HEMODİYALİZ TEDAVİSİ ALAN HASTALARDA SAĞLIK OKURYAZARLIĞI VE TEDAVİYE UYUMLARI ARASINDAKİ İLİŞKİ

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<0.01). Hemodiyaliz tedavisi alan hastaların yaşı ile Sağlık Okuryazarlığı Ölçeği toplam puanı arasında negatif yöndeki korelasyon istatistiksel olarak anlamlı bulundu (p<0.01). Son Dönem Böbrek Yetersizliği Uyum Ölçeği toplam puanı ile Sağlık Okuryazarlığı Ölçeği toplam puanı (r=0.371; p<0.01) ve Kt/V (K: Üre diyalizör klerensi t: Diyaliz zamanı V: Vücut üre dağılım hacmi) değeri (r=0.307; p<0.01) arasında pozitif yönde istatistiksel olarak anlamlı korelasyon olduğu belirlendi. Sonuç: Sağlık okuryazarlığı düzeyi yüksek olan hastaların tedaviye uyumlarının daha iyi olduğu saptandı. Uyum düzeyleri iyi olan hastaların ise hemodiyaliz yeterliliğinin daha iyi olduğu belirlendi.

Anahtar Kelimeler:

Hemodiyaliz, Hemşire, Sağlık Okuryazarlığı, Son-Dönem Böbrek Hastalığı, Uyum

THE RELATIONSHIP BETWEEN HEALTH LITERACY AND ADHERENCE TO TREATMENT IN PATIENTS RECEIVING HEMODIALYSIS TREATMENT

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<0.01). There was a statistically significant negative correlation between the age of the patients receiving hemodialysis treatment and the Health Literacy Scale total score (p<0.01). It was determined that there was a statistically significant positive correlation between the End Stage Renal Disease Adherence Questionnaire total score with the Health Literacy Scale total score (r=0.371; p<0.01) and Kt/V (K: Dialyzer clearance of urea t: Dialysis time V: volume of distribution of urea) value (r=0.307; p<0.01). Conclusion: It was determined that patients with high health literacy level had better adherence to treatment. However, it was determined that patients with good compliance levels had better hemodialysis adequacy.

Keywords:

Hemodialysis, Nurse, Health Literacy, End-Stage Kidney Disease, Compliance,

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