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Çölyak Tanılı Yetişkinlerde Yaşam Kalitesi ve Sağlık Okuryazarlığı Arasındaki İlişki: Kesitsel Bir Çalışma

Yıl 2024, Cilt: 33 Sayı: 2, 108 - 122, 13.09.2024
https://doi.org/10.17942/sted.1396494

Öz

Amaç: Bu çalışma çölyak hastalarının yaşam kalitesi ve sağlık okuryazarlık düzeyini belirlemeyi ve bu iki kavram arasındaki ilişkiyi incelemeyi amaçlamıştır.
Yöntem: Bu kesitsel çalışma 2023 yılında Türkiye’de Çölyak Derneği’ne kayıtlı 119 yetişkin bireyle yürütüldü. Verilerin toplanmasında tanıtıcı bilgi formu, Çölyak Hastalarında Yaşam Kalitesi Anketi ve Türkiye Sağlık Okuryazarlığı Ölçeği 32 kullanıldı.
Bulgular: Çölyak hastaları için yaşam kalitesi puan ortalaması 75,41±15,29, sağlık okuryazarlık puan ortalaması 25,16±11,23 idi. Katılımcıların sağlık okuryazarlıkları ve yaşam kaliteleri arasında orta düzeyde pozitif yönlü anlamlı bir kolerasyon belirlendi. Sağlık okuryazarlığı yaşam kalitesindeki değişimin %13,0’ını açıkladı. Gluteinsiz beslenmenin; çölyak hastalarının duygusal durumları, endişeleri, sosyal yaşamları ve gastrointestinal belirtilerine yönelik yaşam kalitelerini etkileyebilecek önemli bir faktör olduğu tespit edildi. Çalışma sağlık okuryazarlığını etkileyen sekiz risk faktörünü tanımladı.
Sonuç: Bu çalışma çölyak hastalarının ortalama düzeyin altında yaşam kalitesinin ve sınırlı sağlık okuryazarlığının olduğunu ortaya çıkardı. Çalışmada sağlık okuryazarlığı ile yaşam kalitesi arasında pozitif yönde bir ilişkinin olduğu belirlendi. Hastaların sağlık okuryazarlık düzeyleri arttıkça yaşam kalitelerinin de artabileceği sonucuna ulaşıldı.

Etik Beyan

The study was conducted following the principles of the Declaration of Helsinki. This study was approved by the Selcuk University Faculty of Nursing Non-Interventional Clinical Research Ethics Committee (meeting number: 2023/03, decision number: 2023/16). Permission was obtained from the institution where the study was conducted. In addition, the participants were informed about the purpose and procedures of the study and their verbal and written informed consent was obtained before the start of the study.

