Sriprachot Nittaya, Seangpraw Katekaew, Ong-Artborirak Parichat
School of Public Health, University of Phayao, Phayao, 56000, Thailand.
Department of Research and Medical Innovation, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand.
Vasc Health Risk Manag. 2024 Mar 4;20:97-107. doi: 10.2147/VHRM.S450775. eCollection 2024.
Hypertension (HT) can cause renal complications or deterioration of kidney function. HT management is very important because it reduces the severity of illnesses. This study aimed to investigate the relationship between health literacy (HL), self-care behaviors (SCB), and biochemical parameters in hypertensive patients with renal complications.
A cross-sectional study of 405 hypertensive patients with renal complications among Tai Lue people living in Thailand was conducted using simple random sampling. Face-to-face interviews with questionnaires were used to collect information. Blood pressure (BP) and biochemical parameters, such as fasting blood sugar (FBS) and estimated glomerular filtration rate (eGFR), were measured.
The participants' mean age was 68.3 years. A significant correlation was found between HL score, SCB score, systolic BP (SBP), diastolic BP (DBP), FBS, and eGFR (p<0.01). Multiple linear regression revealed that eating salty foods was a risk factor for SBP in males and for SBP and DBP in females. Body mass index (BMI) (B = 0.54), sweet food consumption (B = 13.90), and SCB score (B = -0.29) were significantly associated with FBS level (R = 17.8%, p<0.05). Employment (B = 2.55), eating bland food (B = 4.07), receiving information from family (B = 3.53), SCB (B= 0.31), and age (B = -0.51) were all significant factors for eGFR (R = 35.0%, p<0.05).
HL and SCB levels were associated with the health of hypertensive patients with renal complications in the Tai Lue ethnic community. The significance of organizing health education programs is to emphasize increasing HL to lead to self-care decisions and reduce complications in patients, resulting in improved SCB and quality of life in the future.
高血压可导致肾脏并发症或肾功能恶化。高血压管理非常重要，因为它可降低疾病的严重程度。本研究旨在调查患有肾脏并发症的高血压患者的健康素养（HL）、自我护理行为（SCB）与生化参数之间的关系。
采用简单随机抽样法，对居住在泰国的傣泐族405例患有肾脏并发症的高血压患者进行了横断面研究。通过面对面问卷调查收集信息。测量血压（BP）和生化参数，如空腹血糖（FBS）和估算肾小球滤过率（eGFR）。
参与者的平均年龄为68.3岁。发现HL评分、SCB评分、收缩压（SBP）、舒张压（DBP）、FBS和eGFR之间存在显著相关性（p<0.01）。多元线性回归显示，食用咸味食物是男性SBP以及女性SBP和DBP的危险因素。体重指数（BMI）（B = 0.54）、甜食消费（B = 13.90）和SCB评分（B = -0.29）与FBS水平显著相关（R = 17.8%，p<0.05）。就业（B = 2.55）、食用清淡食物（B = 4.07）、从家人处获取信息（B = 3.53）、SCB（B = 0.31）和年龄（B = -0.51）均为eGFR的显著影响因素（R = 35.0%，p<0.05）。
在傣泐族社区中，HL和SCB水平与患有肾脏并发症的高血压患者的健康状况相关。组织健康教育项目的意义在于强调提高HL，以促使患者做出自我护理决策并减少并发症，从而在未来改善SCB和生活质量。
