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Health literacy in patients undergoing hemodialysis: literature review

  • Berlian Ayu Rahmawati ,
  • Erna Rochmawati ,


Abstract

Patients with end-stage chronic kidney disease require hemodialysis treatment to maintain kidney function. The patients should be prepared to manage symptoms that may arise and cope with physical, psychological and financial changes. In addition, the patients are expected to be able to make their own decisions on how to manage the disease and adhere to treatment. This situation requires good health literacy skills. Little is known about the synthesis of health literacy among patients with chronic kidney disease.

Goal: To summarize the available evidence on benefits and factors that affect health literacy in patients undergoing hemodialysis from the available literature.

Method: The study reviewed health literacy among patients undergoing hemodialysis.   A literature search using a database was conducted in  Ebsco, PubMed, Science Direct, Scopus, and Emerald in December 2021 using the terms health literacy, hemodialysis, dialysis, CKD, and ESRD. We included studies from 2010-2021 that involved adult patients. Screening title, abstract, and full text were conducted to check each study's eligibility.

Results: A total number of eight of 1223 articles were included, with 2,036 respondents. Most included studies found that patients had a low level or inadequate health literacy (n = 5). In contrast, one study shows moderate health literacy (n = 2), and one article found a good level of health literacy. Higher health literacy was shown can improve patients' quality of life. The review summarizes several factors influencing health literacy, such as education, health care providers, life experiences, happiness and anxiety.

Conclusion: The review shows that most studies found lower health literacy levels. It is expected that nurses and healthcare professionals can improve health literacy which could positively impact patients' quality of life.

Keywords: chronic kidney disease end-stage renal disease health literacy hemodialysis quality of life

