Kronik Böbrek Hastalığı olan Hemodiyaliz Hastalarının Sağlık Okuryazarlığı, Yaşam Kalitesi ve Fiziksel Aktivite Düzeyi Arasındaki İlişki

Yıl 2024, , 123 - 133, 31.08.2024

Fatma Cansu Aktaş Arslan , Tülin Düger

https://doi.org/10.54803/sauhsd.1446524

Öz

Amaç: Bu çalışmanın amacı, hemodiyaliz alan hastaların sağlık okuryazarlığını değerlendirmek ve sağlık okuryazarlığı, yaşam kalitesi ve fiziksel aktivite düzeyi arasındaki ilişkiyi belirlemektir.
Yöntem: Çalışma Eylül- Ekim 2023 tarihleri arasında Özel Diyaliz Merkezi’nde tedavi gören, dahil edilme kriterlerini sağlayan 113 hemodiyaliz hastası ile kesitsel ve ilişki arayıcı tasarım tipinde gerçekleştirildi. Verilerin toplanmasında Kişisel Bilgi Formu, Avrupa Sağlık Okuryazarlığı Ölçeği Türkçe Uyarlaması, Uluslararası Fiziksel Aktivite Anketi Kısa Form ve Böbrek Hastalığı Yaşam Kalitesi Ölçeği kullanıldı. Veriler, yüzde dağılımları, ortalamalar, standart sapma, ortanca değerler, Pearson ve Spearman Korelasyon Analizi, Ki kare Testi, Tek Yönlü Varyans Analizi, Kruskal Wallis Varyans Analizi kullanılarak analiz edildi ve istatistiksel anlamlılık için p<0.05 sınır değeri kabul edilmiştir.
Bulgular: Hemodiyaliz hastalarının sağlık okuryazarlığı düzeyinin, toplam ölçek puan ortalamasına göre 25,9±82 puanla “sınırlı” olduğu bulundu. Hastaların %48,7’si düşük fiziksel aktivite seviyesine sahipti. Yaş, medeni durum ve eğitim durumu gibi kişisel özellikler ile sağlık okuryazarlığı boyutları arasında istatiksel farklılıklar tespit edildi (p<0,05). Sağlık okuryazarlığı ile fiziksel aktivite değeri arasında istatistiksel olarak anlamlı ilişki bulunurken (p<0,05), yaşam kalitesi ile istatistiksel olarak anlamlı bir ilişki tespit edilmedi (p>0,05).
Sonuç: Hemodiyaliz hastalarının sağlık okuryazarlığı ve fiziksel aktivite düzeylerinin artırılması için düzenli aralıklarla değerlendirilmeli, bireyselleştirilmiş müdahaleler geliştirilmeli ve hastalar yönlendirilmelidir.

Anahtar Kelimeler

Kronik böbrek hastalığı, hemodiyaliz, sağlık okuryazarlığı, fiziksel aktivite, yaşam kalitesi

Proje Numarası

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The Relationship Between Health Literacy, Quality of Life, and Physical Activity Level of Hemodialysis Patients with Chronic Kidney Disease: Cross-Sectional Study

Öz

Objective: The aim of this study was to assess the health literacy of patients receiving hemodialysis and to determine the relationship between health literacy, quality of life, and physical activity level.
Methods: The study was conducted in a cross-sectional design with 113 hemodialysis patients who met the inclusion criteria and who were treated at a Private Dialysis Center between September and October 2023. Personal Information Form, European Health Literacy Scale Turkish Adaptation, International Physical Activity Questionnaire Short Form, and Kidney Disease Quality of Life Scale were used for data collection. Data were analyzed using percentage distributions, means, standard deviation, median values, Pearson and Spearman Correlation Analysis, Chi-Square Test, One-Way Analysis of Variance, Kruskal-Wallis Analysis of Variance, and p<0.05 was accepted as the cut-off value for statistical significance.
Results: The health literacy level of hemodialysis patients was found to be "problematic" with a mean total scale score of 25.9±82 points. 48.7% of the patients had low physical activity level. Statistical differences were found between personal characteristics such as age, marital status and educational status and health literacy dimensions (p<0.05). While a statistically significant relationship was found between health literacy and physical activity value (p<0.05), no statistically significant relationship was found with quality of life (p>0.05).
Conclusions: Hemodialysis patients should be evaluated at regular intervals individualized interventions should be developed and patients should be guided to increase their health literacy and physical activity levels.

