School of Nursing and Midwifery, Health Groups, Griffith University, Brisbane, Queensland, Australia.
School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
J Ren Care. 2021 Dec;47(4):221-233. doi: 10.1111/jorc.12364. Epub 2021 Feb 2.
Chronic kidney disease is a serious health condition and is increasing globally. Effective self-management could slow disease progression and improve health outcomes, although the contribution of health literacy and knowledge for self-management is not well known.
To investigate the recent evidence of health literacy and the relationship between health literacy, knowledge and self-management of chronic kidney disease.
Arksey and O'Malley's framework informed this scoping review. Eligible studies involving adults with any grade of chronic kidney disease, measuring all dimensions of health literacy (i.e., functional, communicative, and critical), disease-specific knowledge and self-management, published in English between January 2005 and March 2020, were included.
The scoping review found 12 eligible studies, with 11 assessing all dimensions of health literacy. No study examined health literacy, knowledge and self-management. When individuals had greater health literacy, this was associated with greater knowledge about the disease. Communicative health literacy was a significant predictor of medication, diet and fluid adherence, and overall self-management behaviours.
This scoping review shows that disease-specific knowledge is important for health literacy and that health literacy is essential for effective self-management of chronic kidney disease. The implications of these relationships can inform strategies for the development of evidence-based patient education to support increased self-management. There is also a need for further research to explore these associations.
慢性肾脏病是一种严重的健康状况，在全球范围内呈上升趋势。有效的自我管理可以减缓疾病进展，改善健康结局，但健康素养和知识对自我管理的贡献尚不清楚。
调查健康素养的最新证据，以及健康素养、知识与慢性肾脏病自我管理之间的关系。
阿特金森和奥马利的框架为本次范围综述提供了信息。纳入的研究符合以下标准：涉及任何程度慢性肾脏病的成年人，测量健康素养的所有维度（即功能性、交际性和批判性）、疾病特异性知识和自我管理，发表于 2005 年 1 月至 2020 年 3 月期间的英文文献。
本范围综述共纳入 12 项符合条件的研究，其中 11 项评估了健康素养的所有维度。没有研究同时评估健康素养、知识和自我管理。当个体具有更高的健康素养时，他们对疾病的了解也会更多。交际健康素养是药物、饮食和液体依从性以及整体自我管理行为的重要预测因素。
本范围综述表明，疾病特异性知识对于健康素养很重要，而健康素养对于慢性肾脏病的有效自我管理至关重要。这些关系的意义可以为制定基于证据的患者教育策略提供信息，以支持增加自我管理。还需要进一步研究来探讨这些关联。