Proje Numarası

1919B012219116

Kaynakça

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  • Lindfors K, Ciacci C, Kurppa K, Lundin KEA, Makharia GK, Mearin ML, Murray JA, Verdu EF, Kaukinen K. Coeliac disease. Nat Rev Dis Primers, 2019;5:3. https://doi.org/10.1038/s41572-018-0054-z
  • Singh P, Arora A, Strand TA, Leffler DA, Catassi C, Green PH, Kelly CP, Ahuja V, Makharia GK. Global prevalence of celiac disease: Systematic review and meta-analysis. Clin Gastroenterol Hepatol, 2018;16(6):823–36. https://doi.org/10.1016/j.cgh.2017.06.037
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  • Rodríguez-Almagro J, Hernández-Martínez A, Lucendo AJ, Casellas F, Solano-Ruiz MC, Siles-González J. Health-related quality of life and determinant factors in celiac disease: A population-based analysis of adult patients in Spain. Rev Esp Enferm Dig, 2016;108:181–9. https://doi.org/10.17235/reed.2016.4094/2015
  • Deepak C, Neha B, Kim V, Narendra D, Saraj KS, Rakesh K. Quality of life in celiac disease and the effect of gluten‐free diet. JGH Open, 2018;2(4):124–8. https://doi.org10.1002/jgh3.12056
  • Cati K, Karagoz Y, Yalman F, Ocel Y. The impact on patient satisfaction of health literacy. The International Journal of Economic and Social Research, 2018;14(1):67–88.
  • Zheng M, Jin H, Shi N, Duan C, Wang D, Yu X, Li X. The relationship between health literacy and quality of life: A systematic review and meta-analysis. Health Qual Life Outcomes, 2018;16(1):201. https://doi.org/10.1186/s12955-018-1031-7
  • Dos Santos Marques IC, Theiss LM, Baker SJ, Liwo A, Wood LN, Cannon JA, et al. Low health literacy exists in the inflammatory bowel disease (IBD) population and is disproportionately prevalent in older African Americans. Crohns Colitis 360, 2020;2(4):otaa076. https://doi.org/10.1093/crocol/otaa076
  • Copurlar CK, Kartal M. What is health literacy? How to measure it? Why is it important? Turkish Journal of Family Medicine and Primary Care, 2016;10:42–7. https://doi.org/10.5455/tjfmpc.193796
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  • Chang ME, Baker SJ, Dos Santos Marques IC, Liwo AN, Chung SK, Richman JS, et al. Health literacy in surgery. Health Lit Res Pract, 2020;4(1):e46–e65. https://doi.org/10.3928/24748307-20191121-01
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  • Montbleau KE, King D, Henault L, Magnani JW. Health literacy, health-related quality of life, and atrial fibrillation. Cogent Med, 2017;4:1412121. https://doi.org/10.1080/2331205X.2017.1412121
  • Naimi AJ, Naderiravesh N, Bayat ZS, Shakeri N, Matbouei M. Correlation between health literacy and health-related quality of life in patients with hypertension, in Tehran, Iran, 2015-2016. Electron Physician, 2017;9(11):5712–20. https://doi.org/10.19082/5712
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The Relationship Between Quality of Life and Health Literacy in Adults with Celiac Disease: A Cross-Sectional Study

Yıl 2024, Cilt: 33 Sayı: 2, 108 - 122, 13.09.2024
https://doi.org/10.17942/sted.1396494

Öz

Objective: The aim of this study was to determine the quality of life and health literacy of patients with celiac disease and to examine the relationship between these two concepts.
Method: This cross-sectional study was conducted on 119 adults registered with the Celiac Disease Association of Turkey in 2023. Descriptive information form, Celiac Quality of Life Questionnaire and Turkey Health Literacy Scale 32 were used for data collection.
Results: The mean quality of life score for celiac patients was 75.41±15.29 and the mean health literacy score was 25.16±11.23. There was a significant moderate positive correlation between health literacy and quality of life. Health literacy explained 13.0% of the change in quality of life. The gluten-free diet was found to be an important factor that could affect the quality of life of celiac patients in terms of their emotional state, anxiety, social life, and gastrointestinal symptoms. The study identified eight risk factors for health literacy.
Conclusion: This study found that patients with celiac disease have a lower than average quality of life and limited health literacy. The study found that there was a positive relationship between health literacy and quality of life. It was concluded that as patients' health literacy increases, their quality of life may also increase.

Etik Beyan

The study was conducted following the principles of the Declaration of Helsinki. This study was approved by the Selcuk University Faculty of Nursing Non-Interventional Clinical Research Ethics Committee (meeting number: 2023/03, decision number: 2023/16). Permission was obtained from the institution where the study was conducted. In addition, the participants were informed about the purpose and procedures of the study and their verbal and written informed consent was obtained before the start of the study.

Destekleyen Kurum

This project was supported by TUBITAK 2209a University Students Research Projects Support Program as project number 1919B012219116.

Proje Numarası

1919B012219116

Teşekkür

The authors would like to thank the Scientific and Technological Research Council of Turkey for providing support. We also thank the participants for their time and effort to participate in this study.

