عنوان انگلیسی مقاله:
Exploring health literacy and self-management after kidney transplantation: A prospective cohort study
ترجمه فارسی عنوان مقاله:
بررسی سواد بهداشتی و خود مدیریت پس از پیوند کلیه: یک مطالعه کوهورت آینده نگر
ScienceDirect- Elsevier- Patient Education and Counseling,Corrected proof,doi:10:1016/j:pec:2021:05:013
Objective: Investigate the influence of health literacy and self-management on complications, kidney
function and graft failure after kidney transplantation.
Methods: We included patients who received a kidney transplant between May 2012 and May 2013 and
monitored outcomes until December 2018. Health literacy was measured using the Newest Vital Sign and
self-management using the Partner in Health scale (before discharge, and after 6 and 12 months). Subscales
are aftercare & knowledge, coping, recognition and management of symptoms, healthy lifestyle.
Complications were categorized as rejection, viral infections, and bacterial infections. Kidney function was
measured using eGFR and graft survival using days until failure.
Results: We included 154 patients. Higher health literacy at baseline and at 12 months was related to more
viral infections (p = 0.02; p < 0.01). Lower ‘coping’ at baseline was related to more bacterial infections
(p = 0.02). Higher ‘after-care and knowledge’ at 6 months (p < 0.01), and ‘recognition and management of
symptoms’ at 6 months were associated with lower graft failure (p < 0.01).
Conclusion: Health literacy did not influence kidney transplant related outcomes. Higher knowledge and
management of symptoms were related to lower graft failure.
Practice implications: Self-management support is a key focus for health care providers in the multi-
© 2021 Published by Elsevier B.V.
keywords: سواد بهداشتی | عوامل روان شناختی | پیوند کلیه، عوارض | خود مراقبتی | بقای پیوند | مرحله پایانی بیماری کلیوی | Health literacy | Psychosocial factors | Renal transplantation, complications | Self-care | Graft survival | End-stage renal disease