Article Sidebar
Downloads
Metrics
Main Article Content
Abstract
Introduction: The therapeutic noncompliance or lack of adherence to treatment is a prevalent problem in clinical practice. Low levels of health literacy are related to lack of self-care, errors in the taking of medications and difficulty in understanding instructions, which is related to a higher rate of therapeutic noncompliance.
Objective: To know the degree of therapeutic noncompliance based on the degree of literacy in health of patients undergoing hemodialysis.
Material and Method: Prospective descriptive study in 35 patients in chronic hemodialysis program. Health literacy was assessed with the Health Literacy Survey European Union questionnaire. The degree of therapeutic noncompliance was determined by interdialitic weight gain and analytical indicators.
Results: Patients with an adequate level of literacy (≥34 points) presented a lower degree of non-compliance than patients with inadequate literacy in relation to interdialitic weight gain (78% vs 70%), potassium (67% vs 56%), albumin (83% vs 72%) - without statistical significance - and greater therapeutic noncompliance for phosphorus (83.33% vs51.44%) - p 0.042 -.
Conclusions: Patients with a higher level of health literacy have a lower degree of noncompliance, except for phosphorus, which is the parameter with the worst adherence rate.
Keywords
Article Details
Author copyright notice
© Authors grant the publisher the non-exclusive licence to publish the work and consent to its use and distribution under the Creative Commons Attribution - NonCommercial 4.0 International (CC BY-NC 4.0) licence. Read the licensing information and the legal text here. This must be expressly stated wherever necessary.
References
- Palmer SC, Hanson CS, Craig JC, Strippoli GF, Ruospo M, Campbell K, et al. Dietary and fluid restrictions in CKD: a thematic synthesis of patient views from qualitative studies. Am J Kidney Dis. 2015;65(4):559-73.
- Guerra VT, Díaz AE, Vidal K. La educación como estrategia para mejorar la adherencia de los pacientes en terapia dialítica. Rev Cubana Enfermer 2010;26(2):52-62.
- Ruiz E, Latorre LI, Delgado A, Crespo R, Sánchez JL. Adherencia al tratamiento farmacológico en pacientes en hemodiálisis. Enferm Nefrol. 2016;19(3):232-41.
- Salvadó-Hernández C, Cosculluela-Torres P, Blanes-Monllor C, Parellada-Esquius N, Méndez-Galeano C, Maroto-Villanova N et al. Insuficiencia cardíaca en atención primaria: actitudes, conocimientos y autocuidados. Aten Primaria. 2018;50(4):213-21.
- Costa-Requena G, Moreso F, Cantarell MC, Serón D. Alfabetización en salud y enfermedad renal crónica. Nefrología. 2017;37(2):115-7.
- Falcón M, Luna A. Alfabetización en salud: concepto y dimensiones. Proyecto europeo de alfabetización en salud. RCyS 2012;2:91-8.
- Navarro MD, Rudd R, Rosenfeld L, Arrighi E. Alfabetización en salud: implicación en el sistema sanitario. Med Clin. 2016;147(4):171-5.
- Sorensen K, Van den Broucke S, Pelikan J, Fullam J, Doyle G, Slonska S et al. Measuring health literacy in populations: iluminating the desing and development precess of the European Health Literacy Survey Questionnarie (HLS-EU-Q). BMC Public Health. 2013;13:1053-58.
- Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group. Kidney Disease: Improving Global Oucomes (KDIGO) 2017.Clinical Practice Guideline Update for de diagnosis, evaluation, prevention and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD). Kidney Int Suppl 2017;7(1):1-59.
- Young BA. Health literacy in neprhology: why is important? Am J Kidney Dis. 2013;62(1):3-6.
- Pelayo Alonso R, Martínez Álvarez P, Merino García S, Labrador Pérez A, Sánchez Cano S, Cobo Sánchez JL. Análisis del nivel de alfabetización en salud en pacientes con insuficiencia renal crónica en hemodiálisis. Enferm Nefrol. 2017; 2(3):221-6.
- Santesmases R, González L, Real J, Borràs A, Sisó A, Navarro MD. Alfabetización en salud en pacientes con insuficiencia cardiaca atendidos en atención primaria. Aten Primaria. 2017;49(1):28-34.
- Mellon L, Regan D, Curtis R. Factors influencing adherence among Irish haemodialysis patients. Patient Educ Couns. 2013;92(1):88-93.
- Green JA, Mor MK, Shields AM, Sevick MA, Arnold RM, Palevsky PM et al. Associations of health literacy with dialysis adherence and health resource utilization in patients receiving maintenance hemodialysis. Am J Kidney Dis. 2013;62(1):73-80.
- Chu WH. Evidence Summary. Hemodialysis: Management of non-adherence to fluid-intake restrictions. The Joanna Briggs Institute EBP Database, JBI@Ovid.2017;JBI1522
- Oquendo LG, Asencio JMM, de Las Nieves CB. Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review. J Clin Nurs. 2017;26(23-24):3893-905.
- Taylor DM, Fraser SDS, Bradley JA, Bradley C, Draper H, Metcalfe W, et al. A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD. Clin J Am Soc Nephrol. 2017;12(7):1070-1084.
- Millazi M, Bonner A, Douglas C. Effectiveness of educational or behavioral interventions on adherence to phosphate control in adults receiving hemodialysis: a systematic review. JBI Database System Rev Implement Rep 2017;15(4):971-1010.
- Noori N, Sims JJ, Kopple JD, Shah A, Colman S, Shinaberger CS et al. Organic and Inorganic Dietary Phosphorus and Its Management in Chronic Kidney Disease. Iran J Kidney Dis. 2010; 4(2): 89-100.
