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Journal : Jurnal NERS

Good health literacy leads to better quality of life and medication adherence among hemodialysis patients Mailani, Fitri; Febriyana, Indah; Rahman, Dally; Sarfika, Rika; Muliantino, Mulyanti Roberto
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.49247

Abstract

Introduction: 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 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.
Co-Authors Abdul Malik Abdullah, Khatijah Lim Agus Sri Banowo Ainal Jannata Purnama Aisya Rahmadhanty Andriani, Rika Fitri Aninda T. Puari Annisa Rahma Yuni Bakri, Sri Olta Chan, Chong Mei Cholina T. S Chong Mei Chan Chong Mei Chan Dafris, Wendo Dally Rahman Danny Hidayat Davris, Wendo Deivy Andhika Permata Dewi Murni Donny Eros Dwi Novrianda Eli Ratni Emil Huriani Esi Afriyanti Fachry Abda El Rahman Fadilah Lukvianti Fatin, Atikah Febriyana, Indah Ferry Efendi Fitri, Nera Fitri, Tiya Rama Fiziola Fiziola Fiziola Ginza Johanda Hema Malini Hema Malini, Hema Heni Pujiastuti Herien, Yelly Jauharry, Jauharry Khatijah Lim Abdullah Krisdianto, Boby Febri Lenggogeni, Devia Putri Leni Merdawati Mahathir Mahathir, Mahathir Maisa, Esthika Ariany Marza, Wirdhatul Vier Muliantino, Mulyanti Roberto Muthmainah Muthmainah Muthmainah Muthmainah Natasha Melani Ardian Neherta, Meri Nelwati Nelwati Nofrizon Nofrizon Nurikhsani, Nadiya Oktarina, Elvi Permata, Putri Indah Rahmi Muthia Rahmi Muthia Rahmiwati Rahmiwati Rahmiwati Ramadhani, Faizah Ramadini, Indri Ranita, Nada Dwi Refnandes, Randy Reni Prima Gusty Rifdatunnisa, Aisyah Rika Fatmadona Rika Sarfika Rika Syafitri Risti Kurnia Dewi Safitri, Dea Anggun Saifudin, I Made Moh. Yanuar Salsabilla, Ghina Selvi Marcellia Setiawan Setiawan S Sovia Susianty Susmiati Susmiati Tiurmaida Simandalahi Vebby Fitri Nur'arita Vebby Fitri Nur’arita Vebby Fitri Nur’arita Virtous Setyaka Wati, Afdalina Rahmida Wenny, Bunga Permata Wijaya, Nindy Eka Yanti, Delvi Yevri Zulfiqar Yolanda Sukarma Yuanita Ananda Yunita, Amanda Rahma Yuza Olsi Rahmi Zikri, Rahmi Zulfiqar, Yevri