How does health literacy associated to bio-behavioral and psycho-social outcomes among hemodialysis patients? A systematic review

Introduction: Although the life expectancy of kidney patients has increased due to hemodialysis (HD), the disease affects their lives in various ways. In this study, we systematically reviewed the relationships between health literacy (HL) and bio-behavioral and psycho-social outcomes in HD patients...

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Main Authors: Leila Zhianfar, Haidar Nadrian, Zeinab Javadivala, Sarisa Najafi, Shayesteh Shirzadi, Kamyar Pirehbabi, Ozra Honarpazhouh, Somayeh Azimi, Tahyebeh Shirvani, Sakineh Haj Ebrahimi, Devender Bhalla
Format: Article
Language:English
Published: Tabriz: Hamid Allahverdipour, 2024- 2024-03-01
Series:BioSocial Health Journal
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Online Access:https://biosocialhealthjournal.com/PDF/bshj-1-2.pdf
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author Leila Zhianfar
Haidar Nadrian
Zeinab Javadivala
Sarisa Najafi
Shayesteh Shirzadi
Kamyar Pirehbabi
Ozra Honarpazhouh
Somayeh Azimi
Tahyebeh Shirvani
Sakineh Haj Ebrahimi
Devender Bhalla
author_facet Leila Zhianfar
Haidar Nadrian
Zeinab Javadivala
Sarisa Najafi
Shayesteh Shirzadi
Kamyar Pirehbabi
Ozra Honarpazhouh
Somayeh Azimi
Tahyebeh Shirvani
Sakineh Haj Ebrahimi
Devender Bhalla
author_sort Leila Zhianfar
collection DOAJ
description Introduction: Although the life expectancy of kidney patients has increased due to hemodialysis (HD), the disease affects their lives in various ways. In this study, we systematically reviewed the relationships between health literacy (HL) and bio-behavioral and psycho-social outcomes in HD patients, to determine the necessary information needed for both micro- and macro-level health decision-making. Methods: We performed a comprehensive search for globally eligible studies (from 2000 to 2020) on PubMed, EMBASE, ProQuest, CINAHL Nursing, Cochrane Library and Google scholar. The quality assessment of the studies was performed using the standardized tool of the Joanna Briggs Institute (JBI). Results: Among 29 included studies, 23 and 6 articles were of medium and low quality, respectively, and no article was of high quality. In general, 7210 participants were included in these studies. In total, the lowest, highest and the average level of HL in all researches were reported to be 16%, 76.9% and 31.25% respectively. The findings showed a moderate level of evidence for the relationship of HL with self-care-associated outcomes, disease-related biomarkers, QOL, and perceived social support. Conclusion: Despite study heterogeneity and low quality, HL was found to be positively contributed to self-care behaviors, perceived social support and QOL of HD patients. HL seems to play an underpinning role in promoting HD patients’ QOL and its bio-behavioral and psychosocial determinants.
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publishDate 2024-03-01
publisher Tabriz: Hamid Allahverdipour, 2024-
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spelling doaj-art-fca12f5e2f844442a92d8c37e5175c0f2025-02-06T10:30:14ZengTabriz: Hamid Allahverdipour, 2024-BioSocial Health Journal3060-62682024-03-011121310.34172/bshj.2bshj-2How does health literacy associated to bio-behavioral and psycho-social outcomes among hemodialysis patients? A systematic reviewLeila Zhianfar0Haidar Nadrian1Zeinab Javadivala2Sarisa Najafi3Shayesteh Shirzadi4Kamyar Pirehbabi5Ozra Honarpazhouh6Somayeh Azimi7Tahyebeh Shirvani8Sakineh Haj Ebrahimi9Devender Bhalla10Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, IranSocial Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, IranGraduate student in Psychology, Islamic Azad University-Sanandaj Branch, Sanandaj, IranDepartment of Public Health, Neyshabur University of Medical Sciences, Neyshabur, IranDepartment of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, IranFaculty of Medicine, Department of Urology, Tabriz University of Medical Sciences, Tabriz, IranNepal Interest Group of Epilepsy and Neurology (NiGEN), Kathmandu, NepalIntroduction: Although the life expectancy of kidney patients has increased due to hemodialysis (HD), the disease affects their lives in various ways. In this study, we systematically reviewed the relationships between health literacy (HL) and bio-behavioral and psycho-social outcomes in HD patients, to determine the necessary information needed for both micro- and macro-level health decision-making. Methods: We performed a comprehensive search for globally eligible studies (from 2000 to 2020) on PubMed, EMBASE, ProQuest, CINAHL Nursing, Cochrane Library and Google scholar. The quality assessment of the studies was performed using the standardized tool of the Joanna Briggs Institute (JBI). Results: Among 29 included studies, 23 and 6 articles were of medium and low quality, respectively, and no article was of high quality. In general, 7210 participants were included in these studies. In total, the lowest, highest and the average level of HL in all researches were reported to be 16%, 76.9% and 31.25% respectively. The findings showed a moderate level of evidence for the relationship of HL with self-care-associated outcomes, disease-related biomarkers, QOL, and perceived social support. Conclusion: Despite study heterogeneity and low quality, HL was found to be positively contributed to self-care behaviors, perceived social support and QOL of HD patients. HL seems to play an underpinning role in promoting HD patients’ QOL and its bio-behavioral and psychosocial determinants.https://biosocialhealthjournal.com/PDF/bshj-1-2.pdfhemodialysishealth literacyquality of lifeself-caresocial supportsystematic review
spellingShingle Leila Zhianfar
Haidar Nadrian
Zeinab Javadivala
Sarisa Najafi
Shayesteh Shirzadi
Kamyar Pirehbabi
Ozra Honarpazhouh
Somayeh Azimi
Tahyebeh Shirvani
Sakineh Haj Ebrahimi
Devender Bhalla
How does health literacy associated to bio-behavioral and psycho-social outcomes among hemodialysis patients? A systematic review
BioSocial Health Journal
hemodialysis
health literacy
quality of life
self-care
social support
systematic review
title How does health literacy associated to bio-behavioral and psycho-social outcomes among hemodialysis patients? A systematic review
title_full How does health literacy associated to bio-behavioral and psycho-social outcomes among hemodialysis patients? A systematic review
title_fullStr How does health literacy associated to bio-behavioral and psycho-social outcomes among hemodialysis patients? A systematic review
title_full_unstemmed How does health literacy associated to bio-behavioral and psycho-social outcomes among hemodialysis patients? A systematic review
title_short How does health literacy associated to bio-behavioral and psycho-social outcomes among hemodialysis patients? A systematic review
title_sort how does health literacy associated to bio behavioral and psycho social outcomes among hemodialysis patients a systematic review
topic hemodialysis
health literacy
quality of life
self-care
social support
systematic review
url https://biosocialhealthjournal.com/PDF/bshj-1-2.pdf
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