Health literacy, negative emotional status, and self-care behaviors in dialysis

Document Type : Research Paper

Authors

1 Department of psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran

2 Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Introduction: Renal failure patients with low health literacy are at an increased risk for poor self-care and negative health outcome. The purpose of the present study was to examine the prevalence of low health literacy, differences in negative emotional status and self-care behaviors by health literacy levels, and the mediating role of negative emotions on the relationship between health literacy and self-care among patients undergoing dialysis.
 Materials and Methods: In the cross-sectional study, we recruited 240 consecutive patients diagnosed with End Stage Renal Disease (ESRD) who had scheduled appointments at Tehran University of Medical Sciences-affiliated dialysis units from March 2014 until June 2014 based on the inclusion criteria. Instrument include: Mini Mental State Exam, Short test of Health Literacy for Adults, Depression, Anxiety and Stress Scale-21 and Self-Management Scale.
Results: The findings indicated that health literacy was inadequate in 25%, marginal in 9.8%, and adequate in 65.2% of the cases. Depression, anxiety, stress and self-care scores differed significantly by health literacy levels (P

Keywords

References

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Journal of Fundamentals of Mental Health
Volume 17, Issue 1 - Serial Number 1
January and February 2015
Pages 46-51

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