis, G., & de Winter, A. F. (2020). How to tackle health literacy problems in chronic kidney disease patients? A systematic review to identify promising intervention targets and strategies. Nephrology Dialysis Transplantation, 36(7), 1207-1221. https://doi.org/10.1093/ndt/gfaa273

Costa-Requena, G., Moreso, F., Carmen Cantarell, M., & Serón, D. (2017). Health literacy and chronic kidney disease [10.1016/j.nefroe.2017.04.009]. Nefrología (English Edition), 37(2), 115-117. https://doi.org/10.1016/j.nefroe.2017.04.009

Devraj, R., Borrego, M., Vilay, A. M., Gordon, E. J., Pailden, J., & Horowitz, B. (2015). Relationship between Health Literacy and Kidney Function. Nephrology (Carlton), 20(5), 360-367. https://doi.org/10.1111/nep.12425

Dewalt, D. A., Berkman, N. D., Sheridan, S., Lohr, K. N., & Pignone, M. P. (2004). Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med, 19(12), 1228-1239. https://doi.org/10.1111/j.1525-1497.2004.40153.x

Go, A. S., Yang, J., Tan, T. C., Cabrera, C. S., Stefansson, B. V., Greasley, P. J., Ordonez, J. D., & Kaiser Permanente Northern California, C. K. D. O. S. (2018). Contemporary rates and predictors of fast progression of chronic kidney disease in adults with and without diabetes mellitus. BMC nephrology, 19(1), 146-146. https://doi.org/10.1186/s12882-018-0942-1

Hill, N. R., Fatoba, S. T., Oke, J. L., Hirst, J. A., O'Callaghan, C. A., Lasserson, D. S., & Hobbs, F. D. R. (2016). Global Prevalence of Chronic Kidney Disease - A Systematic Review and Meta-Analysis. PloS one, 11(7), e0158765-e0158765. https://doi.org/10.1371/journal.pone.0158765

Ingsathit, A., Thakkinstian, A., Chaiprasert, A., Sangthawan, P., Gojaseni, P., Kiattisunthorn, K., Ongaiyooth, L., Vanavanan, S., Sirivongs, D., Thirakhupt, P., Mittal, B., & Singh, A. K. (2010). Prevalence and risk factors of chronic kidney disease in the Thai adult population: Thai SEEK study. Nephrol Dial Transplant, 25(5), 1567-1575. https://doi.org/10.1093/ndt/gfp669

Ishikura, K., Obara, T., Kikuya, M., Satoh, M., Hosaka, M., Metoki, H., Nishigori, H., Mano, N., Nakayama, M., Imai, Y., Ohkubo, T., & on behalf of the, J. H.-M. S. g. (2016). Home blood pressure level and decline in renal function among treated hypertensive patients: the J-HOME-Morning Study. Hypertension Research, 39(2), 107-112. https://doi.org/10.1038/hr.2015.110

Jamshidi, P., Najafi, F., Mostafaei, S., Shakiba, E., Pasdar, Y., Hamzeh, B., & Moradinazar, M. (2020). Investigating associated factors with glomerular filtration rate: structural equation modeling. BMC nephrology, 21(1), 30. https://doi.org/10.1186/s12882-020-1686-2

Kanjanabuch, T., & Takkavatakarn, K. (2020). Global Dialysis Perspective: Thailand. Kidney360, 1(7), 671-675. https://doi.org/10.34067/kid.0000762020

Polonia, J., Azevedo, A., Monte, M., Silva, J. A., & Bertoquini, S. (2017). Annual deterioration of renal function in hypertensive patients with and without diabetes. Vascular health and risk management, 13, 231-237. https://doi.org/10.2147/VHRM.S135253

Ricardo, A. C., Yang, W., Lora, C. M., Gordon, E. J., Diamantidis, C. J., Ford, V., Kusek, J. W., Lopez, A., Lustigova, E., Nessel, L., Rosas, S. E., Steigerwalt, S., Theurer, J., Zhang, X., Fischer, M. J., & Lash, J. P. (2014). Limited health literacy is associated with low glomerular filtration in the Chronic Renal Insufficiency Cohort (CRIC) study. Clin Nephrol, 81(1), 30-37. https://doi.org/10.5414/cn108062

Sabanayagam, C., Shankar, A., Lim, S. C., Tai, E. S., & Wong, T. Y. (2011). Hypertension, Hypertension Control, and Chronic Kidney Disease in a Malay Population in Singapore. Asia Pacific Journal of Public Health, 23(6), 936-945. http://www.jstor.org/stable/26724181

Tanasugarn, C., & Neelapaichit, N. (2015). Development tools Health literacy in patients with diabetes & hypertension (D. o. H. S. Support, Ed.). Ministry of Public Health.

Taylor, D. M., Fraser, S., Dudley, C., Oniscu, G. C., Tomson, C., Ravanan, R., & Roderick, P. (2018). Health literacy and patient outcomes in chronic kidney disease: a systematic review. Nephrol Dial Transplant, 33(9), 1545-1558. https://doi.org/10.1093/ndt/gfx293

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Published

2022-05-19

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Research Articles