Kaynakça

  • Nikniaz Z, Asghari Jafarabadi M, Abbasalizad Farhangi M, Shirmohammadi M, Nikniaz L. Determinants of health-related quality of life in patients with celiac disease: A structural equation modeling. Health Qual Life Outcomes, 2021;19(1):204. https://doi.org/10.1186/s12955-021-01842-5.
  • Kahaly GJ, Frommer L, Schuppan D. Celiac disease and endocrine autoimmunity-the genetic link. Autoimmun Rev, 2018;17(12):1169–75. https://doi.org/10.1016/j.autrev.2018.05.013
  • Lindfors K, Ciacci C, Kurppa K, Lundin KEA, Makharia GK, Mearin ML, Murray JA, Verdu EF, Kaukinen K. Coeliac disease. Nat Rev Dis Primers, 2019;5:3. https://doi.org/10.1038/s41572-018-0054-z
  • Singh P, Arora A, Strand TA, Leffler DA, Catassi C, Green PH, Kelly CP, Ahuja V, Makharia GK. Global prevalence of celiac disease: Systematic review and meta-analysis. Clin Gastroenterol Hepatol, 2018;16(6):823–36. https://doi.org/10.1016/j.cgh.2017.06.037
  • Republic of Turkey Ministry of Health. General Directorate of Public Health. Department of Healthy Nutrition and Active Life. 2022. https://hsgm.saglik.gov.tr/tr/metabolizma-ve-colyak/colyak-gorulme-sikligi.html (Date of access: January 26, 2024).
  • Catassi C, Gatti S, Lionetti E. World perspective and celiac disease epidemiology. Dig Dis, 2015;33(2):141–6. https://doi.org/10.1159/000369518
  • Caio G, Volta U, Sapone A, Leffler DA, De Giorgio R, Catassi C, Fasano A. Celiac disease: A comprehensive current review. BMC Med, 2019;17:1–20. https://doi.org/10.1186/s12916-019-1380-z. 
  • Ludvigsson JF, Roy A, Lebwohl B, Green PHR, Emilsson L. Anxiety and depression in caregivers of individuals with celiac disease-A population based study. Dig Liver Dis, 2017;49(3):273–9. https://doi.org/10.1016/j.dld.2016.11.006
  • Rodríguez-Almagro J, Hernández-Martínez A, Lucendo AJ, Casellas F, Solano-Ruiz MC, Siles-González J. Health-related quality of life and determinant factors in celiac disease: A population-based analysis of adult patients in Spain. Rev Esp Enferm Dig, 2016;108:181–9. https://doi.org/10.17235/reed.2016.4094/2015
  • Deepak C, Neha B, Kim V, Narendra D, Saraj KS, Rakesh K. Quality of life in celiac disease and the effect of gluten‐free diet. JGH Open, 2018;2(4):124–8. https://doi.org10.1002/jgh3.12056
  • Cati K, Karagoz Y, Yalman F, Ocel Y. The impact on patient satisfaction of health literacy. The International Journal of Economic and Social Research, 2018;14(1):67–88.
  • Zheng M, Jin H, Shi N, Duan C, Wang D, Yu X, Li X. The relationship between health literacy and quality of life: A systematic review and meta-analysis. Health Qual Life Outcomes, 2018;16(1):201. https://doi.org/10.1186/s12955-018-1031-7
  • Dos Santos Marques IC, Theiss LM, Baker SJ, Liwo A, Wood LN, Cannon JA, et al. Low health literacy exists in the inflammatory bowel disease (IBD) population and is disproportionately prevalent in older African Americans. Crohns Colitis 360, 2020;2(4):otaa076. https://doi.org/10.1093/crocol/otaa076
  • Copurlar CK, Kartal M. What is health literacy? How to measure it? Why is it important? Turkish Journal of Family Medicine and Primary Care, 2016;10:42–7. https://doi.org/10.5455/tjfmpc.193796
  • Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: Comparative results of the European Health Literacy Survey (HLS-EU). Eur J Pub Health, 2015;25(6):1053–8. https://doi.org/10.1093/eurpub/ckv043
  • Chang ME, Baker SJ, Dos Santos Marques IC, Liwo AN, Chung SK, Richman JS, et al. Health literacy in surgery. Health Lit Res Pract, 2020;4(1):e46–e65. https://doi.org/10.3928/24748307-20191121-01
  • Magnani JW, Mujahid MS, Aronow HD, Cene CW, Dickson VV, Havranek E, et al. Health literacy and cardiovascular disease: Fundamental relevance to primary and secondary prevention: A scientific statement from the American Heart Association. Circulation, 2018;138(2):e48–e74. https://doi.org/10.1161/CIR.0000000000000579.
