Latent profile analysis of health literacy in peritoneal dialysis patients and compari-son of differences in self-management ability
Objective To explore the potential categories of health literacy in peritoneal dialysis patients and the relationship between the categories and self-management ability.Methods A total of 346 patients in the department of nephrology were selected to fill out the general data questionnaire,the Health literacy Scale for Chronic Disease Patients and the Self-Management Scale for Con-tinuous Ambulatory Peritoneal Dialysis Patients.Mplus 8.3 was used for latent profile analysis,and SPSS 25.0 software was used to compare the differences in patients'self-management ability by category of health literacy.Results The health literacy level of peritoneal dialysis patients could be divided into 3 categories:low-health-literacy-low-energy type(21.10％),medium-health-litera-cy-good-acceptance type(63.58％)and high-health-literacy-high-willingness type(15.32％).Multiple logistic regression analysis showed that age,educational attainment,long-term residence,length of time on peritoneal dialysis therapy and peritonitis were factors that influenced patients'membership of health literacy categories(all P＜0.05).There were significant differences in di-mension scores and total scores of self-management ability among the 3 categories of peritoneal dialysis patients(all P＜0.05).Conclusion There were 3 potential categories of health literacy in peritoneal dialysis patients,and the self-management ability of patients varied among the categories.Specialist nurses should carry out targeted intervention aiming at characteristics of varied health literacy cate-gories,so as to improve patients'self-management ability.
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