Department of Community and Occupational Medicine, University Medical Center Groningen, Groningen, Netherlands.
Department of Health Psychology and Research Methodology, Faculty of Medicine, Pavol Jozef Safarik University, Kosice, Slovakia.
Int J Public Health. 2021 Apr 14;66:585801. doi: 10.3389/ijph.2021.585801. eCollection 2021.
Chronic kidney disease (CKD) strongly affects patients' health-related quality of life (HRQoL), mostly in the advanced stages of CKD. Health literacy (HL) may affect this association, in particular for some aspects of HRQoL. The aim of this study is to compare the profiles of HRQoL in dialyzed patients with varying HL. We obtained data on HL using the Health Literacy Questionnaire (HLQ) and on HRQoL using the Kidney Disease Quality of Life - Short Form (KDQoL-SF 1.3) in a multicentre cross-sectional study in 20 dialysis clinics in Slovakia ( = 542; mean age = 63.6 years; males: 60.7%). We compared HRQoL for three HL groups using ANOVA and the Kruskal-Wallis test. Patients with low HL reported worse HRQoL than patients with moderate and high HL. The greatest differences between HL groups were found in the scales Effect of kidney disease, Cognitive function, Quality of social interaction, Social support, Dialysis staff encouragement, Patient satisfaction, Physical functioning, Pain, Emotional well-being and Social function. -values in all cases were <0.001. Patients with low HL have a worse HRQoL in several domains than patients with a higher HL. Increasing HL capacities and better supporting patients with low HL should thus be given priority to support their HRQoL and at least maintain its level.
慢性肾脏病（CKD）严重影响患者的健康相关生活质量（HRQoL），尤其是在 CKD 的晚期。健康素养（HL）可能会影响这种关联，特别是对于 HRQoL 的某些方面。本研究旨在比较不同 HL 水平的透析患者的 HRQoL 特征。
我们使用健康素养问卷（HLQ）获得了 HL 数据，并在斯洛伐克的 20 家透析诊所进行了一项多中心横断面研究中使用肾脏病生活质量-简短表（KDQoL-SF 1.3）获得了 HRQoL 数据（= 542；平均年龄= 63.6 岁；男性：60.7%）。我们使用方差分析和 Kruskal-Wallis 检验比较了三个 HL 组的 HRQoL。HL 水平低的患者报告的 HRQoL 比 HL 水平中、高的患者差。HL 组之间最大的差异出现在肾脏病影响、认知功能、社会互动质量、社会支持、透析人员鼓励、患者满意度、身体机能、疼痛、情绪健康和社会功能等方面。在所有情况下，-值均<0.001。HL 水平低的患者在多个领域的 HRQoL 都比 HL 水平高的患者差。因此，应优先提高 HL 能力并更好地支持 HL 水平低的患者，以支持他们的 HRQoL，并至少维持其水平。
