ความรอบรู้ด้านสุขภาพและการจัดการตนเองในผู้สูงอายุที่ได้รับการฟอกเลือดด้วยเครื่องไตเทียม

Pimploy  Mahanupab; Rojanee Chintanawat; Phanida Juntasopeepun

Authors

Pimploy Mahanupab Faculty of Nursing Chiangmai University
Rojanee Chintanawat Faculty of Nursing Chiangmai University
Phanida Juntasopeepun Faculty of Nursing Chiangmai University

Keywords:

health literacy, self-management, older persons, haemodialys

Abstract

Objective: To examine the levels of health literacy and self-management, and the relationship between these two factors, in older persons receiving haemodialysis
Design: Descriptive correlational study
Methodology: For this study, a total of 84 participants were recruited using the sampling-without-replacement technique; they were older persons who had terminal chronic renal disease and were receiving haemodialysis in the haemodialysis departments of four hospitals in Chiang Mai. Data were collected during June to August 2021 using a set of questionnaires consisting of the Demographic Form, Health Literacy Scale, and Self-Management Behavior Scale for older persons receiving haemodialysis. The data were analysed using descriptive statistics and Pearson’s product-moment correlation.
Results: The fndings revealed that the participants demonstrated high levels of health literacy and self-management. Also, their health literacy level had a moderate positive correlation with their self-management level, at a statistically signifcant degree (r = .55, p < .01).
Recommendations: The fndings of this study could serve as fundamentals of nursing department and other healthcare professionals to promote health literacy and self-management amongst older persons who have terminal chronic renal disease and undergo haemodialysis.

References

Levey As, Inker LA, Coresh J. Chronic kidney disease in older people. JAMA. 2015;314(6):557-8.

The Nephrology Society of Thailand. Thailand renal replacement therapy: Year 2016-2019 [Internet].1st ed. Bangkok: Duantula printing; 2019 [cited 2021Jan 21]. Available from:https://www.nephrothai.org/wp-content/uploads/2021/01/1.TRT-Annualreport-2016-2019.pdf

The Nephrology Society of Thailand. Hemodialysis clinical practice recommendation 2014 [Internet].1st ed. Bangkok: Duantula printing; 2015 [cited 2021Jan 21]. Available from: http://www.tnnsnurse.org/download/tnns-1/270--2557-15/fle.html

Stefansson BV, Brunelli SM, Cabrera C, Rosenbaum D, Anum E, Ramakrishnan K, et al. Intradialytic hypotension and risk of cardiovascular disease. ClinJ Am Soc Nephrol. 2014;9(12):2124-32.doi:10.2215/CJN.02680314

Genovesi S, Boriani G, Covic A, Vernooij RWM, Combe C, Burlacu A, et al. Sudden cardiac death in dialysis patients: Different causes and management strategies. Nephrol Dial Transplant. 2019;36(6):396-405.doi:10.1093/ndt/gfz182

Lorig KR, Holman HR. Self-management education: history, defnition, outcomes, and mechanism. Ann Behav Med. 2003;26(1):1-7.

Gela D, Mengistu D. Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia. Int J Nephrol Renovasc Dis. 2018; 11:329-336. doi:10.2147/Ijnrd.S184671.

Fan JL, Kong Y, Shi SH, & Cheng YH. Positive correlations between the health locus of control and self-management behaviors in hemodialysis patients in Xiamen. Int. J. Nurs. Sci.2016;3(1):96-101.doi:10.1016/j.ijnss.2016.02.002

Wongsaree C. Factors predicting health self-management in end stage renal disease patient receiving hemodialysis in a private hospital, Thailand. JNSCU. 2018;30(3):66-77. (in Thai)

Arammuang S, Sangkard K, Kimpee S, Sriyuktasuth A. Factors predicting ﬂuid control behavior in chronic kidney disease patients receiving hemodialysis.J Nurs Sci. 2012;30(3):74-81. (in Thai)

Li H, Jiang YF, Lin CC. Factors associated with self-management by people undergoing hemodialysis: A descriptive study. Int J Nurs Stud, 2014;51(2): 208-16. doi:10.1016/ j.ijnurstu.2013.05.012.

Methakanjanasak N, Pothiban L, Lunlertkul D, Wonghongkul T. Self-management of end-stage renal disease patients receiving hemodialysis [Internet].2005[cited 2021 Jan 21]; Available from: https://library.cmu.ac.th/digital_collection/etheses/detail.php?id=14285&word=self-management &word=selfmanagement&check_feld =TITLE&select_study =&condition=2&search= 9&philosophy= ok&master=

Chen YC, Chang LC, Liu CY, Ho YF, Weng SC, Tsai TI. The roles of social support and health literacy in self-management among patients with chronic kidney disease. J Nurs Scholarsh. 2018; 50(3):265-75. doi:10.1111/jnu.12377

Nutbeam D. Health literacy as a public health education and communication strategies into the 21stcentury. Health Promot Int. 2000;15(3):259-67.

