Current situation and influencing factors of health literacy among follow-up patients with chronic kidney disease_West China Medical Journal

Authors：

HUANG Yueyang ,  SHI Yunying , CHEN Yi , DIAO Yongshu , MA Dengyan , CHEN Chongcheng

Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

SHI Yunying, Email: yyshi0130@163.com

Keywords：

Chronic kidney disease; Health literacy; Influencing factors

DOI：

10.7507/1002-0179.201905249

Video：

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Objective To investigate the health literacy level and its influencing factors among follow-up patients with chronic kidney disease (CKD).Methods From March to August 2018, 248 patients from the CKD Follow-up Management Center, West China Hospital, Sichuan University were included. Basic information questionnaire and chronic diseases health literacy scale were used. Analysis of variance and t test were used in univariate analysis, and multiple linear stepwise regression was used in multivariate analysis, to explore the influencing factors of health literacy score.Results The average health literacy score of the 248 CKD patients (97.24±12.22) were in medium to low level. Listed from high to low, the score of each dimension was: ability to obtain information (4.24±0.50), willingness to improve health (4.17±0.66), competence to communicate and interact with others (3.95±0.59), and willingness to support financially (3.41±1.10). The result of multiple linear stepwise regression showed that whether followed up on time, families’ monthly income per capita, and the patients’ age were independent influencing factors of health literacy score (P<0.05).Conclusions The health literacy level of follow-up patients with CKD remains to be improved. Medical personnel should pay attention to whether patients with CKD are followed up on time, make targeted intervention, and improve the self-management of patients so as to delay the disease progress of CKD.

Citation： HUANG Yueyang, SHI Yunying, CHEN Yi, DIAO Yongshu, MA Dengyan, CHEN Chongcheng. Current situation and influencing factors of health literacy among follow-up patients with chronic kidney disease. West China Medical Journal, 2019, 34(7): 777-782. doi: 10.7507/1002-0179.201905249 Copy

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9.	孙浩林, 彭慧, 傅华. 慢性病患者健康素养量表信效度的研究. 复旦学报(医学版), 2012, 39(3): 268-272.
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11.	孙静, 鱼毛毛, 王丽娟, 等. 慢性肾脏病病人自我管理与健康素养的相关性分析. 护理研究, 2013, 27(12): 1091-1093.
12.	张颖君, 熊晓红, 袁怀红, 等. 维持性血液透析患者健康素养和社会支持的现状分析. 重庆医学, 2018, 47(29): 3792-3795.
13.	于平平, 肖湘成, 王琳云, 等. 社区2型糖尿病患者的自我管理行为与其血糖控制的相关性研究. 中南大学学报(医学版), 2013, 38(4): 425-431.
14.	张建林, 唐湘. 出院后延续性护理干预对肾移植患者心理素质及免疫抑制剂治疗依从性的影响. 中国实用护理杂志, 2013, 29(27): 27-29.
15.	黄肖容, 刁永书, 陈懿, 等. 社区慢性肾病患者自我管理现状及影响因素分析. 四川医学, 2018, 39(4): 389-392.
16.	齐良书, 王诚炜. 健康状况与社会经济地位: 基于多种指标的研究. 中国卫生经济, 2010, 29(8): 47-50.
17.	王江蓉, 张拓红. 中国成年居民社会资本相关因素与健康自评的关系. 北京大学学报(医学版), 2012, 44(3): 392-396.

1. 上海慢性肾脏病早发现及规范化诊治与示范项目专家组. 慢性肾脏病筛查诊断及防治指南. 中国实用内科杂志, 2017, 37(1): 28-34.
2. Ene-Iordache B, Perico N, Bikbov B, et al. Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): a cross-sectional study. Lancet Glob Health, 2016, 4(5): e307-e319.
3. Zhang L, Wang F, Wang L, et al. Prevalence of chronic kidney disease in China: a cross-sectional survey. Lancet, 2012, 379(9818): 815-822.
4. 李英华, 毛群英, 石琦, 等. 2012年中国居民健康素养监测结果. 中国健康教育, 2015, 31(2): 99-103.
5. 刘兆炜, 李志新, 张继昌, 等. 2012年四川省15~69岁居民健康素养水平调查分析. 中国健康教育, 2015, 31(2): 209-212.
6. Levey AS, Becker C, Inker LA. Glomerular filtration rate and albuminuria for detection and staging of acute and chronic kidney disease in adults: a systematic review. JAMA, 2015, 313(8): 837-846.
7. Kidney Disease Improving Global Outcomes. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl, 2013, 3(1): 1-150.
8. 孙浩林. 慢性病病人健康素养量表的研究及其初步应用. 上海: 复旦大学, 2012.
9. 孙浩林, 彭慧, 傅华. 慢性病患者健康素养量表信效度的研究. 复旦学报(医学版), 2012, 39(3): 268-272.
10. 卫生部新闻发布厅. 卫生部《首次中国居民健康素养调查》发布会. 中国网. (2009-12-18)[2019-04-28]. http://www.china.com.cn/zhibo/2009-12/18/content_19084036.htm?show=t.
11. 孙静, 鱼毛毛, 王丽娟, 等. 慢性肾脏病病人自我管理与健康素养的相关性分析. 护理研究, 2013, 27(12): 1091-1093.
12. 张颖君, 熊晓红, 袁怀红, 等. 维持性血液透析患者健康素养和社会支持的现状分析. 重庆医学, 2018, 47(29): 3792-3795.
13. 于平平, 肖湘成, 王琳云, 等. 社区2型糖尿病患者的自我管理行为与其血糖控制的相关性研究. 中南大学学报(医学版), 2013, 38(4): 425-431.
14. 张建林, 唐湘. 出院后延续性护理干预对肾移植患者心理素质及免疫抑制剂治疗依从性的影响. 中国实用护理杂志, 2013, 29(27): 27-29.
15. 黄肖容, 刁永书, 陈懿, 等. 社区慢性肾病患者自我管理现状及影响因素分析. 四川医学, 2018, 39(4): 389-392.
16. 齐良书, 王诚炜. 健康状况与社会经济地位: 基于多种指标的研究. 中国卫生经济, 2010, 29(8): 47-50.
17. 王江蓉, 张拓红. 中国成年居民社会资本相关因素与健康自评的关系. 北京大学学报(医学版), 2012, 44(3): 392-396.

West China Medical Journal

Current situation and influencing factors of health literacy among follow-up patients with chronic kidney disease

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