Good health literacy leads to better quality of life and medication adherence among hemodialysis patients
Dublin Core
Title
Good health literacy leads to better quality of life and medication adherence among hemodialysis patients
Subject
adherence, CKD, health literacy, quality of life
Description
Introduction: In managing their conditions and achieving positive health outcomes, individuals with chronic kidney
disease rely on health literacy (HL) as a crucial concept. Sufficient health literacy enables patients to maintain good
medication adherence and experience an enhanced quality of life. The research aimed to investigate the correlation
between health literacy levels, medication adherence, and quality of life among hemodialysis patients with chronic
kidney disease.
Methods: The research employed a cross-sectional design. A random sample of 164 hemodialysis patients from two
hemodialysis facilities in Padang, Indonesia, was collected between May and June 2023. Inclusion criteria were
patients undergoing hemodialysis twice a week and aged over 18 years. Patients who experienced a decrease in
consciousness and memory disorders such as dementia were excluded from this study. The questionnaires used to
measure variables in this study were the demographic data questionnaire, the HLS-EU-Q16 health literacy
questionnaire, the MMAS-8 medication adherence questionnaire, and the KDQOL-36 quality of life questionnaire for
chronic kidney disease patients.
Results: The statistical analysis demonstrated a significant relationship between health literacy, quality of life, and
medication adherence (p-value < 0.05). The high health literacy group (N = 73) exhibited a markedly superior quality
of life compared to those in the mid-level (N = 48) and low-level (N = 43) health literacy groups. Multiple regression
analysis revealed that, of the three components of health literacy, health promotion has the greatest influence on
patients' quality of life, contributing 25.1%, while the aspect of healthcare has the greatest influence on medication
adherence, contributing 43.3%.
Conclusions: Health literacy is essential in improving medication adherence and the patient's quality of life in a more
optimal direction. Healthcare professionals should create plans for tailored and customized health information with
the goal of providing patients with the knowledge about critical components they need to manage chronic kidney
disease.
disease rely on health literacy (HL) as a crucial concept. Sufficient health literacy enables patients to maintain good
medication adherence and experience an enhanced quality of life. The research aimed to investigate the correlation
between health literacy levels, medication adherence, and quality of life among hemodialysis patients with chronic
kidney disease.
Methods: The research employed a cross-sectional design. A random sample of 164 hemodialysis patients from two
hemodialysis facilities in Padang, Indonesia, was collected between May and June 2023. Inclusion criteria were
patients undergoing hemodialysis twice a week and aged over 18 years. Patients who experienced a decrease in
consciousness and memory disorders such as dementia were excluded from this study. The questionnaires used to
measure variables in this study were the demographic data questionnaire, the HLS-EU-Q16 health literacy
questionnaire, the MMAS-8 medication adherence questionnaire, and the KDQOL-36 quality of life questionnaire for
chronic kidney disease patients.
Results: The statistical analysis demonstrated a significant relationship between health literacy, quality of life, and
medication adherence (p-value < 0.05). The high health literacy group (N = 73) exhibited a markedly superior quality
of life compared to those in the mid-level (N = 48) and low-level (N = 43) health literacy groups. Multiple regression
analysis revealed that, of the three components of health literacy, health promotion has the greatest influence on
patients' quality of life, contributing 25.1%, while the aspect of healthcare has the greatest influence on medication
adherence, contributing 43.3%.
Conclusions: Health literacy is essential in improving medication adherence and the patient's quality of life in a more
optimal direction. Healthcare professionals should create plans for tailored and customized health information with
the goal of providing patients with the knowledge about critical components they need to manage chronic kidney
disease.
Creator
Fitri Mailani1,
* ,Indah Febriyana1
, Dally Rahman1
, Rika Sarfika1
, and Mulyanti Roberto
Muliantino1
* ,Indah Febriyana1
, Dally Rahman1
, Rika Sarfika1
, and Mulyanti Roberto
Muliantino1
Source
http://dx.doi.org/10.20473/jn.v19i1.49247
Date
22 February 2024
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Fitri Mailani1,
* ,Indah Febriyana1
, Dally Rahman1
, Rika Sarfika1
, and Mulyanti Roberto
Muliantino1, “Good health literacy leads to better quality of life and medication adherence among hemodialysis patients,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/10994.