Relationship between the Level of Health Literacy, Diet Adherence and Dialysis Adequacy in Patients Undergoing Dialysis

Background and Objectives: The number of patients affected by Chronic Kidney Disease(ckd) grows every year. Adherence to nutritional restrictions can affect the adequacy of dialysis treatment and also it is heavily dependent on suitable and sufficient health literacy level of patients undergoing dialysis. Considering the progressive increase of dialysis patients in Abadan, present research was performed to investigate the relationship between health literacy and adherence to diet and adequacy of dialysis.Materials and Methods: The present research is a descriptive- cross-sectional study performed on ۲۰۷ patients referring to the dialysis ward of the hospitals covered by Abadan University of Medical Sciences via regular systematic randomized method. Data collection was performed using three questionnaires including demographic information, Health Literacy for Iranian Adults (HELIA), ESRD-AQ, and KT/V investigation Data analysis was performed using descriptive and inferential statistical tests plus logistic regression model in SPSS ۲۷. Results: Out of ۲۰۷ patients examined, ۲۸.۵۰% of patients had poor adherence while ۷۱.۵۰% showed strong adherence. Among patients with poor adherence, ۵۸.۲% had low health literacy, ۴۰% average and ۱.۸% high. Furthermore, logistic regression model showed that by increasing in the health literacy level of the patients, the chance of adherence would grow by ۶.۳ times, which was statistically significant(CI= ۳.۱۳).. However, no significant relationship was found between level of health literacy and adequacy of dialysis (CI=۱.۷۳).Conclusion: Considering the significant relationship between health literacy and adherence to the diet, it becomes important to make attempts for showing the significance of enhancing the health literacy of patients undergoing dialysis in order to enhance adherence to the diet and thus support the success of dialysis treatment method and enhance the general care of these patients.

کلیدواژه ها:

Health Literacy ، Diet ، dialysis ، Kidney disease