Candemir Burcu, Yıldırım Funda, Yaşar Emre, Erten Yasemin, Göker Berna
Department of Geriatrics, Gazi University Faculty of Medicine, Ankara, Turkey.
Department of Nephrology, Gazi University Faculty of Medicine, Ankara, Turkey.
Exp Aging Res. 2023 May-Jun;49(3):201-213. doi: 10.1080/0361073X.2022.2068326. Epub 2022 Apr 25.
Chronic kidney disease (CKD) is associated with an increased risk of frailty, morbidity, and mortality in older adults. Limited health literacy (HL) is a condition that can cause frailty in CKD. Frailty leads to a decreased resistance to stress situations caused by activities of daily living and increased morbidity and mortality. The aim of this study was to investigate the relationship between HL and frailty in older adults with stage 4-5 CKD.
A total of 109 patients with stage 4-5CKD were included. All patients underwent a comprehensive geriatric assessment. Health literacy was assessed by the Turkish version of the European Health Literacy Questionnaire. Frailty status was measured using the Fried Frailty Index.
The median age was 72 (68-80) years and 72 patients (66.1%) had lowHL. Forty-six patients (42.2%) were frail, and frailty was more common in the low HL group.
The present study demonstrated that low HL level was common in geriatric patients with stage 4-5 CKD and was associated with frailty, as well as a decrease in daily and instrumental life activities, decrease in acceptance of illness scale, and compliance with medical treatment.
慢性肾脏病（CKD）与老年人虚弱、发病和死亡风险增加相关。健康素养（HL）有限是导致CKD患者虚弱的一个因素。虚弱会导致对日常生活活动引起的应激情况的抵抗力下降，以及发病率和死亡率增加。本研究的目的是调查4-5期CKD老年患者中HL与虚弱之间的关系。
共纳入109例4-5期CKD患者。所有患者均接受了全面的老年综合评估。使用欧洲健康素养问卷土耳其语版评估健康素养。使用弗里德虚弱指数测量虚弱状态。
中位年龄为72（68-80）岁，72例患者（66.1%）健康素养较低。46例患者（42.2%）虚弱，虚弱在低健康素养组中更为常见。
本研究表明，4-5期CKD老年患者中低健康素养水平常见，且与虚弱相关，同时还与日常和工具性生活活动减少、疾病接受量表得分降低以及药物治疗依从性降低有关。
