Health-literacy, self-efficacy and health-outcomes of patients undergoing haemodialysis : Mediating role of self-management
© 2024 European Dialysis and Transplant Nurses Association/European Renal Care Association..
BACKGROUND: Health literacy, self-efficacy and self-management are known to influence health-related well-being. However, the precise influence of self-management, health literacy and self-efficacy on health outcomes in Asian countries is under-researched.
OBJECTIVES: To examine the impact of health literacy and self-efficacy (independent variables) and self-management (mediator) on patients' health outcomes (dependent variable).
DESIGN: An observational, cross-sectional design was conducted between 1 March 2022 and 31 August 2022.
PARTICIPANTS: Outpatients receiving haemodialysis (n = 200) at a Taiwanese medical centre were assessed.
MEASUREMENTS: The survey included demographic questions and standardised scales: the 3-item Brief Health Literacy Screen, the 8-item Perceived Kidney/Dialysis Self-Management Scale as a measure of self-efficacy, and the 20-item Haemodialyses Self-Management Instrument. Health outcomes were responses on the 12-item Short-Form Health Survey version 2 and clinical blood results from the past 3 months.
RESULTS: Participants aged over 60 exhibited common comorbidities, with 34% showing low health literacy. Biochemical markers (e.g., haemoglobin and albumin) significantly correlated with physical and mental health scores. Mediating coefficients revealed that self-management significantly influenced associations between health outcomes, health literacy (β = 0.31; p < 0.01), and self-efficacy (β = 0.19; p < 0.01).
IMPLICATIONS FOR PRACTICE: Self-management can modify the overall influence of health literacy and self-efficacy on patients' quality of physical and emotional health. When managing a chronic condition, 'knowing' how to self-manage does not always result in 'doing so' by the patient. Continuous monitoring and promoting self-management behaviours and support by nurses are crucial to enhance health outcomes.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Journal of renal care - (2024) vom: 24. März |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hsu, Shu-Hua [VerfasserIn] |
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| Links: |
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| Themen: |
Haemodialysis |
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| Anmerkungen: |
Date Revised 24.03.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1111/jorc.12493 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM370115791 |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a © 2024 European Dialysis and Transplant Nurses Association/European Renal Care Association. | ||
| 520 | |a BACKGROUND: Health literacy, self-efficacy and self-management are known to influence health-related well-being. However, the precise influence of self-management, health literacy and self-efficacy on health outcomes in Asian countries is under-researched | ||
| 520 | |a OBJECTIVES: To examine the impact of health literacy and self-efficacy (independent variables) and self-management (mediator) on patients' health outcomes (dependent variable) | ||
| 520 | |a DESIGN: An observational, cross-sectional design was conducted between 1 March 2022 and 31 August 2022 | ||
| 520 | |a PARTICIPANTS: Outpatients receiving haemodialysis (n = 200) at a Taiwanese medical centre were assessed | ||
| 520 | |a MEASUREMENTS: The survey included demographic questions and standardised scales: the 3-item Brief Health Literacy Screen, the 8-item Perceived Kidney/Dialysis Self-Management Scale as a measure of self-efficacy, and the 20-item Haemodialyses Self-Management Instrument. Health outcomes were responses on the 12-item Short-Form Health Survey version 2 and clinical blood results from the past 3 months | ||
| 520 | |a RESULTS: Participants aged over 60 exhibited common comorbidities, with 34% showing low health literacy. Biochemical markers (e.g., haemoglobin and albumin) significantly correlated with physical and mental health scores. Mediating coefficients revealed that self-management significantly influenced associations between health outcomes, health literacy (β = 0.31; p < 0.01), and self-efficacy (β = 0.19; p < 0.01) | ||
| 520 | |a IMPLICATIONS FOR PRACTICE: Self-management can modify the overall influence of health literacy and self-efficacy on patients' quality of physical and emotional health. When managing a chronic condition, 'knowing' how to self-manage does not always result in 'doing so' by the patient. Continuous monitoring and promoting self-management behaviours and support by nurses are crucial to enhance health outcomes | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Creedy, Debra K |e verfasserin |4 aut | |
| 700 | 1 | |a Tsao, Ying |e verfasserin |4 aut | |
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