<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="research-article"        dtd-version="1.4">
            <front>

                <journal-meta>
                                                                <journal-id>karya j health sci</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Karya Journal of Health Science</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2717-9540</issn>
                                                                                            <publisher>
                    <publisher-name>Kılıçhan BAYAR</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.52831/kjhs.1166286</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Health Care Administration</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Sağlık Kurumları Yönetimi</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="en">
                                    <trans-title>THE RELATIONSHIP BETWEEN HEALTH LITERACY AND ADHERENCE TO TREATMENT IN PATIENTS RECEIVING HEMODIALYSIS TREATMENT</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>HEMODİYALİZ TEDAVİSİ ALAN HASTALARDA SAĞLIK OKURYAZARLIĞI VE TEDAVİYE UYUMLARI ARASINDAKİ İLİŞKİ</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-8920-1041</contrib-id>
                                                                <name>
                                    <surname>Bülbül</surname>
                                    <given-names>Elif</given-names>
                                </name>
                                                                    <aff>Sağlık Bilimleri Üniversitesi Hamidiye Hemşirelik Fakültesi</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-4562-0177</contrib-id>
                                                                <name>
                                    <surname>Demiroglu</surname>
                                    <given-names>Songül</given-names>
                                </name>
                                                                    <aff>Özel Sarıyer Diyaliz Merkezi</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20230430">
                    <day>04</day>
                    <month>30</month>
                    <year>2023</year>
                </pub-date>
                                        <volume>4</volume>
                                        <issue>1</issue>
                                        <fpage>1</fpage>
                                        <lpage>5</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20220824">
                        <day>08</day>
                        <month>24</month>
                        <year>2022</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20221121">
                        <day>11</day>
                        <month>21</month>
                        <year>2022</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2020, Karya Journal of Health Science</copyright-statement>
                    <copyright-year>2020</copyright-year>
                    <copyright-holder>Karya Journal of Health Science</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="en">
                            <p>Objective: This study was conducted to examine the relationship between health literacy and adherence to treatment in patients receiving chronic hemodialysis treatment.Method: The data of this descriptive and correlational study were collected from 163 chronic hemodialysis patients who met the inclusion criteria and received treatment in a private dialysis center in Istanbul between October and November 2021. Patient sociodemographic form, Health Literacy Scale and End Stage Renal Disease Adherence Questionnaire were used to collect the data.Results: The mean age of the patients included in the study was 62.21±12.97 years and the duration of hemodialysis treatment was 5.26±5.39 years. It was found that the health literacy level of male patients, those with a high education level, those who were employed, and those with a younger age were significantly higher (p</p></trans-abstract>
                                                                                                                                    <abstract><p>Amaç: Bu araştırmanın amacı kronik hemodiyaliz tedavisi alan hastalarda sağlık okuryazarlığı ve tedaviye uyumları arasındaki ilişkinin incelenmesidir.Yöntem: Tanımlayıcı ve ilişki arayıcı tipte olan bu araştırmanın verileri İstanbul ilinde bulunan özel bir diyaliz merkezinde tedavi alan ve araştırmaya dahil olma kriterlerini karşılayan 163 kronik hemodiyaliz tedavisi alan hastalardan Ekim-Kasım 2021 tarihleri arasında toplandı. Araştırma verilerinin toplanmasında, hasta tanıtım formu, Sağlık Okuryazarlığı Ölçeği ve Son Dönem Böbrek Yetmezliği-Uyum Ölçeği kullanıldı.Bulgular: Çalışmaya dahil edilen hastaların yaş ortalaması 62.21±12.97 ve hemodiyaliz tedavi süresi 5.26±5.39 yıldı.  Erkek hastaların eğitim düzeyi yüksek olanların, çalışanların, yaş aralığı düşük olanların sağlık okuryazarlığı düzeyinin anlamlı olarak yüksek olduğu bulundu (p</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Hemodiyaliz</kwd>
                                                    <kwd>  Hemşire</kwd>
                                                    <kwd>  Sağlık Okuryazarlığı</kwd>
                                                    <kwd>  Son-Dönem Böbrek Hastalığı</kwd>
                                                    <kwd>  Uyum</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="en">
                                                    <kwd>Hemodialysis</kwd>
                                                    <kwd>  Nurse</kwd>
                                                    <kwd>  Health Literacy</kwd>
                                                    <kwd>  End-Stage Kidney Disease</kwd>
                                                    <kwd>  Compliance</kwd>
                                            </kwd-group>