Anahtar Kelimeler

Renal Insufficiency, Hemodialysis, Health Literacy, Sedentary Behavior, Quality of Life

Etik Beyan

This study was approved by the Ethics Committee of Sakarya University of Applied Sciences with the decision numbered "33/3" taken at its meeting dated 07/07/2023 and numbered 33. The principles of the Declaration of Helsinki were

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Kaynakça

• Galvão AM, Baptista G. Literacia em saúde e autocuidados. Revista Científica Internacional da Rede Académica das Ciências da Saúde da Lusofonia. 2022;4:1-9.
• Deligiannis A, D’Alessandro C, Cupisti A. Exercise training in dialysis patients: impact on cardiovascular and skeletal muscle health. Clin Kidney J. 2021;14(2):25-33.
• Tabibi MA, Cheema B, Salimian N, Corrêa HdL, Ahmadi S. The effect of intradialytic exercise on dialysis patient survival: a randomized controlled trial. BMC Nephrol. 2023;24(1):100.
• O'Hare AM, Tawney K, Bacchetti P, Johansen KL. Decreased survival among sedentary patients undergoing dialysis: results from the dialysis morbidity and mortality study wave 2. Am J Kidney Dis. 2003;41(2):447-54.
• Bernier-Jean A, Wong G, Saglimbene V, Ruospo M, Palmer SC, Natale P, et al. Self-reported physical activity and survival in adults treated with hemodialysis: a DIET-HD cohort study. Kidney Int Rep. 2021;6(12):3014-25.
• Young HM, Orme MW, Song Y, Dungey M, Burton JO, Smith AC, et al. Standardising the measurement of physical activity in people receiving haemodialysis: considerations for research and practice. BMC Nephrol. 2019;20:1-9.
• Johansen KL, Kaysen GA, Dalrymple LS, Grimes BA, Glidden DV, Anand S, et al. Association of physical activity with survival among ambulatory patients on dialysis: the comprehensive dialysis study. Clin J Am Soc Nephrol. 2013;8(2):248.
• Group TW. The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Social Science & Medicine. 1998;46(12):1569-85.
• Anes EJ, Ferreira PL. Qualidade de vida em diálise. Revista Portuguesa de Saúde Pública. 2009:67-82.
• Liu H, Zheng F, Yao W, Zhu J, Du X, Shi H, et al. The impact of aerobic exercise on health-related quality of life among patients undergoing maintenance hemodialysis. Medicine. 2023;102(45):e35990.
• Nutbeam D, Muscat DM. Health promotion glossary 2021. Health Promot Int. 2021;36(6):1578-98.
• 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.
• 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.
• Green JA, Mor MK, Shields AM, Sevick MA, Arnold RM, Palevsky PM, 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.
• Abacıgil F, Harlak H, Okyay P. Avrupa Sağlık Okuryazarlığı Ölçeği Türkçe uyarlaması. Pınar Okyay, Filiz Abacıgil,(Editörler) Türkiye Sağlık Okuryazarlığı ölçekleri güvenilirlik ve geçerlilik çalışması.1st ed.Ankara: Anıl Matbaa; 2016.p. 1-104
• Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise. 2003;35(8):1381-95.
• Öztürk M. Üniversitede eğitim-öğretim gören öğrencilerde Uluslararası Fiziksel Aktivite Anketinin geçerliliği ve güvenirliği ve fiziksel aktivite düzeylerinin belirlenmesi Yayınlanmamış Yüksek Lisans Tezi, Ankara, Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, 2005, 108.
• Yıldırım A, Ogutmen B, Bektas G, Isci E, Mete M, Tolgay H, editors. Translation, cultural adaptation, initial reliability, and validation of the Kidney Disease and Quality of Life–Short Form (KDQOL-SF 1.3) in Turkey. Transplant Proc. 2007;39(1):51-4.
• Demir N, Koz S, Ugurlu CT. Health literacy in chronic kidney disease patients: association with self-reported presence of acquaintance with kidney disease, disease burden and frequent contact with health care provider. Int Urol Nephrol. 2022;54(9):2295-304.