  • Yilmaz M, Tiraki Z. What is the Health literacy? How assessment? E-Journal of Dokuz Eylul University Nursing Faculty, 2016;9(4):142–7.
  • Aryankhesal A, Niknam N, Hasani M, Mengelizadeh N, Aghaei N, Ghaedchukamei Z, et al. Determining the relationship between health literacy level and quality of life among the elderly living in nursing homes. J Educ Health Promot, 2019;8:225. https://doi.org/10.4103/jehp.jehp_310_19
  • Arriaga M, Francisco R, Nogueira P, Oliveira J, Silva C, Camara G, et al. Literacy in portugal: Results of the health literacy population survey project 2019- 2021. Int J Environ Res Public Health, 2022;19(7):4225. https://doi.org/10.3390/ijerph19074225
  • Lee EH, Lee YW, Moon SH. A structural equation model linking health literacy to self-efficacy, self-care activities, and health related quality of life in patients with type 2 diabetes. Asian Nurs Res, 2016;10(1):82–7. https://doi.org/10.1016/j.anr.2016.01.005
  • Montbleau KE, King D, Henault L, Magnani JW. Health literacy, health-related quality of life, and atrial fibrillation. Cogent Med, 2017;4:1412121. https://doi.org/10.1080/2331205X.2017.1412121
  • Naimi AJ, Naderiravesh N, Bayat ZS, Shakeri N, Matbouei M. Correlation between health literacy and health-related quality of life in patients with hypertension, in Tehran, Iran, 2015-2016. Electron Physician, 2017;9(11):5712–20. https://doi.org/10.19082/5712
  • Shi D, Li J, Wang Y, Wang S, Liu K, Shi R, Zhang Q, Chen X. Association between health literacy and hypertension management in a Chinese community: A retrospective cohort study. Intern Emerg Med, 2017;12(6):765–76. doi: https://doi.org/10.1007/s11739-017-1651-7
  • González-Chica DA, Mnisi Z, Avery J, Duszynski K, Doust J, Tideman P, et al. Effect of health literacy on quality of life amongst patients with ıschaemic heart disease in Australian general practice. PLoS One, 2016;11(3):e0151079. https://doi.org/10.1371/journal.pone.0151079
  • Shayan NA. Evaluation of health literacy (HL) and quality of life (QoL) among diabetic and non-diabetic ın hemodialysis patients, Hacettepe University, Health Science Institute Department of Public Health Doctor of Philosophy Thesis, 2018. Ankara.
  • Wang C, Lang J, Xuan L, Li X, Zhang L. The effect of health literacy and self-management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China: A cross sectional study. Int J Equity Health, 2017;16(1):58. https://doi.org/10.1186/s12939-017-0551-9.
  • Zakeri MA, Tavan A, Nadimi AE, Bazmandegan G, Zakeri M, Sedri N. Relationship between health literacy, quality of life, and treatment adherence in patients with acute coronary syndrome. Health Lit Res Pract, 2023;7(2):e71–e79. https://doi.org/10.3928/24748307-20230320-01
  • Yehle KS, Plake KS, Nguyen P, Smith D. Health-related quality of life in heart failure patients with varying levels of health literacy receiving telemedicine and standardized education. Home Healthc Now, 2016;34(5):267–72. https://doi.org/10.1097/NHH.0000000000000384.
  • Mehralian G, Yusefi AR, Davarani ER, Ahmadidarrehsima S, Nikmanesh P. Examining the relationship between health literacy and quality of life: Evidence from older people admitted to the hospital. BMC Geriatr, 2023;23(1):147. https://doi.org/10.1186/s12877-023-03838-w
  • Häuser W, Gold J, Stallmach A, Caspary WF, Stein J. Development and validation of the Celiac Disease Questionnaire (CDQ), a disease-specific healthrelated quality of life measure for adult patients with celiac disease. J Clin Gastroenterol, 2007;41(2):157–66. https://doi.org/10.1097/01.mcg.0000225516.05666.4e
  • Aksan A, Mercanligil SM, Häuser W, Karaismailoglu E. Validation of the Turkish version of the Celiac Disease Questionnaire (CDQ). Health Qual Life Outcomes, 2015;13:82. https://doi.org/10.1186/s12955-015-0272-y.
  • George D, Mallery P. SPSS for Windows step by step: A simple guide and reference. 11.0 update (4th ed.). Boston: Allyn & Bacon. 2003.
