THE EFFECTIVENESS OF A PROMOTING HEALTH LITERACY MODEL FOR DELAYED PROGRESSIVE CHRONIC KIDNEY DISEASE ON HEALTH LITERACY SELF-MANAGEMENT AND CLINICAL OUTCOMES OF DIABETES MELLITUS AND HYPERTENSIVE PATIENTS IN THE 4th PUBLIC HEALTH REGION
Keywords:
health literacy, delay progressive chronic kidney disease, diabetes, hypertension, self-management, clinical outcomesAbstract
This one-group pretest-posttest quasi-experimental research tested the effectiveness of a promoting health literacy model to delayed progressive chronic kidney disease (CKD) on health literacy, self-management, and clinical outcomes among diabetes and/or hypertension patients who have the third stage of chronic kidney disease. The purposive sampling was used to recruit 171 patients from tertiary, secondary, and primary healthcare institutions, 6 in total, from 2 provinces of the 4th public health region. The research instrument was the model of promoting health literacy for delayed progressive CKD which was developed based on the health literacy and self-management concept. The content validity index was used to test the quality of this model by 5 experts, obtaining a 0.95 score. The data collecting instruments were composed of 1) a health literacy to delayed progressive CKD questionnaire and 2) an assessment form of self-management to delay progressive CKD in diabetes and/or hypertensive patients. Both instruments were tested for validity by five experts and the content validity indexes (CVI) were 1.00, and .97, respectively. Meanwhile, Cronbach’s alpha reliabilities were .94, and .96, respectively. Descriptive statistics and inferential statistics namely paired t-tests were used to analyze the data.
The result revealed that 7 months after receiving the promoting health literacy model for delayed progressive CKD, the sample of diabetes and/or hypertensive patients had a clinical significantly average score of health literacy, self-management, and clinical outcomes for delayed progressive CKD better than formerly participating in the model. In addition, in the study sample, 138 patients can delay CKD for 88.46%. Therefore, promoting the health literacy model can delay progressive chronic kidney disease.
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