The Effect of PITS-Based Education Health Literacy on Self-Management Among Older Persons with Chronic Kidney Disease Stage 1-3
Keywords:
PITS-based education, Health literacy, Self-management, Older persons with CKD stages 1-3Abstract
Appropriate self-management among older persons with chronic kidney disease (CKD) requires education to promote their health literacy. This experimental research aimed to study the effects of PITS-based education to enhance health literacy on the self-management of older persons with CKD stage 1-3. The sample consisted of older persons with CKD stages 1-3 receiving services at sub-district health promoting hospitals in Muang district, Lampang province. Fifty-four subjects were randomly selected, and 27 subjects were equally assigned into either the control or the experimental group. The experimental group was given group education 4 times, twice a week and one session for individual education, resulting in a total education period of 5 times over 3 weeks. The control group was given routine care. The research instruments included a PITS-based teaching plan, the health literacy manual for CKD stage 1-3 patients, a CKD stage 1-3 video, an understanding personal perception scale, and a health literacy for CKD questionnaire. Data collection tools consisted of a personal and illness data recording form and the self-management behavior for older persons with CKD questionnaire. Data were analyzed using descriptive statistics, independent t-test, and dependent t-test.
The results revealed that the mean score for self-management of older persons with CKD stages 1-3 receiving PITS-based education was higher than the score for those receiving routine care (t = -15.047, p < .001), and higher than before the intervention, at a significant level (t = 19.134, p < .001).
The findings indicate that PITS-based education can enhance health literacy and self-management among older persons with CKD stages 1-3. Hence, healthcare personnel can apply PITS-based education as a guideline for enhancing self-management among older persons with CKD stages 1-3.
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