References

  1. Bahadori M, Najari F, Alimohammadzadeh K. The relationship between health literacy and general health level of hemodialysis patients: A case study in iran. Nephrourol Mon. 2018;10(3).
  2. Saran R, Robinson B, Abbott KC, Agodoa LYC, Bragg-Gresham J, Balkrishnan R, et al. US Renal Data System 2018 Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis. 2019;73(3):A7–8.
  3. Jha V, Garcia-Garcia G, Iseki K, Li Z, Naicker S, Plattner B, et al. Chronic kidney disease: Global dimension and perspectives. Lancet [Internet]. 2013;382(9888):260–72. Available from: http://dx.doi.org/10.1016/S0140-6736(13)60687-X
  4. Thorsteinsdottir B, Swetz KM, Feely MA, Mueller PS, Williams AW. Are there alternatives to hemodialysis for the elderly patient with end-stage renal failure? Mayo Clin Proc [Internet]. 2012;87(6):514–6. Available from: http://dx.doi.org/10.1016/j.mayocp.2012.02.016
  5. Sehgal AR, Leon JB, Siminoff LA, Singer ME, Bunosky LM, Cebul RD. Improving the Quality of Hemodialysis Treatment. Jama. 2002;287(15):1961.
  6. Alemayehu YH, Seylani K, Sharifi F, Asgari P, Ghorbani B, Bahramnezhad F. Relationship between health literacy and quality of life among hemodialysis patients, Tehran, Iran, 2019. Hum Antibodies. 2021;29(1):41–7.
  7. Levin-Zamir D, Bertschi I. Media health literacy, Ehealth literacy, and the role of the social environment in context. Int J Environ Res Public Health. 2018 Aug 3;15(8).
  8. Nutbeam D. Defining, measuring and improving health literacy. Heal Eval Promot. 2015;42(4):450–6.
  9. Rheault H, Coyer F, Jones L, Bonner A. Health literacy in Indigenous people with chronic disease living in remote Australia. BMC Health Serv Res. 2019 Jul 26;19(1).
  10. Stømer UE, Wahl AK, Gøransson LG, Urstad KH. Exploring health literacy in patients with chronic kidney disease: A qualitative study. BMC Nephrol. 2020 Jul 29;21(1).
  11. Wong KK, Velasquez A, Powe NR, Tuot DS. Association between health literacy and self-care behaviors among patients with chronic kidney disease. BMC Nephrol. 2018 Aug 6;19(1).
  12. Bahadori M, Najari F, Alimohammadzadeh K. The relationship between health literacy and general health level of hemodialysis patients: A case study in iran. Nephrourol Mon. 2018 May 1;10(3).
  13. Skoumalova I, Kolarcik P, Geckova AM, Rosenberger J, Majernikova M, Klein D, et al. Is health literacy of dialyzed patients related to their adherence to dietary and fluid intake recommendations? Int J Environ Res Public Health. 2019;16(21):1–10.
  14. Skoumalova I, Geckova AM, Rosenberger J, Majernikova M, Kolarcik P, Klein D, et al. Does depression and anxiety mediate the relation between limited health literacy and diet non-adherence? Int J Environ Res Public Health. 2020;17(21):1–10.
  15. Stømer UE, Wahl AK, Gøransson LG, Urstad KH, Stømer E, Wahl K, et al. Health Literacy In Kidney Disease : Associations With Quality Of Life And Adherence. J Ren Care Publ by John Wiley Sons Ltd behalf Eur Dial Transpl Nurses Assoc Ren Care Assoc. 2020;46(2):85–94.
  16. Dodson S, Osicka T, Huang L, McMahon LP, Roberts MA. Multifaceted Assessment of Health Literacy in People Receiving Dialysis: Associations With Psychological Stress and Quality of Life. J Health Commun [Internet]. 2016;21(00):91–8. Available from: http://dx.doi.org/10.1080/10810730.2016.1179370
  17. Cavanaugh KL, Wingard RL, Hakim RM, Eden S, Shintani A, Wallston KA, et al. Low health literacy associates with increased mortality in ESRD. J Am Soc Nephrol. 2010;21(11):1979–85.
  18. Stømer UE, Gøransson LG, Wahl AK, Urstad KH. A cross-sectional study of health literacy in patients with chronic kidney disease: Associations with demographic and clinical variables. Nurs Open. 2019;6(4):1481–90.
  19. Yu PS, Tsai YC, Chiu YW, Hsiao PN, Lin MY, Chen TH, et al. The relationship between subtypes of health literacy and self-care behavior in chronic kidney disease. J Pers Med. 2021;11(6).
  20. Rüegg R, Abel T. The relationship between health literacy and health outcomes among male young adults: exploring confounding effects using decomposition analysis. Int J Public Health. 2019;0123456789.
  21. Aygun O, Cerim S. The relationship between general health behaviors and general health literacy levels in the Turkish population. Health Promot Int. 2021;36(5):1275–89.
  22. Rheault H, Coyer F, Jones L, Bonner A. Health literacy in Indigenous people with chronic disease living in remote Australia. BMC Health Serv Res. 2019;19(1):1–10.
  23. Yurttas PhD A, Nar RN N. The Feelings and Concerns of Patients with Kidney Transplantation In Turkey: A Qualitative Study. Int J Caring Sci [Internet]. 2018;11(3):1467–74. Available from: https://www.proquest.com/scholarly-journals/feelings-concerns-patients-with-kidney/docview/2173847774/se-2
  24. Dahl KG, Engebretsen E, Andersen MH, Urstad KH, Wahl AK. The trigger-information-response model: Exploring health literacy during the first six months following a kidney transplantation. PLoS One [Internet]. 2019;14(10):1–15. Available from: http://dx.doi.org/10.1371/journal.pone.0223533
  25. Green JA, Mor MK, Shields AM, Sevick MA, Palevsky PM, Fine MJ, et al. Prevalence and demographic and clinical associations of health literacy in patients on maintenance hemodialysis. Clin J Am Soc Nephrol. 2011;6(6):1354–60.

How to Cite

Rahmawati, B. A., & Rochmawati, E. (2022). Health literacy in patients undergoing hemodialysis: literature review. Bali Medical Journal, 11(3), 1620–1625. https://doi.org/10.15562/bmj.v11i3.3754
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Berlian Ayu Rahmawati
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Erna Rochmawati
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