                                                                                                                                        </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Cockwell P, Fisher LA. The global burden of chronic kidney disease. Lancet. 2020;395(10225):662-664.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Süleymanlar G, Utaş C, Arınsoy T, et al. A population-based survey of chronic renal disease in Turkey- The CREDIT study. Nephrol Dial Transplant. 2011;(26):1862-1871.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Süleymanlar G, Ateş K, Seyahi N. Türkiye’de nefroloji, diyaliz ve transplantasyon registry-2020. Ankara: BAYT Bilimsel Arş. Basın Yayın Tanıtım Ltd. Şti.; 2021.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">Barnett T, Li Yoong T, Pinikahana J, Si-Yen T. Fluid compliance among patients having haemodialysis: can an educational program make a difference?. Journal of Advanced Nursing. 2008;61(3):300-306.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Kutlu FY, Ok E. Son dönem böbrek yetmezliği uyum ölçeği Türkçe uyarlamasının psikometrik özellikleri. Acıbadem Univ Sağlık Bilim Derg. 2020;(3):427-437.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Alikari V, Tsironi M, Matziou V, et al. The impact of education on knowledge, adherence and quality of life among patients on haemodialysis. Qual Life Res. 2019;28(1):73-83.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Green JA, Mor MK, Shields AM, et al. Prevalence and demographic and clinical associations of health literacy in patients on maintenance hemodialysis. Clin J Am Soc Nephrol. 2011;6(6):1354-1360.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Dantas LG, Cruz C, Rocha M, et al. Prevalence and predictors of nonadherence to hemodialysis. Nephron Clin Pract. 2013;124(1-2):67-71.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Jain D, Green JA. Health literacy in kidney disease: Review of the literature and implications for clinical practice. World J Nephrol. 2016;5(2):147-151.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Sørensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):80.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Taylor DM, Fraser SDS, Bradley JA, et al. A Systematic review of the prevalence and associations of limited health literacy in CKD. Clin J Am Soc Nephrol. 2017;12(7):1070-1084.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">Mukakarangwa MC, Chironda G, Bhengu B, Katende G. Adherence to hemodialysis and associated factors among end-stage renal disease patients at selected nephrology units in Rwanda: A Descriptive Cross-Sectional Study. Nurs Res Pract. 2018;2018:4372716.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">Cervantes L, Hasnain-Wynia R, Steiner JF, Chonchol M, Fischer S. Patient navigation: Addressing social challenges in dialysis patients. Am J Kidney Dis. 2020;76(1):121-129.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">Alemayehu YH, Seylania K, Bahramnezhad F. The relationship between health literacy and quality of life among hemodialysis patients: An integrative review. Hum Antibodies. 2020;28(1):75-81.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Lai AY, Ishikawa H, Kiuchi T, Mooppil N, Griva K. Communicative and critical health literacy, and self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient Educ Couns. 2013;91(2):221-227.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">Green JA, Mor MK, Shields AM, et al. Associations of health literacy with dialysis adherence and health resource utilization in patients receiving maintenance hemodialysis. Am J Kidney Dis. 2013;62(1):73-80.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Green JA, Cavanaugh KL. Understanding the influence of educational attainment on kidney health and opportunities for improved care. Adv Chronic Kidney Dis. 2015;22(1):24-30.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">Tripathy S, Cai X, Adhikari A, et al. Association of educational attainment with incidence of CKD in young adults. Kidney Int Rep. 2020;5(12):2256-2263.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Lopez-Vargas PA, Tong A, Howell M, Craig JC. Educational interventions for patients with CKD: A systematic review. Am J Kidney Dis. 2016;68(3):353-370.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">Aras Z, Bayık Temel A. Sağlık okuryazarlığı ölçeği’nin Türkçe formunun geçerlik ve güvenirliğinin değerlendirilmesi. Florence Nightingale J Nurs. 2017;25(2):85-94.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">Kim Y, Evangelista LS, Phillips LR, Pavlish C, Kopple JD. The end-stage renal disease adherence questionnaire (ESRD-AQ): Testing the psychometric properties in patients receiving in-center hemodialysis. Nephrol Nurs J J Am Nephrol Nurses’ Assoc. 2010;37(4):377-393.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Health literacy. The solid facts [Internet]. World Health Organization. 2013. https://apps.who.int/iris/bitstream/handle/10665/128703/e96854.pdf</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Levey AS, Coresh J. Chronic kidney disease. Lancet (London, England). 2012;379(9811):165-180.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">Lambert K, Mullan J, Mansfield K, Lonergan M. A Cross-sectional comparison of health literacy deficits among patients with chronic kidney disease. J Health Commun. 2015;20(Suppl 2):16-23.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">Liu MW-C, Syukri M, Abdullah A, Chien L-Y. Missing in-center hemodialysis sessions among patients with end-stage renal disease in Banda Aceh, Indonesia. Int J Environ Res Public Health. 2021;18(17):9215.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Demir G, Efil S. Hemodiyaliz tedavisi olan bireylerde tedaviye uyum ve hemşirelik. 2. International Antalya Scientific Research and Innovative Studies Congress. Antalya, 17-21 Mart 2022.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Cho YI, Lee S-YD, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med. 2008;66(8):1809-1816.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">Yavuz N. Hemodiyaliz hastaları için geliştirilen Sağlık Okuryazarlığı Ölçeği kullanılarak sağlık okuryazarlığının yaşam kalitesi ve tedavi etkinliği ile ilişkisinin değerlendirilmesi. Gazi Üniversitesi; 2021.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">Taylor DM, Fraser S, Dudley C, et al. Health literacy and patient outcomes in chronic kidney disease: a systematic review. Nephrol Dial Transplant Off Publ Eur Dial Transpl Assoc-Eur Ren Assoc. 2018;33(9):1545-1558.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">Schmidli J, Widmer MK, Basile C, et al. Editor’s choice- vascular access: 2018 clinical practice guidelines of the european society for vascular surgery (ESVS). Eur J Vasc Endovasc Surg. 2018;55(6):757-818.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">Flythe JE, Curhan GC, Brunelli SM. Shorter length dialysis sessions are associated with increased mortality, independent of body weight. Kidney Int. 2013;83(1):104-113.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">Stømer EU, Klopstad Wahl A, Gunnar Gøransson L, Hjorthaug Urstad K. Health literacy in kidney disease: Associations with quality of life and adherence. J Ren Care. 2020;46(2):85-94.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
