Assessment of health literacy and knowledge about renal replacement therapy in patients in a multiprofessional outpatient clinic of pre-dialytic chronic kidney disease
DOI:
https://doi.org/10.34019/1982-8047.2020.v46.29383Keywords:
Health Literacy, Renal Replacement Therapy, Renal Dialysis, Peritoneal DialysisAbstract
Introduction: Health Literacy (HL) is associated with morbidity and mortality in chronic kidney disease (CKD). Objective: To evaluate HL and knowledge of renal replacement therapy (RRT) of the patients from a multidisciplinary outpatient CKD predialysis. Material and Methods: Cross-sectional study in HIPERDIA Minas clinic from March to April/2015. Assessed sociodemographic variables, HL through SAHLPA 18 (Short Assessment of Health Literacy for English-Speaking Adults), and applied a semi-structured questionnaire. Patients were divided into two groups according to HL and the variables were compared; carried out a comparative analysis between the stage and the answers to the semi-structured questionnaire and compared the SAHLPA and type of RRT. Finally, we performed a logistic regression with the dependent variable "having knowledge of RRT." Results: We evaluated 100 consecutive patients, mean age was 68.2 ± 10.7 years. The majority were men, whites, had only elementary school, the most common category of CKD was 3b, 68% had inadequate HL. When asked if had already been informed of dialysis 37.7% in stage 3b, 60.6% in the 4 and 66.7% in 5 said yes; about the modalities 68.9% in stage 3b, 60.6% in the 4 and 16.7% in 5 said they did not know about RRT. The variable related to "having knowledge of RRT" in a logistic regression model was just age. Conclusion: There was a low percentage of appropriate HL and knowledge of RRT. The most reported method was hemodialysis. Our results suggest that strategies to improve health literacy and provide appropriate information on RRT should be part of multidisciplinary care.
Downloads
References
Weiss BD, Mays MZ, Martz W, Castro KM, DeWalt DA, Pinone MP et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med. 2005; 3:514-22.
World Health Organization. Health Promotion Glossary. Geneva: Switzerland: Division of Health Promotion, Education and Health Promotion Unit (HEP); 1998.
International Society of Nephrology. ISN Global Kidney Health Atlas. [citado em 2020 Apr 20] Disponível em: www.theisn.org/global-atlas.
Kalantar-Zadeh K, Unruh M, Zager PG, Kovesdy CP, Bargman JM, Chen J, Sankarasubbaiyan S et al. Twice-weekly and incremental hemodialysis treatment for initiation of kidney replacement therapy. Am J Kidney Dis. 2014; 64(2):181-6. doi:10.1053/j.ajkd.2014.04.019.
Agência de Vigilância Sanitária (BR). Resolução da Diretoria Colegiada - RDC n. 154, de 15 de junho de 2004. Estabelece o regulamento técnico para o funcionamento dos serviços de diálise. [citado em 2019 Oct 3] 2004. Disponível em: http://portal.anvisa.gov.br.
Carthery-Goulart MT, Anghinah R, Areza-Fegyveres R, Bahia VS, Brucki SMD, Damin A et al. Perfomance of Brazilian population on the test of functional health literacy in adults. Ver Saúde Pública. 2009; 43:631-8.
Kalichman SC, Ramachandran B, Catz S. Adherence to combination antirretroviral therapies in HIV patients of low health literacy. J Gen Intern Med. 1999; 14:267-73.
Tokuda Y, Doba N, Butler JP, Paasche-Orlow MK. Health literacy and physical and psychological welbeing in Japanese adults. Patient Educ Couns. 2009; 75:411-17.
Sudore RL, Yaffe K, Satterfield S, Harris TB, Mehta KM, Somonsick EM, et al. Limeted literacy and a mortality in the elderly: the health, aging, and body study. J Gen Intern Med. 2001; 21:806-12.
Cavanaugh KL, Wingard RL, Hakim RM, eden S, Shintani A, Wallston KA et al. Low literacy associates with increased mortality in ESRD. J Am Soc Nephrol. 2009; 4:195-200.
Finkelstein FO, Story K, Firanek C, Barre P, Takano T, Soroka S et al. Perceived knowledge among patients cared for by nephrologissts about chronic kidney disease and end-stage renal disease therapies. Kidney Int. 2008; 74:1178-84.
Morony S, Flynn M, McCaffery KJ, Jansen J, Webster QC. Readability of written materials for ckd patients: a systematic review. American Journal of Kidney Diseases. 2015; 65(6):842. DOI: 10.1053/j.ajkd.2014.11.025
Sociedade Brasileira de Nefrologia. Censo da SBN 2019. [citado em 2020 Apr 20]. Disponível em: http://www.censo-sbn.org.br/.
Apolinario D, Braga Rde C, Magaldi RM, Busse AL, Campora F, Brucki S et al. Short assessment of health literacy for Portuguese-speaking adults. Rev Saúde Pública. 2012; 46:702-11. DOI: http://dx.doi.org/10.1590/S0034-89102012000400015
Heras MM. Conceito de diálise peritoneal, fisiologia e anatomia. Um Manual Prático de Diálise Peritoneal. Ed. Atrium Comunicacion Estrategica S.L; 2005.
Ricardo AC, Yang W, Lora CM, Gordon EL, Diamantidis CJ, Ford V et al. Limited health literacy is associated with low glomerular filtration in the chronic renal insufficiency cohort (CRIC) study. Clin Nephrol. 2014; 81(1):30-7. Doi: 10.5414/CN108062.
Fraser SD, Roderick PJ, Casey M, Taal MW, Yuen HM, Nutbeam D. Prevalence and associations of limited health literacy in chronic disease: a systematic review. Nephrology Dialisys Transplantation. 2013; 28(1):129-37.
Luca DG, Oliveira DCL, Guimarães ER, Tamiasso GC, Goulart LBZ, Rosa MLG et al. Evaluation of knowledge of the term "nephrology" in a population sample. Jornal Bras de Nefrol. 2013; 35:107-11.
Devraj R, Borrego M, Vialy AM, Gordon EJ, Pailden J, Horowitz B. Relationship betwenn health literacy and kidney function. Nephrology. 2015; 20(5):360-7.
Huang HC, Wang JY, Chang CC, Chiu PF, Chiang MC, Yang Y. Nonclinical factors associated with treatment with peritoneal dialysis in ESRD patients in Taiwan. Perit Dial Int. 2010; 30(6):638-43. doi: 10.3747/pdi. 2009.00112. Epub 2010 May 6.
Rowlands G, Protheroe J, Winkley J, Richardson M, Seed PT, Rudd R. A mismatch between population health literacy and the complexity of health information: a observational study. Br J Gen Pract. 2015; 65(635):e379-86. doi: 10.3399/bjgp15X685285.
Delphine ST, Elizabeth D, Velasquez ABS, Tanushree B, Neil RP. Assessment of printed patient-educational materials for chronic kidney disease. Am J Nephrol. 2013; 38(3):184-94. doi:10.1159/000354314.
Downloads
Published
How to Cite
Issue
Section
License
Cessão de Primeira Publicação à HU Revista
Os autores mantém todos os direitos autorais sobre a publicação, sem restrições, e concedem à HU Revista o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento irrestrito do trabalho, com reconhecimento da autoria e crédito pela citação de publicação inicial nesta revista, referenciando inclusive seu DOI.
