Health Literacy and Change in Health-Related Quality of Life in Dialysed Patients

Skoumalova, Ivana; Gecková, Andrea Madarasová; Rosenberger, Jaroslav; Majerníková, Mária; Kolarčík, Peter; Klein, Daniel; Winter, Andrea F. de; Dijk, Jitse P. van; Reijneveld, Sijmen A.

doi:10.3390/ijerph19020620

Cited by 3 publications

(1 citation statement)

References 43 publications

(51 reference statements)

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“…Patient perception also impacts the quality of life of patients with CKD. Generally, patients with low health literacy and CKD have lower physical and mental healthcare quality of life [33]. Compared to patients with a CVC, patients with arteriovenous access have improved quality of life scores and improved perception of their current therapy [34].…”

Section: Determinants Of Central Venous Catheter Utilizationmentioning

confidence: 99%

Exploring Health Literacy and Vascular Access Decision Making: A Scoping Review

Brathwaite,

Alabi,

Simpson

et al. 2024

JCM

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One in seven adults in the United States has chronic kidney disease (CKD) and individuals with the most severe form, end stage kidney disease (ESKD), may require renal replacement therapy with hemodialysis. Despite well-established guidelines indicating that arteriovenous access is the preferred type of vascular access for hemodialysis, in 2021, 85.4% of patients initiated dialysis with a CVC. While the reasons for this evidence–practice gap are unclear, health literacy and patient disease-specific knowledge may play an important role. Importantly, 25% of patients with CKD have limited health literacy. While there is an abundance of research regarding the presence of poor health literacy, poor kidney disease-specific knowledge, and their association with health outcomes in patients with CKD, there is currently a paucity of data about the relationship between health literacy, vascular access-specific knowledge, and vascular access outcomes. The aim of this narrative review is to describe the relationship between health literacy, disease-specific knowledge, and vascular access in patients with CKD. A better understanding of health literacy in this population will help inform the development of strategies to assess patient vascular access-specific knowledge and aid in vascular access decision making.

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Section: Determinants Of Central Venous Catheter Utilizationmentioning

confidence: 99%

Exploring Health Literacy and Vascular Access Decision Making: A Scoping Review

Brathwaite,

Alabi,

Simpson

et al. 2024

JCM

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The relationships between quality of life with health literacy, social support and resilience in older stroke survivors: A structural equation model

Chen,

Li,

Chen

et al. 2024

Nursing Open

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AimTo the determinants and the underlying mechanism of health literacy, social support, and resilience on the health‐related quality of life (HRQoL) among older stroke survivors.DesignA cross‐sectional design was applied at four comprehensive hospitals in Chongqing via convenience sampling from January 2020 to June 2021.MethodsHealth literacy, social support, and resilience were designed as independent variables, and HRQoL was measured as a dependent variable. Structural equation modelling with the bootstrap method was used to test the hypotheses.ResultsThe theoretically derived model exhibited a good fit (χ2/df ratio = 2.830, GFI = 0.987, CFI = 0.978, RMSEA = 0.066). Health literacy (β = 0.12, p < 0.05) and social support (β = 0.14, p < 0.05) directly affect HRQoL. Resilience (β = 0.40, p < 0.01) also mediated the relationship between health literacy, social support, and HRQoL. The three variables explaining 29.0% of HRQoL variance.Patient or Public ContributionThere was no direct patient or public involvement in the design, conduct, or reporting of this study. Participants were recruited through convenience sampling from four comprehensive hospitals in Chongqing, and their perspectives or contributions were not explicitly sought. The study focused on examining the determinants and underlying mechanism of health literacy, social support, and resilience on the health‐related quality of life among older stroke survivors. Nonetheless, the findings of this research may inform the development of interventions aimed at improving the health‐related quality of life in post‐stroke older patients.

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Quality of life in people with chronic kidney disease: focusing on modifiable risk factors

Fraser,

Phillips

2024

Current Opinion in Nephrology &Amp; Hypertension

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Purpose of review With ageing populations and rising prevalence of key risk factors, the prevalence of many long-term conditions including chronic kidney disease (CKD) is increasing globally. Health-related quality of life (HRQoL) is important to people living with CKD but not all HRQoL determinants are modifiable. This review summarizes recently identified potentially modifiable factors affecting HRQoL for people with CKD and recent trials incorporating HRQoL as an outcome. Recent findings Considering a broad definition of ‘potentially modifiable’, many factors have been associated with HRQoL in recent observational studies. These include mental health conditions, symptoms, medications, health behaviours, weight-related issues, poor social support, lower education, limited literacy and directly CKD- related factors such as anaemia. Some potentially modifiable factors have been tested in CKD trials, though often with HRQoL as a secondary outcome, so may be underpowered for HRQoL. Interventions with evidence of effect on HRQoL include physical activity, education, some nutritional interventions and medications targeting CKD-related anaemia. Summary Clinicians should consider the range of potentially modifiable factors influencing HRQoL as part of a holistic approach to CKD care. High-quality, adequately-powered trials, with HRQoL as a primary outcome, with interventions focusing on the other potentially modifiable factors identified are needed.

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Health Literacy and Change in Health-Related Quality of Life in Dialysed Patients

Cited by 3 publications

References 43 publications

Exploring Health Literacy and Vascular Access Decision Making: A Scoping Review

Exploring Health Literacy and Vascular Access Decision Making: A Scoping Review

The relationships between quality of life with health literacy, social support and resilience in older stroke survivors: A structural equation model

Quality of life in people with chronic kidney disease: focusing on modifiable risk factors

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