JOURNALMPCIJOURNALMPCI

Journal of Health and Nutrition ResearchJournal of Health and Nutrition Research

Hemodialysis patients self-management is critical for maintaining their quality of life and minimizing complications. Patients health literacy and perception of the disease are essential for their acceptance of the condition and treatment. However, the relationship between these variables and self-management among hemodialysis patients remains unclear. This study aims to identify the relationship between health literacy, perception of disease, and self-management among hemodialysis patients. This correlational study was cross-sectional design, with 129 hemodialysis patients consecutively recruited from a hemodialysis unit of a tertiary hospital in West Java, Indonesia. Data were collected using the Brief-Illness Perception Questionnaire (Brief-IPQ), the European Health Literacy Survey Questionnaire (HLS-EU-Q47), and the End Stage Renal Disease Adherence Questionnaire (ESRD-AQ). The data were analyzed using Pearson correlation analysis. Most of the patients had sufficient or excellent health literacy (74.4%), negative illness perception (50.4%), and low self-management practices (71.3%). Pearsons correlation analysis revealed a positive correlation was found between health literacy and self-management practices (r = .189; ρ=0.032). Additionally, there was a negative correlation between illness perception and health literacy (r = -.27; ρ= .002) as well as between illness perception and self-management practices (r = -.762; ρ= .000). Positive illness perception and better self-management practices correlate with a higher level of health literacy. These findings highlight the importance for healthcare staff to facilitate positive illness perceptions and self-management practices, and to consider these factors as vital aspects in developing self-management education programs for ESRD patients.

Hemodialysis patients must engage in self-management for effective treatment.This study describes higher health literacy and more positive illness perception correlating with better self-management.Non-adherence with self-management can lead to deteriorating conditions and decreased quality of life.Healthcare workers should provide interventions to enhance health literacy and patient perceptions of disease, thereby improving adherence to self-management.

Berdasarkan temuan penelitian ini, beberapa saran penelitian lanjutan dapat dipertimbangkan. Pertama, penelitian lebih lanjut perlu dilakukan untuk menguji efektivitas intervensi yang dirancang khusus untuk meningkatkan literasi kesehatan pasien hemodialisis, dengan fokus pada penyampaian informasi yang mudah dipahami dan relevan dengan kebutuhan sehari-hari mereka. Kedua, studi kualitatif dapat dilakukan untuk menggali lebih dalam mengenai persepsi pasien terhadap penyakit mereka dan bagaimana persepsi tersebut memengaruhi perilaku self-management mereka, termasuk faktor-faktor budaya dan sosial yang berperan. Ketiga, penelitian prospektif diperlukan untuk mengevaluasi dampak jangka panjang dari literasi kesehatan dan persepsi penyakit terhadap hasil klinis pasien hemodialisis, seperti tingkat kepatuhan terhadap diet, kontrol tekanan darah, dan kualitas hidup secara keseluruhan. Penelitian-penelitian ini diharapkan dapat memberikan bukti empiris yang kuat untuk pengembangan program edukasi dan dukungan yang lebih efektif bagi pasien hemodialisis, sehingga dapat meningkatkan kualitas hidup dan mengurangi risiko komplikasi yang terkait dengan penyakit ginjal kronis.

  1. A systematic review and meta-analysis of the Brief Illness Perception Questionnaire: Psychology &... doi.org/10.1080/08870446.2015.1070851A systematic review and meta analysis of the Brief Illness Perception Questionnaire Psychology doi 10 1080 08870446 2015 1070851
  2. The Relationship between Health Literacy, Illness Perception, and Self-Management Adherence among Hemodialysis... journalmpci.com/index.php/jhnr/article/view/401The Relationship between Health Literacy Illness Perception and Self Management Adherence among Hemodialysis journalmpci index php jhnr article view 401
  3. Advances in Nursing Science. advances nursing science doi.org/10.1097/ANS.0b013e318261b1baAdvances in Nursing Science advances nursing science doi 10 1097 ANS 0b013e318261b1ba
  1. #health literacy#health literacy
  2. #prevalensi perilaku self#prevalensi perilaku self
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