Exploring the Determinations of Health Literacy and Self-Management in Patients with Chronic Kidney Disease

2.50
Hdl Handle:
http://hdl.handle.net/10755/601722
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Exploring the Determinations of Health Literacy and Self-Management in Patients with Chronic Kidney Disease
Other Titles:
Preventing Disease Progression through Research [Session]
Author(s):
Ho, Ya-Fang; Chen, Yu-Chi; Chi, Chen-Tzu; Chen, Shu-Chuan
Lead Author STTI Affiliation:
Non-member
Author Details:
Ya-Fang Ho, RN, avonho97@gmail.com; Yu-Chi Chen, RN; Chen-Tzu Chi, RN; Shu-Chuan Chen, RN
Abstract:
Session presented on Sunday, July 26, 2015: Purpose: The aim of study was to investigate the relation between health literacy and self-management, and the determinations of self-management of chronic kidney disease (CKD) patients. Methods: The study applied cross-sectional design. 410 subjects were recruited from nephrology clinic of four different level hospitals in Taiwan. The data were collected by using the structured questionnaires and chart reviews included subjective information and biomedical indicators, respectively. Results: Results demonstrated that: (1) demographic characteristics, such as gender, age, education, employment status, living type and marital status were significantly with health literacy and its dimensions; (2) receiving chronic kidney disease case management service period is significantly difference in the scores of health literacy and self-management; (3) the degree of social support was significantly and positively association with health literacy and self-management scores; (4) health literacy and self-management are tightly correlated; (5)social support, health literacy, and' marital status, are the significant determinants of self-management. Other than that, health literacy plays a mediator role between the marital status and degree of social support with self-management. Conclusion: People who are elderly, who do not live with their families, and have inadequate social support were the low health-literacy population and the high risk population; therefore, they must be prioritized when administering disease care interventions. For the patients with CKD in the long-term, engaging in self-management behaviors is crucial to enhance the disease management. Patients with limited health literacy level tend to have difficulties in learning skills of CKD management. Thus, developing and designing an adaptive health literacy education program will improve CKD patients' self-management skills. When construct the patient-centered adaptive health literacy education program, to investigate the elements that can facilitate the CKD patients' learning to master the self-management skills is the first priority. '
Keywords:
health literacy; self-management
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15H11
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleExploring the Determinations of Health Literacy and Self-Management in Patients with Chronic Kidney Diseaseen
dc.title.alternativePreventing Disease Progression through Research [Session]en
dc.contributor.authorHo, Ya-Fangen
dc.contributor.authorChen, Yu-Chien
dc.contributor.authorChi, Chen-Tzuen
dc.contributor.authorChen, Shu-Chuanen
dc.contributor.departmentNon-memberen
dc.author.detailsYa-Fang Ho, RN, avonho97@gmail.com; Yu-Chi Chen, RN; Chen-Tzu Chi, RN; Shu-Chuan Chen, RNen
dc.identifier.urihttp://hdl.handle.net/10755/601722-
dc.description.abstractSession presented on Sunday, July 26, 2015: Purpose: The aim of study was to investigate the relation between health literacy and self-management, and the determinations of self-management of chronic kidney disease (CKD) patients. Methods: The study applied cross-sectional design. 410 subjects were recruited from nephrology clinic of four different level hospitals in Taiwan. The data were collected by using the structured questionnaires and chart reviews included subjective information and biomedical indicators, respectively. Results: Results demonstrated that: (1) demographic characteristics, such as gender, age, education, employment status, living type and marital status were significantly with health literacy and its dimensions; (2) receiving chronic kidney disease case management service period is significantly difference in the scores of health literacy and self-management; (3) the degree of social support was significantly and positively association with health literacy and self-management scores; (4) health literacy and self-management are tightly correlated; (5)social support, health literacy, and' marital status, are the significant determinants of self-management. Other than that, health literacy plays a mediator role between the marital status and degree of social support with self-management. Conclusion: People who are elderly, who do not live with their families, and have inadequate social support were the low health-literacy population and the high risk population; therefore, they must be prioritized when administering disease care interventions. For the patients with CKD in the long-term, engaging in self-management behaviors is crucial to enhance the disease management. Patients with limited health literacy level tend to have difficulties in learning skills of CKD management. Thus, developing and designing an adaptive health literacy education program will improve CKD patients' self-management skills. When construct the patient-centered adaptive health literacy education program, to investigate the elements that can facilitate the CKD patients' learning to master the self-management skills is the first priority. 'en
dc.subjecthealth literacyen
dc.subjectself-managementen
dc.date.available2016-03-17T12:53:47Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:53:47Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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