Department of Nursing, Shenzhen Second People's Hospital (The First Affiliated Hospital of Shenzhen University), Shenzhen, China.
Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, National-Regional Key Technology Engineering Laboratory for Medical Ultrasound, School of Biomedical Engineering, Shenzhen University Medical school, Shenzhen, China.
J Adv Nurs. 2024 Jun;80(6):2325-2339. doi: 10.1111/jan.15973. Epub 2023 Nov 27.
To identify health literacy profiles in individuals receiving haemodialysis and to explore how these profiles interact with individuals' self-efficacy, engagement with traditional dietary habits, self-reported fluid restriction and relative-interdialytic weight gain.
A cross-sectional study engaging nephrology departments from four hospitals in Guangdong Province, China.
A sample of 433 individuals receiving haemodialysis participated between December 2018 and July 2019. We assessed health literacy, self-efficacy and self-reported fluid restriction using the Health Literacy Questionnaire, the Fluid Self-efficacy Scale and the Fluid Adherence Subscale, respectively. Traditional dietary habits, including daily tea drinking, soup drinking and preserved food consumption, were measured using three yes/no questions. Relative-interdialytic weight gain was calculated by dividing the mean interdialytic weight gain (from three recent intervals) by dry weight. Latent profile analysis and structural equation modelling were performed.
Three health literacy profiles were identified: low, moderate and high. Compared to those in the low health literacy profile, individuals in high and moderate health literacy profiles demonstrated an indirect association with reduced relative-interdialytic weight gain. This reduction can be attributed to their higher self-efficacy levels, decreased reliance on dietary habits and higher self-reported fluid restrictions.
Most participants exhibited either low or moderate levels of health literacy. Improving health literacy has the potential to promote self-efficacy and foster effective fluid restriction, ultimately leading to a reduction in relative-interdialytic weight gain in individuals receiving haemodialysis.
This study reveals heterogeneity in health literacy levels among individuals receiving haemodialysis and illuminates the connections between an individual's entire spectrum of health literacy and fluid management. These findings provide valuable insights for developing person-centred fluid management interventions, especially for individuals with diverse cultural dietary backgrounds within the haemodialysis population.
We adhered to the STROBE guideline.
Patients were included only for collecting their data.
确定接受血液透析患者的健康素养特征，并探讨这些特征如何与个体的自我效能感、对传统饮食习惯的参与程度、自我报告的液体限制以及相对透析间体重增加相互作用。
一项横断面研究，涉及中国广东省四家医院的肾病科。
2018 年 12 月至 2019 年 7 月期间，共有 433 名接受血液透析的个体参与了研究。我们使用健康素养问卷、液体自我效能量表和液体依从性分量表分别评估健康素养、自我效能和自我报告的液体限制。传统饮食习惯，包括每天喝茶、喝汤和食用腌制食品，通过三个是/否问题进行测量。相对透析间体重增加通过将最近三个间隔的平均透析间体重增加除以干体重来计算。采用潜在剖面分析和结构方程模型进行分析。
确定了三种健康素养特征：低、中、高。与低健康素养特征的个体相比，高和中健康素养特征的个体与相对透析间体重增加减少存在间接关联。这种减少归因于他们更高的自我效能感水平、对饮食习惯的依赖减少和更高的自我报告的液体限制。
大多数参与者表现出低或中等水平的健康素养。提高健康素养有可能促进自我效能感，并促进有效的液体限制，最终减少接受血液透析患者的相对透析间体重增加。
本研究揭示了接受血液透析患者健康素养水平的异质性，并阐明了个体整个健康素养范围与液体管理之间的联系。这些发现为制定以患者为中心的液体管理干预措施提供了有价值的见解，特别是对于血液透析人群中具有不同文化饮食背景的个体。
我们遵循 STROBE 指南。
仅纳入患者以收集他们的数据。