Jain D, Green JA. Health literacy in kidney disease: Review of the literature and implications for clinical practice. World J Nephrol. 2016;5(2):147-51.doi:10.5527/wjn.v5.i2.147. PubMed PMID: 26981438.

Ardkhitkarn S, Pothiban L, Lasuka D. Self-management behaviors and predicting factors in elders with end stage renal disease undergoing continuous mmbulatory peritoneal dialysis. Nursing J. 2013;40(Supplement): 22-32. (in Thai)

Boonsatean W, Reantippayasakul O. Health literacy: situation and impacts on health status of the older adults. APHEIT Journal of Nursing and Health. 2020; 2(1):1-9. doi: 10.14456/ajnh.2020.1. (in Thai)

Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain defcit in elderly patients. J Am Geriatr Soc. 1975;23(10):433-41.

Chiangmai province public health offce. The Short Portable Mental Status Questionnaire (SPMSQ) [Internet]. 2018 [cited 2021 Jan 21]. Available from: https://www.chiangmaihealth.go.th/cmpho_web/ main_section.php?info_id=4197

Department of medical services. Barthel activities of daily living: ADL [Internet].2014[cited 2021 Jan]; Available from:https://www.udo.moph.go.th/thepost/upload/ UX4ctZPFMRiXz czWnqcMqylj5O/EgzvAFiPptt9hEgeHvmTU5Xuwo.doc=

Cohen, J. Statistical power analysis for the behavioral science (2th ed.). Hillsdale: NJ: Lawrence Erlbaum Associates;1988 [cited 2021 Jan 21]. Available from:http://www.utstat.toronto .edu /~brunner/oldclass/378f16/readings/CohenPower.pdf.

Noppakraw J, Chintanawat R, Khampolsiri T. Health literacy and self-management in older persons with type 2 diabetes mellitus. Nursing J. 2020;47(2):251-61. (in Thai)

Ishikawa H, Takeuchi T, Yano E. Measuring functional, communicative, and critical health literacy among diabetic patients. Diabetes Care. 2008;31(5):874–9.

Jirojkul P. Nursing research. 2nd ed. Bangkok: Praboromarajchanok Institute; 2005 (in Thai)

Tiller D, Herzog B, Klutting A, Hearting J. Health literacy in an urban elderly East-German population results from the population-base CARLA study. BMC Public Health. 2015;10(15):883-91.doi:10.1186/s12889-015-2210-7

Bruin W, Paker AM, Fischhoff B. Decision-making competence: more than intelligence? Current Directions in Psychological Science. 2020;29(2):186-192. doi:10.1177/0963721420901592

Bohanny W, Wu SF, Liu CY, Yeh SH, Tsay SL, Wang TJ. Health literacy, self-effcacy, and self-care behaviors in patients with type 2 diabetes mellitus. J am Assoc Nurse Pract. 2013;25(9):495-502. doi:10.1111/1745-7599.12017. PubMed PMID: 24170654.

Ishikawa H, Kiuchi T. Association of health literacy levels between family members. Front. Public Health. 2019;7(169):1-7. doi:10.3389/fpubh.2019.00169. PubMed PMID: 31275918.

Svendsen MT, Bak CK, Sorensen K, Pelikan J, Rissersholm SJ, Skals RK, et al. Associations of health literacy with socioeconomic position, health risk behavior, and health status: a large national population-based survey among Danish adults. BMC Public Health. 2020;20(1):565. doi:10.1186/s12889-020-08498-8

Wongsaree C, Kittiyawan J. An intensive educational program on theraputic volume overload for end stage chronic renal disease patient receiving hemodialysis: hemodialysis nurses’ roles. HCU Journal. 2018; 21(41):137-150. (in Thai)

Sarika E, Wongsaree C, Taewrob P, Dhiranathara N, Teachthawewon P, Kittiyawan J et al. Factors inﬂuencing adaptation behavior of older adults among end stage renal disease patients receiving hemodialysis at a private hospital in Thailand. HCU Journal. 2020;

(2):245-255. (in Thai)

Ghafourifard M, Mehrizade B, Hassankhani H, Heidari M. Hemodialysis patients perceived exercise benefts and barriers: the association with healthrelated quality of life. BMC Nephrol. 2021;22(94): 1-9. doi:10.1186/s12882-021-02292-3

Heijmans M, Waverijin G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient Educ Couns. 2015;91(2): 221-7.

Daemayu A, Panuthai S, Juntasopeepun P. Correlation between health literacy and self-management amongst older thai muslims with hypertension. JTNMC. 2020;35(3):87-107. (in Thai)

Shen Q, He J, Liu Y, Shi S, Zhu J, Yang J, et al. Correlation between health literacy and selfmanagement in chinese hemodialysis patients. Adv Chronic Kidney Dis. 2016;23(2):128.