  • Okyay P, Abacigil F. Turkey Health Literacy Scales reliability and validity study. Anil Matbaa.1. Edition. Ankara, 2016;1–104. ISBN: 978-975-590-594-5
  • Vázquez-Polo M, Navarro V, Larretxi I, Perez-Junkera G, Lasa A, Matias S, et al. Uncovering the concerns and needs of ındividuals with celiac disease: a cross-sectional study. Nutrients, 2023;15(17):3681. https://doi.org/10.3390/nu15173681
  • Azadi A, Taghineghad H, Azizi M, Mahmodi Y, Jamalaldin H. Scrutiny the quality of life elderly in Ilam and its related factors in 2015. Sci J Nurs Midwifery Paramed Fac, 2016;2(1):29–37.
  • Moghadam K, Mansour-Ghanaei R, Esmaeilpour-Bandboni M, Atrkar-Roshan Z. Investigating the relationship between social support and quality of life in the elderly. J Educ Health Promot, 2020;9:215. https://doi.org/10.4103/jehp.jehp_149_20
  • Min D, Cho E. Patterns in quality of life according to employment among the older adults: The Korean longitudinal study of aging (2008–2014). BMC Public Health, 2018;18:379. https://doi.org/10.1186/s12889-018-5296-x
  • Cakir M, Piya B, Aycan S. Healthy lifestyle behaviors and quality of life in physicians: A faculty of medicine based cross-sectional study. Ankara Med J, 2015;15(4):209–19. https://doi.org/10.17098/amj.57890
  • Deger TB, Ordu Y. Factors affecting quality of life in the elderly: A rural example. Gümüşhane University Journal of Health Sciences, 2022;11(2):574–85.
  • Vagetti GC, Barbosa Filho VC, Moreira NB, Oliveira VD, Mazzardo O, Campos WD. Association between physical activity and quality of life in the elderly: A systematic review, 2000–2012. Rev Bras Psiquiatr, 2014;36(1):76–88. https://doi.org/10.1590/1516-4446-2012-0895.
  • Metin S. Nutrition in celiac disease. Current Gastroenterology, 2016;20(3):259–62.
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  • Ozciftci-Ertugral N. Determination of serum NGAL and zonulin levels in children with celiac disease and the relationship between these markers and compliance with gluten-free diet. Pamukkale Unıversity, Faculty of Medicine, (Specialization Thesis). Denizli, 2019.
  • Marsilio I, Canova C, D’Odorico A, Ghisa M, Zingone L, Lorenzon G, et al. Quality-of-life evaluation in coeliac patients on a gluten-free diet. Nutrients, 2020;12(10):2981. https://doi.org/10.3390/nu12102981
  • Burger JP, de Brouwer B, IntHout J, Wahab PJ, Tummers M, Drenth JP. Systematic review with meta-analysis: Dietary adherence influences normalization of health-related quality of life in coeliac disease. Clin Nutr, 2017;36:399–406. https://doi.org/10.1016/j.clnu.2016.04.021
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  • Borji M, Tarjoman A, Otaghi M, Salimi E, Naseri A. Health literacy level and its related factors among the elderlies in Ilam in 2015. Iran J Nurs, 2017;30(108):33–43. https://doi.org/10.29252/ijn.30.108.33
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  • TamizKar P, Mohammadi M, Fathnezha-kazemi A, Marami, S. The relationship between health literacy level and self-care ability in the elderly. Journal of Gerontology, 2019;4(9):54–62. https://doi.org/10.29252/joge.4.2.54
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  • Abu-Janb N, Jaana M. Facilitators and barriers to adherence to gluten-free diet among adults with celiac disease: A systematic review. J Hum Nutr Diet, 2020;33(6):786–810. https://doi.org/10.1111/jhn.12754.
Toplam 59 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Mine Yımaz 0000-0003-4466-6691

Yasemin Gümüş Şekerci 0000-0002-9661-0924

Proje Numarası 1919B012219116
Yayımlanma Tarihi 13 Eylül 2024
Gönderilme Tarihi 27 Kasım 2023
Kabul Tarihi 12 Eylül 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 33 Sayı: 2

Kaynak Göster

Vancouver Yımaz M, Gümüş Şekerci Y. The Relationship Between Quality of Life and Health Literacy in Adults with Celiac Disease: A Cross-Sectional Study. STED. 2024;33(2):108-22.