- Osuna Padilla IA, Leal Escobar G, Garza García CA. Manejo nutricional de la hiperfosfatemia en la enfermedad renal crónica. Nutr clín diet hosp 2017; 37(4):140-8.
- Lou-Arnal LM, Arnaudas-Casanova L, Caverni-Muñoz A, Vercet-Tormo A, Caramelo-Gutiérrez R, Munguía-Navarro P, et al; Grupo de Investigación ERC Aragón. Hidden sources of phosphorus: presence of phosphorus-containing additives in processed foods. Nefrología 2014;34(4):498-506.
- Lou-Arnal LM, Caverni-Muñoz A, Arnaudas-Casanova L, Vercet-Tormo A, Gimeno-Orna JA, Sanz-París A et al. The impact of processing meat and fish products on phosphorus intake in chronic kidney disease patients. Nefrología. 2013;33(6):797-807.
References
Palmer SC, Hanson CS, Craig JC, Strippoli GF, Ruospo M, Campbell K, et al. Dietary and fluid restrictions in CKD: a thematic synthesis of patient views from qualitative studies. Am J Kidney Dis. 2015;65(4):559-73.
Guerra VT, Díaz AE, Vidal K. La educación como estrategia para mejorar la adherencia de los pacientes en terapia dialítica. Rev Cubana Enfermer 2010;26(2):52-62.
Ruiz E, Latorre LI, Delgado A, Crespo R, Sánchez JL. Adherencia al tratamiento farmacológico en pacientes en hemodiálisis. Enferm Nefrol. 2016;19(3):232-41.
Salvadó-Hernández C, Cosculluela-Torres P, Blanes-Monllor C, Parellada-Esquius N, Méndez-Galeano C, Maroto-Villanova N et al. Insuficiencia cardíaca en atención primaria: actitudes, conocimientos y autocuidados. Aten Primaria. 2018;50(4):213-21.
Costa-Requena G, Moreso F, Cantarell MC, Serón D. Alfabetización en salud y enfermedad renal crónica. Nefrología. 2017;37(2):115-7.
Falcón M, Luna A. Alfabetización en salud: concepto y dimensiones. Proyecto europeo de alfabetización en salud. RCyS 2012;2:91-8.
Navarro MD, Rudd R, Rosenfeld L, Arrighi E. Alfabetización en salud: implicación en el sistema sanitario. Med Clin. 2016;147(4):171-5.
Sorensen K, Van den Broucke S, Pelikan J, Fullam J, Doyle G, Slonska S et al. Measuring health literacy in populations: iluminating the desing and development precess of the European Health Literacy Survey Questionnarie (HLS-EU-Q). BMC Public Health. 2013;13:1053-58.
Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group. Kidney Disease: Improving Global Oucomes (KDIGO) 2017.Clinical Practice Guideline Update for de diagnosis, evaluation, prevention and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD). Kidney Int Suppl 2017;7(1):1-59.
Young BA. Health literacy in neprhology: why is important? Am J Kidney Dis. 2013;62(1):3-6.
Pelayo Alonso R, Martínez Álvarez P, Merino García S, Labrador Pérez A, Sánchez Cano S, Cobo Sánchez JL. Análisis del nivel de alfabetización en salud en pacientes con insuficiencia renal crónica en hemodiálisis. Enferm Nefrol. 2017; 2(3):221-6.
Santesmases R, González L, Real J, Borràs A, Sisó A, Navarro MD. Alfabetización en salud en pacientes con insuficiencia cardiaca atendidos en atención primaria. Aten Primaria. 2017;49(1):28-34.
Mellon L, Regan D, Curtis R. Factors influencing adherence among Irish haemodialysis patients. Patient Educ Couns. 2013;92(1):88-93.
Green JA, Mor MK, Shields AM, Sevick MA, Arnold RM, Palevsky PM et al. Associations of health literacy with dialysis adherence and health resource utilization in patients receiving maintenance hemodialysis. Am J Kidney Dis. 2013;62(1):73-80.
Chu WH. Evidence Summary. Hemodialysis: Management of non-adherence to fluid-intake restrictions. The Joanna Briggs Institute EBP Database, JBI@Ovid.2017;JBI1522
Oquendo LG, Asencio JMM, de Las Nieves CB. Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review. J Clin Nurs. 2017;26(23-24):3893-905.
Taylor DM, Fraser SDS, Bradley JA, Bradley C, Draper H, Metcalfe W, et al. A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD. Clin J Am Soc Nephrol. 2017;12(7):1070-1084.
Millazi M, Bonner A, Douglas C. Effectiveness of educational or behavioral interventions on adherence to phosphate control in adults receiving hemodialysis: a systematic review. JBI Database System Rev Implement Rep 2017;15(4):971-1010.
Noori N, Sims JJ, Kopple JD, Shah A, Colman S, Shinaberger CS et al. Organic and Inorganic Dietary Phosphorus and Its Management in Chronic Kidney Disease. Iran J Kidney Dis. 2010; 4(2): 89-100.
Osuna Padilla IA, Leal Escobar G, Garza García CA. Manejo nutricional de la hiperfosfatemia en la enfermedad renal crónica. Nutr clín diet hosp 2017; 37(4):140-8.
Lou-Arnal LM, Arnaudas-Casanova L, Caverni-Muñoz A, Vercet-Tormo A, Caramelo-Gutiérrez R, Munguía-Navarro P, et al; Grupo de Investigación ERC Aragón. Hidden sources of phosphorus: presence of phosphorus-containing additives in processed foods. Nefrología 2014;34(4):498-506.
Lou-Arnal LM, Caverni-Muñoz A, Arnaudas-Casanova L, Vercet-Tormo A, Gimeno-Orna JA, Sanz-París A et al. The impact of processing meat and fish products on phosphorus intake in chronic kidney disease patients. Nefrología. 2013;33(6):797-807.