Main Article Content
This descriptive study aimed to examine the relationship between knowledge,health literacy, and health behavior in older persons with chronic kidney disease.Nutbeam’s concept of health literacy was used to guide the study. The sample recruited by purposive sampling technique consisted of 98 older persons with chronic kidney disease from stage 4 to 5, who did not undergo the renal replacement therapy and used
healthcare services at a chronic kidney disease clinic at a tertiary hospital in Bangkok.The data were collected by the interviews using the questionnaires on demographic data,knowledge about the care of chronic kidney disease, health literacy, and health behavior of older persons with chronic kidney disease. The data were collected from March to May 2019 and analyzed using the descriptive statistics and Spearman’s Rho correlation coefficients. The results showed that the mean scores of the total knowledge, health literacy, and health behavior about chronic kidney disease care were at a high level. The analysis showed a significant positive relationship between health literacy and health behavior, but the knowledge was not statistically correlated with health literacy or health behavior. Thus, health care providers should enhance the health literacy of older persons with chronic kidney disease to select information critically so that they can perform appropriate health behaviors.
Keywords: Knowledge, Health literacy, Health behavior, Chronic kidney disease, Older persons
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
Tungsanga K, Gojaseni P. Epidermiology of chronic kidney disease and scope of the problems in Thailand: burden of disease and economic impact. In: Kantachuvessiri S, et al., editors. Handbook of chronic kidney disease. Bangkok:Text and Journal Publication; 2016. p. 4-21. (in Thai)
Tanakidjaru P. Current situation of chronic kidney disease in Thailand. Journal of Department of Medical Services.2015;40(5):5-18. (in Thai)
The Nephrology Society of Thailand. Clinical practice recommendation for the evaluation and management of
chronic kidney disease in adults 2015. Bangkok:Boehringer Ingelheim; 2015.
Chuwichien P. Renal failure and indication for dialysis.In: Dhanakijcharoen P. & Wanichakarn S, editors.
Handbook of hemodialysis and nursing. Bangkok:Bangkok Wetchasan; 2008. p.1-14. (in Thai)
Jitchan P. Predictors of functional performance in patients with chronic kidney disease. TJNC. 2011;26(2):86-99.
Lee SJ, Jeon J. Relationship between symptom clusters and quality of life in patients at stage 2 to 4 chronic kidney disease in Korea. ANR. 2015;28(4):13-9.
Bargman, J. M., & Skorecki, K. (2014). Evaluation of rhubarb supplementation in Stages 3 and 4 of chronic
kidney disease: a randomized clinical trial. Harrison’s principles of internal medicine, 2014, doi: 10.1155/
Muangpaisarn V. Challenges and solutions for healthy aging. Nonthaburi: Parbpim; 2018. (in Thai)
World Health Organization. Health promotion. WHO;2019 [cited 2019 September 20]. Available from: World
Health Organization Web site: https://www.who.int/healthpromotion/webinar-series-7-health-literacy/en/
Nutbeam D. The evolving concept of health literacy. SocSci Med. 2008;67(12):2072-78.
Ginggeaw S, Prasertsri N. The relationship between health literacy and health behaviors among older adults who have multi-morbidity. Nursing Journal of Ministry of Public Health. 2015;25(3):43-54. (in Thai)
Khositrangsikun K, Kaitwatcharachai C, Onsuwan D,Bunnag S. Chronic kidney disease clinic: current situation
and perspective health policy in Thailand (The service plan). In: Kantachuvesiri S. et al, editors. Textbook of
chronic kidney disease. Bangkok: Text and journal publication; 2016. p.580-98. (in Thai)
Wright JA, Wallston KA, Elasy TA, Ikizler TA,Cavanaugh KL. Development and results of a kidney
disease knowledge survey given to patients with CKD. Am J Kidney Dis. 2011;57(3):387-95.
Deepika J, Jamie GA. Health literacy in kidney disease:review of the literature and implications for clinical
practice. World J Nephrol. 2016;5(2):147-51.
Dageforde LA, Cavanaugh K. Health literacy: emerging evidence and applications in kidney disease care. Adv
Chronic Kidney Dis. 2013;20(4):311-9.
Devraj R, Borrego M, Vilay M, Gordon E, Pailden J,Horowitz B. Relationship between health literacy and
kidney function. Nephrology. 2015;20(5):360-7.
Liechty J. Health literacy: critical opportunities for social work leadership in healthcare and research. Health Soc Work. 2011;36(2):99-107.
Koh H, Rudd R. The arc of health literacy. JAMA.2015;314(12):1225-26.
