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

1.	上海慢性腎臟病早發現及規范化診治與示范項目專家組. 慢性腎臟病篩查診斷及防治指南. 中國實用內科雜志, 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.	李英華, 毛群英, 石琦, 等. 2012年中國居民健康素養監測結果. 中國健康教育, 2015, 31(2): 99-103.
5.	劉兆煒, 李志新, 張繼昌, 等. 2012年四川省15~69歲居民健康素養水平調查分析. 中國健康教育, 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.	孫浩林. 慢性病病人健康素養量表的研究及其初步應用. 上海: 復旦大學, 2012.
9.	孫浩林, 彭慧, 傅華. 慢性病患者健康素養量表信效度的研究. 復旦學報(醫學版), 2012, 39(3): 268-272.
10.	衛生部新聞發布廳. 衛生部《首次中國居民健康素養調查》發布會. 中國網. (2009-12-18)[2019-04-28]. http://www.china.com.cn/zhibo/2009-12/18/content_19084036.htm?show=t.
11.	孫靜, 魚毛毛, 王麗娟, 等. 慢性腎臟病病人自我管理與健康素養的相關性分析. 護理研究, 2013, 27(12): 1091-1093.
12.	張穎君, 熊曉紅, 袁懷紅, 等. 維持性血液透析患者健康素養和社會支持的現狀分析. 重慶醫學, 2018, 47(29): 3792-3795.
13.	于平平, 肖湘成, 王琳云, 等. 社區2型糖尿病患者的自我管理行為與其血糖控制的相關性研究. 中南大學學報(醫學版), 2013, 38(4): 425-431.
14.	張建林, 唐湘. 出院后延續性護理干預對腎移植患者心理素質及免疫抑制劑治療依從性的影響. 中國實用護理雜志, 2013, 29(27): 27-29.
15.	黃肖容, 刁永書, 陳懿, 等. 社區慢性腎病患者自我管理現狀及影響因素分析. 四川醫學, 2018, 39(4): 389-392.
16.	齊良書, 王誠煒. 健康狀況與社會經濟地位: 基于多種指標的研究. 中國衛生經濟, 2010, 29(8): 47-50.
17.	王江蓉, 張拓紅. 中國成年居民社會資本相關因素與健康自評的關系. 北京大學學報(醫學版), 2012, 44(3): 392-396.

1. 上海慢性腎臟病早發現及規范化診治與示范項目專家組. 慢性腎臟病篩查診斷及防治指南. 中國實用內科雜志, 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. 李英華, 毛群英, 石琦, 等. 2012年中國居民健康素養監測結果. 中國健康教育, 2015, 31(2): 99-103.
5. 劉兆煒, 李志新, 張繼昌, 等. 2012年四川省15~69歲居民健康素養水平調查分析. 中國健康教育, 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. 孫浩林. 慢性病病人健康素養量表的研究及其初步應用. 上海: 復旦大學, 2012.
9. 孫浩林, 彭慧, 傅華. 慢性病患者健康素養量表信效度的研究. 復旦學報(醫學版), 2012, 39(3): 268-272.
10. 衛生部新聞發布廳. 衛生部《首次中國居民健康素養調查》發布會. 中國網. (2009-12-18)[2019-04-28]. http://www.china.com.cn/zhibo/2009-12/18/content_19084036.htm?show=t.
11. 孫靜, 魚毛毛, 王麗娟, 等. 慢性腎臟病病人自我管理與健康素養的相關性分析. 護理研究, 2013, 27(12): 1091-1093.
12. 張穎君, 熊曉紅, 袁懷紅, 等. 維持性血液透析患者健康素養和社會支持的現狀分析. 重慶醫學, 2018, 47(29): 3792-3795.
13. 于平平, 肖湘成, 王琳云, 等. 社區2型糖尿病患者的自我管理行為與其血糖控制的相關性研究. 中南大學學報(醫學版), 2013, 38(4): 425-431.
14. 張建林, 唐湘. 出院后延續性護理干預對腎移植患者心理素質及免疫抑制劑治療依從性的影響. 中國實用護理雜志, 2013, 29(27): 27-29.
15. 黃肖容, 刁永書, 陳懿, 等. 社區慢性腎病患者自我管理現狀及影響因素分析. 四川醫學, 2018, 39(4): 389-392.
16. 齊良書, 王誠煒. 健康狀況與社會經濟地位: 基于多種指標的研究. 中國衛生經濟, 2010, 29(8): 47-50.
17. 王江蓉, 張拓紅. 中國成年居民社會資本相關因素與健康自評的關系. 北京大學學報(醫學版), 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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