• Martins C, Campos S, Duarte J, Martins R, Silva D, Chaves C. Health literacy among dialysis patients. Journal of Economic and Social Development. 2016:270-5.
• Candemir B, Yıldırım F, Yaşar E, Erten Y, Göker B. Relationship between health literacy and frailty in older adults with chronic kidney disease. Experimental Aging Research. 2023;49(3):201-13.
• Kozak F, Akyıl RÇ. Yaşlı bireylerde sağlık okuryazarlığı ile yaşam kalitesi ilişkisi. Hemşirelik Bilimi Dergisi. 2021;4(3):122-32.
• Aktas Arslan FC, Demirguc A, Ulug N. Upper extremity functions and physical activity in chronic maintenance hemodialysis patients: A case-control study. Medicine. 2023;102(41):e35668.
• Daskapan A, Kurtoglu F, Kilic F, Karakas F, Ozdemir F. The evaluation of physical activity levels in Turkish dialysis patients. Ann Med Res. 2018;25(4):689-94.
• Oliveira ACFd, Vieira DSR, Bündchen DC. Level of Physical Activity and functional capacity of patients with pre-dialytic chronic kidney disease and in hemodialysis. Fisioterapia e Pesquisa. 2018;25:323-9.
• Turgut M, Fidan C, Işıkçelik F, Ağırbaş İ. Hemodiyaliz hastalarında yaşam kalitesi ile depresyonun değerlendirilmesi ve aralarındaki ilişkinin incelenmesi. Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2023;25(2):769-88.
• Al‐Nashri F, Almutary H. Impact of anxiety and depression on the quality of life of haemodialysis patients. J Clin Nurs. 2022;31(1-2):220-30.
• Silva AB, Pimenta R. Assessing the relationship between health literacy and quality of life in chronic kidney disease patients. Journal of Health Literacy. 2023;8(3):22-33.
• Kita Y, Machida S, Shibagaki Y, Sakurada T. Fact-finding survey on health literacy among Japanese predialysis chronic kidney disease patients: a multi-institutional cross-sectional study. Clin Exp Nephrol. 2021;25:224-30.
• Uğurlu Z, Kav S, Eler ÇÖ, Kaya S, Korkmaz Y. Health literacy in older adults receiving hemodialysis in Turkey: A cross-sectional study. Ther Apher Dial. 2024 Online ahead of print.
• Hazer O, Ateşoğlu L. Yaşlılarda sağlık okuryazarlığının başarılı yaşlanma üzerine etkisi: Ankara ili örneği. Turkiye Klinikleri Internal Medicine Nursing-Special Topics. 2019;5(2):48-56.
• Bezerra JNdM, Lessa SRdO, Luz GOdA, Borba AKdOT. Health literacy of individuals undergoing dialysis therapy. Texto & Contexto-Enfermagem. 2019;28:e20170418.
• Yu P-S, Tsai Y-C, Chiu Y-W, Hsiao P-N, Lin M-Y, Chen T-H, et al. The relationship between subtypes of health literacy and self-care behavior in chronic kidney disease. J Pers Med. 2021;11(6):447.
• Geboers B, Reijneveld SA, Jansen CJM, de Winter AF. Health literacy is associated with health behaviors and social factors among older adults: Results from the LifeLines Cohort Study. J Health Commun. 2016;21(sup2):45-53.
• Lim ML, van Schooten KS, Radford KA, Delbaere K. Association between health literacy and physical activity in older people: a systematic review and meta-analysis. Health Promot Int. 2021;36(5):1482-97.
• Buja A, Rabensteiner A, Sperotto M, Grotto G, Bertoncello C, Cocchio S, et al. Health literacy and physical activity: a systematic review. J Phys Act Health. 2020;17(12):1259-74.
• Elisabeth Stømer U, 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.
• Shayan N, Ozcebe H, Arici M. FP676 Evaluation of health literacy (HL) and quality of life (QOL) in hemodialysis patients: is it different in diabetic patients? Nephrology Dialysis Transplantation. 2018;33(suppl_1):i273-i.