Assessment of health literacy and knowledge about renal replacement therapy in patients in a multiprofessional outpatient clinic of pre-dialytic chronic kidney disease

• Autor(a) principal: Schreider, Alyne
• Data de Publicação: 2020
• Outros Autores: Kirchmaier, Filomena Maria, Senra de Souza, Luciana, Gomes Bastos, Marcus, Maria da Silva Fernandes, Natalia
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: HU Revista (Online)
• Texto Completo: https://periodicos.ufjf.br/index.php/hurevista/article/view/29383
• topic: Health Literacy; Renal Replacement Therapy; Renal Dialysis; Peritoneal Dialysis; Letramento em Saúde; Terapia de Substituição Renal; Diálise Renal; Diálise Peritoneal

Introduction: Health Literacy (HL) is associated with morbidity and mortality in chronic kidney disease (CKD). Objective: To evaluate HL and knowledge of renal replacement therapy (RRT) of the patients from a multidisciplinary outpatient CKD predialysis. Material and Methods: Cross-sectional study in HIPERDIA Minas clinic from March to April/2015. Assessed sociodemographic variables, HL through SAHLPA 18 (Short Assessment of Health Literacy for English-Speaking Adults), and applied a semi-structured questionnaire. Patients were divided into two groups according to HL and the variables were compared; carried out a comparative analysis between the stage and the answers to the semi-structured questionnaire and compared the SAHLPA and type of RRT. Finally, we performed a logistic regression with the dependent variable "having knowledge of RRT." Results: We evaluated 100 consecutive patients, mean age was 68.2 ± 10.7 years. The majority were men, whites, had only elementary school, the most common category of CKD was 3b, 68% had inadequate HL. When asked if had already been informed of dialysis 37.7% in stage 3b, 60.6% in the 4 and 66.7% in 5 said yes; about the modalities 68.9% in stage 3b, 60.6% in the 4 and 16.7% in 5 said they did not know about RRT. The variable related to "having knowledge of RRT" in a logistic regression model was just age. Conclusion: There was a low percentage of appropriate HL and knowledge of RRT. The most reported method was hemodialysis. Our results suggest that strategies to improve health literacy and provide appropriate information on RRT should be part of multidisciplinary care.