Correlation between health literacy and health‐related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self‐management

Gao, Yuqi; Yan, Keshu; Yan, Xiangru; Xi, Ning; Gao, Jia; Ren, Hengjie

doi:10.1002/nop2.1566

Cited by 6 publications

(1 citation statement)

References 104 publications

(95 reference statements)

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“…However, the health literacy level of AHU patients is higher than that of patients with polycystic ovary syndrome (87. 20 17.20) and diabetes (88.83 12.57) [34,35]. Considering that most respondents included in this study were urban residents (71.9%), and their education level was generally medium and above, which may explain the higher health literacy.…”

Section: Discussionmentioning

confidence: 94%

Impact of Health Literacy, Social Support, and Socioeconomic Position on Serum Uric Acid Level of Asymptomatic Hyperuricemia Patients in China: a structural equation model

Jing¹,

et al. 2023

Preprint

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Background Hyperuricemia poses a significant public health challenge on a global scale, with a concerning trend of affecting younger populations, while the rates of awareness and control remain suboptimal. The role of health literacy in influencing health outcomes is of utmost importance, and enhancing health literacy is helpful for patients in managing risk factors. Additionally, social support and socioeconomic position (SEP) have been identified as potential factors influencing health. However, the precise relationship between these factors and hyperuricemia remains uncertain. The study aims to investigate the status of health literacy among patients with hyperuricemia and explore the relationship between health literacy, social support, SEP, and serum uric acid. Methods A cross-sectional study was conducted among 349 participants with asymptomatic hyperuricemia in Luzhou of China. The research instrument included the Sociodemographics characteristics questionnaire, Health Literacy Management Scale (HeLMS), and Social Support Scale (SSRS). The construction of the SEP index was achieved through the application of principal component analysis. Univariate and hierarchical regression analyses were used to measure the association of health literacy, social support, SEP, and serum uric acid. Furthermore, structural equation modeling (SEM) was utilized to examine this association. Results (1) Most patients exhibited low health literacy (90.18 ± 15.11), and only 44.4% possess basic health literacy. (2) SEP was positively correlated with SUA (β = 4.086, P< 0.001), health literacy was negatively related to SUA level (β = -0.399, P < 0.001). There was no significant relationship between social support and SUA (β = 0.051, P= 1.085). (3) Health literacy mediates the association between SEP and serum uric acid (β = -0.490, 95% CI: -0.620 to -0.382). The direct effect of SEP on SUA and health literacy was 0.723 and 0.696, respectively and the total effect of SEP on SUA was 0.233. Conclusions The findings indicate a low level of health literacy among patients with AHU and suggest that health literacy may play a mediating role in the relationship between socioeconomic position (SEP) and serum uric acid (SUA) levels. Consequently, it is recommended that future initiatives prioritize health literacy and devise appropriate intervention strategies to enhance the self-management capabilities of patients with AHU.

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Section: Discussionmentioning

confidence: 94%

Impact of Health Literacy, Social Support, and Socioeconomic Position on Serum Uric Acid Level of Asymptomatic Hyperuricemia Patients in China: a structural equation model

Jing¹,

et al. 2023

Preprint

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Correlation between health literacy and health‐related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self‐management

Gao

Yan

et al. 2022

Nursing Open

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Aim The aims of the study were to analyse the current situation of health literacy (HL), self‐management and health‐related quality of life (HRQOL) in patients with diabetic peripheral neuropathy (DPN), to explore the correlation between the three and to verify the mediating role of self‐management in HL and HRQOL. Design A cross‐sectional survey. Methods The convenience sampling method was used to select 401 DPN patients attending the First Hospital of Jinzhou Medical University in Liaoning Province, China, from December 2020 to December 2021 as the study population. The research instrument included socio‐demographic characteristics questionnaire, Health Literacy Management Scale (HeLMS), Summary of Diabetes Self‐Care Activities (SDSCA) and Short‐Form 12‐item Health Survey (SF‐12). SPSS 25.0 was applied to the data for descriptive analysis, Pearson correlation analysis and stratified multiple regression analysis. Mediating effects were tested using SPSS PROCESS macro 4.0 software. Results HL and self‐management of DPN patients correlated positively with HRQOL. The mediation role of self‐management was significant in the relationship between HL and physical and mental HRQOL (physical component summary: β = 0.26, P < 0.01; mental component summary: β = 0.18, P < 0.01), with mediating effects accounting for 35.62% and 34.62% of the total effect. Conclusions There was a positive correlation between HL, self‐management and HRQOL in patients with DPN. Self‐management plays a partially mediating role in the relationship between HL and HRQOL in DPN patients. It means that HRQOL in this population can be improved by increasing HL and thus self‐management in DPN patients. Patient or Public Contribution None.

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Health‐literacy, self‐efficacy and health‐outcomes of patients undergoing haemodialysis: Mediating role of self‐management

Hsu,

Lin,

Koo

et al. 2024

Journal of Renal Care

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BackgroundHealth literacy, self‐efficacy and self‐management are known to influence health‐related well‐being. However, the precise influence of self‐management, health literacy and self‐efficacy on health outcomes in Asian countries is under‐researched.ObjectivesTo examine the impact of health literacy and self‐efficacy (independent variables) and self‐management (mediator) on patients' health outcomes (dependent variable).DesignAn observational, cross‐sectional design was conducted between 1 March 2022 and 31 August 2022.ParticipantsOutpatients receiving haemodialysis (n = 200) at a Taiwanese medical centre were assessed.MeasurementsThe survey included demographic questions and standardised scales: the 3‐item Brief Health Literacy Screen, the 8‐item Perceived Kidney/Dialysis Self‐Management Scale as a measure of self‐efficacy, and the 20‐item Haemodialyses Self‐Management Instrument. Health outcomes were responses on the 12‐item Short‐Form Health Survey version 2 and clinical blood results from the past 3 months.ResultsParticipants aged over 60 exhibited common comorbidities, with 34% showing low health literacy. Biochemical markers (e.g., haemoglobin and albumin) significantly correlated with physical and mental health scores. Mediating coefficients revealed that self‐management significantly influenced associations between health outcomes, health literacy (β = 0.31; p < 0.01), and self‐efficacy (β = 0.19; p < 0.01).Implications for PracticeSelf‐management can modify the overall influence of health literacy and self‐efficacy on patients' quality of physical and emotional health. When managing a chronic condition, ‘knowing’ how to self‐manage does not always result in ‘doing so’ by the patient. Continuous monitoring and promoting self‐management behaviours and support by nurses are crucial to enhance health outcomes.

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Correlation between health literacy and health‐related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self‐management

Cited by 6 publications

References 104 publications

Impact of Health Literacy, Social Support, and Socioeconomic Position on Serum Uric Acid Level of Asymptomatic Hyperuricemia Patients in China: a structural equation model

Impact of Health Literacy, Social Support, and Socioeconomic Position on Serum Uric Acid Level of Asymptomatic Hyperuricemia Patients in China: a structural equation model

Correlation between health literacy and health‐related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self‐management

Health‐literacy, self‐efficacy and health‐outcomes of patients undergoing haemodialysis: Mediating role of self‐management

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