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Enfermería Nefrológica
versão On-line ISSN 2255-3517versão impressa ISSN 2254-2884
Resumo
PELAYO-ALONSO, Raquel et al. Degree of non-compliance with treatment as a function of health literacy level in haemodialysis patients. Enferm Nefrol [online]. 2021, vol.24, n.2, pp.175-182. Epub 13-Set-2021. ISSN 2255-3517. https://dx.doi.org/10.37551/s2254-28842021016.
Introduction:
Haemodialysis patients are subject to a therapeutic regimen whose adherence helps to reduce the occurrence of associated complications. Non-compliance is a prevalent problem in clinical practice. Low levels of health literacy are associated with lack of self-care, errors in taking medications and difficulty in understanding instructions, leading to a higher rate of non-compliance.
Objective:
To determine the level of non-compliance with treatment according to the level of health literacy of haemodialysis patients and to assess other possible factors involved.
Material and Method:
Prospective study of 35 haemodialysis patients. Health literacy was assessed using the Health Literacy Survey European Union questionnaire and the degree of therapeutic non-compliance was assessed using interdialytic weight gain and analytical indicators, according to the recommendations of clinical guidelines.
Results:
Patients with adequate literacy (≥34 points) had lower non-compliance than patients with inadequate literacy in relation to interdialytic weight gain (78% vs 70%), potassium (67% vs 56%), albumin (83% vs 72%); but higher non-compliance with phosphorus (83.33% vs 51.44%) - p<0.05 in all cases.
Conclusions:
Patients with a higher level of health literacy have a lower degree of non-compliance, except for phosphorus, which is the parameter with the worst adherence rate.
Palavras-chave : haemodialysis; health literacy; treatment adherence; non-compliance.