Unaphak P. The correlation factors of self-care behaviors to prevent complications among patients with chronic kidney disease at Somdetphraphutthalertla Hospital in Samutsongkhram Province. Public Health Journal of Burapha University. 2015;10(2):44-52. (in Thai)
Mahalee S. Effectiveness of health education program in self-care of chronic kidney disease among chronic kidney disease patients at Tambon Health Promoting Hospital,Namyuen District, Ubon Ratchathani Province. Journal of Graduate School, Pitchayatat. 2016;11(1):99-106. (inThai)
Kareesun K, Malathum P, Sutti N. The relationship among health literacy, knowledge about hypertension control, and health behavior in older persons with hypertension.Ramathibodi Nursing Journal. 2019;25(3):280-95. (in Thai)
Boonkaew N. Relationships between emotional distress,health literacy, and glycemic control behaviors of the
elderly with type 2 diabetes. Nursing Journal of Ministry of Public Health. 2015;24(3):119-34. (in Thai)
Phuengphasook S, Wanikun N, Towsakulkae T,Utriyaprasit K. Wani Health literacy, health education
outcomes and social influence, and their relationships with type-2 diabetes and/or hypertension patients’ clinical
outcomes. Thai Journal of Nursing Council. 2017;32 (2):111-25. (in Thai)
Borson S, Scanlan J, Chen P, Ganguli M. The Mini-Cog as a Screen for Dementia: validation in a population-based sample. JAGS. 2003;51(10):1451-54.
Jitipunkul S, Kamolratanakul P, Ebrahim S. The meaning of activities of daily living in a Thai elderly population:
development of a new index. Age Ageing. 1994;23(2):97-101.
Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social,behavioral, and biomedical science. Behav ResMethods.2007;39(2):175-91.
Chantha W. Health literacy of self-care behaviors for blood glucose control in patients with type 2 diabetes, Chainat Province. Journal of Baromarajonani College of Nursing,Nakhon Ratchasima. 2018;24(2):34-51. (in Thai)
Trongsakul S, Wongpakaran N, Clark AB, Lambert R.The prevalence of undiagnosed cognitive impairment and prevalence of undiagnosed depressive mood in over 60’s with type 2 diabetes in a Thai community: a cross-sectional study [dissertation]. United Kingdom, University of East Anglia; 2013.
Singhprasert R. Effect of behavior modification program led by advanced practice nurse on clinical outcomes in patients with pre-dialysis chronic kidney disease. Thai Journal of Nursing & Midwifery Practice. 2018;5(1):57-
Ishikawa H, Takeuchi T, Yano E. Patient health literacy and participation in the health-care process. Health Expect.2008;11(2):113-22.
Chontichachalalauk J. Translation and evaluation of the Thai version of the diabetes numeracy test for older adults with type 2 diabetes [dissertation]. USA, The University of Texas at Austin; 2015.
Khumthong T. Factor influencing health literacy for people at risk of diabetes mellitus and hypertension of UthaiThani and Ang Thong. Veridian E-Journal Science & Technology Silpakorn University. 2016;3(6):67-85. (in Thai)
Thummaphol P. Health literacy and clinical outcomes in people with hypertension, dyslipidemia and type 2 diabetes mellitus. Journal of Nursing and Health Care.2015;34(3):176-82. (in Thai)
Heide VDI, Wang J, Droomers M, Spreeuwenberg P,Rademakers J, Uiters E. The relationship between health,
education, and health literacy: results from the Dutch adult literacy and life skills survey. J Health Commun.
Devraj R, Borrego M, Vilay M, Pailden J, Horowitz B.Awareness, self-management behaviors, health literacy
and kidney function relationships in specialty practice.World J Nephrol. 2018;7(1):41-50.
Saunders MR, Snyder A, Chin MH, Meltzer DO, Arora VM, Press VG. Health literacy not associated with chronic
kidney disease awareness. Health Lit Res Pract.2017;1(3):117-27.
Wong KK, Velasquez A, Powe NR, Tuot DS. Association between health literacy and self-care behaviors among
patients with chronic kidney disease. BMC Nephrology.2018;19(1):1-8.
Singhasem P. Correlation between health literacy and health behavior in older people: a survey research in a
community, Trang Province. Boromarajonani College of Nursing Uttaradit Journal. 2019;11(1):37-51. (in Thai)
Baosantia J. Self-care behavior of hypertensive patients a case study: Tambon Kok Sak, Amphoe Bangkaew,
Phattalung [thesis]. Yala: Sirindhorn College of Public Health; 2004. (in Thai)
Juntachat A. The development of the self-management program for diabetes mellitus patients with third stage chronic kidney disease. Journal of Preventive Medicine Association of Thailand. 2017;7(3):280-91. (in Thai)