The Relationship Between Fluid Control and Health Literacy in Patients Receiving Hemodialysis Treatment

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY Hemodialysis International Pub Date : 2025-03-25 DOI:10.1111/hdi.13240

Havva Doğankaya, Ezgi Mutluay Yayla

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Abstract

Background

Failure to adhere to fluid restrictions negatively affects the quality of life and increases the risk of complications among hemodialysis patients. In chronic diseases, including chronic kidney disease, health literacy plays a crucial role in mitigating disease complications. The level of health literacy in chronic diseases such as chronic kidney disease can play a significant role in reducing the complications of the disease. This study aimed to assess the relationship between fluid control and health literacy in hemodialysis patients, representing the first such research in Turkey.

Methods

This descriptive, cross-sectional, and correlational study was conducted in all dialysis centers in Bolu province, Turkey, from September 2022 to August 2023. The study included 144 hemodialysis outpatients meeting the inclusion criteria. Patient fluid control and health literacy were assessed using the “Fluid Restriction Scale in Patients Receiving Hemodialysis Treatment” and the “Turkey Health Literacy Scale-32”. Statistical analysis was performed using SPSS version 25.0.

Results

The mean total score on the Health Literacy Scale was 22.6 ± 10.2, indicating a relatively low level of health literacy among the hemodialysis patients. 54.2% of patients receiving hemodialysis treatment exhibited inadequate health literacy. The mean score on the Fluid Restriction Scale was 50.4 ± 8.63, suggesting moderate fluid control adherence among the study population. 56.3% of hemodialysis patients had moderate levels of fluid control. A statistically significant moderate positive correlation was found between fluid control and health literacy levels (r = 0.456, p < 0.001). Health literacy scores accounted for 20.2% of the variance in fluid restriction scores (R ² = 0.20), indicating a moderate contribution of health literacy to fluid control adherence.

Conclusion

This study revealed a positive correlation between health literacy and fluid control adherence. Therefore, it is recommended that hemodialysis nurses concurrently assess patients' health literacy and fluid control and develop tailored educational programs based on these assessments.

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血液透析患者体液控制与健康素养的关系

背景：未能坚持液体限制会对血液透析患者的生活质量产生负面影响，并增加并发症的风险。对于慢性疾病，包括慢性肾病，卫生知识在减轻疾病并发症方面发挥着至关重要的作用。慢性肾病等慢性疾病的卫生知识水平可以在减少疾病并发症方面发挥重要作用。本研究旨在评估血液透析患者体液控制与健康素养之间的关系，这是土耳其首次开展此类研究。方法：这项描述性、横断面和相关性研究于2022年9月至2023年8月在土耳其Bolu省的所有透析中心进行。本研究纳入144例符合纳入标准的血液透析门诊患者。采用“接受血液透析治疗的患者液体限制量表”和“土耳其健康素养量表-32”对患者的液体控制和健康素养进行评估。采用SPSS 25.0版本进行统计分析。结果：血透患者健康素养量表平均总分为22.6±10.2分，血透患者健康素养水平较低。接受血液透析治疗的患者中有54.2%表现出健康素养不足。液体限制量表的平均得分为50.4±8.63，表明研究人群的液体控制依从性中等。56.3%的血液透析患者有中等水平的体液控制。液体控制与健康素养水平之间存在统计学上显著的中度正相关（r = 0.456, p 2 = 0.20），表明健康素养对液体控制依从性有中度贡献。结论：本研究显示健康素养与液体控制依从性呈正相关。因此，建议血液透析护士同时评估患者的健康素养和流体控制，并根据这些评估制定量身定制的教育计划。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.