Health‐literacy, self‐efficacy and health‐outcomes of patients undergoing haemodialysis: Mediating role of self‐management.
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...
| Publicado en: | Journal of Renal Care Vol. 50; no. 4; pp. 342 - 353 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180826309&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180826309 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17556678 56RH jtl: Journal of Renal Care issn: 17556678 maglogo: Y pubinfo: dt: Dec2024 vid: 50 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 180826309 180826309 180826309 10.1111/jorc.12493 180826309 ppf: 342 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Health‐literacy, self‐efficacy and health‐outcomes of patients undergoing haemodialysis: Mediating role of self‐management. aug: au: Hsu, Shu‐Hua Lin, Yu‐Li Koo, Malcolm Creedy, Debra K. Tsao, Ying affil: Division of Nephrology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien,, Taiwan sug: subj: Health Literacy Self-Efficacy Self-Management Hemodialysis Taiwan Human Cross Sectional Studies Nonexperimental Studies Outpatients Academic Medical Centers Surveys Comorbidity Mental Health Health Status Taiwan Questionnaires Scales Descriptive Statistics Spearman's Rank Correlation Coefficient Data Analysis Software Two-Tailed Test Confidence Intervals Male Female Adult Middle Age Aged Aged, 80 and Over Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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