The Relationship between Health Literacy and Self-Care Behavior among Patients with Stage 3 Chronic Kidney Disease, Tha-sao Subdistrict, Uttaradit Province
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Abstract
Chronic kidney disease (CKD) is a major health problem that is increasing across the country and is related to health behaviors. This descriptive correlational research study aimed to investigate the relationship between health literacy and self-care behavior among patients with stage 3 chronic kidney disease in Tha-Sao Subdistrict, Uttaradit Province. The participants were 50 patients with stage 3 chronic kidney disease receiving continuous medication from Mon Din Daeng Subdistrict Health Promoting Hospital in Tha-Sao Subdistrict, Uttaradit Province. Data were collected using a health literacy questionnaire and another questionnaire to assess the self-care behavior of patients with stage 3 chronic kidney disease, which were reviewed for content validity by five experts. The indices of item objective congruence (IOC) were between .67-1.00 and the reliability was determined by the Cronbach's alpha coefficient. The values were .97 and .79, respectively. Data were analyzed using descriptive statistics and Pearson correlation coefficient. The results revealed that the patients with stage 3 chronic kidney disease had a overall health literacy mean score at a fair level. Regarding each aspect individually, it was found that understanding of health information and services was at a poor level, while self-care behavior was at a good level. In terms of correlation, the results showed that health literacy had a significant positive relationship with health care behavior (r=.50, p<.01). Therefore, the findings of this study suggest that health personnel should promote health literacy, focusing on the information and health services necessary for patients with CKD in order to prevent stage 3 patients progressing to the final stage of CKD, where high treatment costs are incurred.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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