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Methods: The study applied cross-sectional design. 410 subjects were recruited from nephrology clinic of four different level hospitals in Taiwan. The data were collected by using the structured questionnaires and chart reviews included subjective information and biomedical indicators, respectively.
Results: Results demonstrated that: (1) demographic characteristics, such as gender, age, education, employment status, living type and marital status were significantly with health literacy and its dimensions; (2) receiving chronic kidney disease case management service period is significantly difference in the scores of health literacy and self-management; (3) the degree of social support was significantly and positively association with health literacy and self-management scores; (4) health literacy and self-management are tightly correlated; (5)social support, health literacy, and marital status, are the significant determinants of self-management. Other than that, health literacy plays a mediator role between the marital status and degree of social support with self-management.
Conclusion: People who are elderly, who do not live with their families, and have inadequate social support were the low health-literacy population and the high risk population; therefore, they must be prioritized when administering disease care interventions. For the patients with CKD in the long-term, engaging in self-management behaviors is crucial to enhance the disease management. Patients with limited health literacy level tend to have difficulties in learning skills of CKD management. Thus, developing and designing an adaptive health literacy education program will improve CKD patients’ self-management skills. When construct the patient-centered adaptive health literacy education program, to investigate the elements that can facilitate the CKD patients’ learning to master the self-management skills is the first priority.
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