e-Health Literacy in Maintenance Hemodialysis Patients: A Multi-Center Cross-Sectional Study

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Bibliographic Details
Title: e-Health Literacy in Maintenance Hemodialysis Patients: A Multi-Center Cross-Sectional Study
Authors: Han X, Yang L, Zhang H
Source: Patient Preference and Adherence, Vol 19, Iss Issue 1, Pp 3339-3348 (2025)
Publisher Information: Dove Medical Press, 2025.
Publication Year: 2025
Collection: LCC:Medicine (General)
Subject Terms: end-stage kidney disease, hemodialysis, health literacy, cross-sectional study, quality of life, Medicine (General), R5-920
Description: Xuejiao Han, Lan Yang, Hong Zhang Department of Nephrology, Baoding No. 1 Central Hospital, Baoding, Hebei, People’s Republic of ChinaCorrespondence: Lan Yang, Department of Nephrology, Baoding No. 1 Central Hospital, Baoding Great Wall North Street No. 320, Baoding, Hebei, 071000, People’s Republic of China, Email Yl18617789859@sina.comObjective: This cross-sectional study aimed to explore the level of electronic health literacy (e-HL) among maintenance hemodialysis (MHD) patients and identify its influencing factors.Methods: A cross-sectional survey was conducted from June to October 2024, involving 350 MHD patients from three tertiary hospitals in Baoding, Hebei Province, China. The e-Health Literacy Scale (e-HEALS) was used to assess the patients’ e-HL levels across its three domains: application ability, judgement ability, and decision-making ability. Univariate analysis and generalized linear regression models were employed to analyze the factors influencing e-HEALS scores. The Cronbach’s α for the e-HEALS in this study was 0.966.Results: The results revealed that the average e-HEALS score among MHD patients was 29.58 ± 4.87, indicating a moderate to low level of e-HL. Generalized linear regression analysis identified education level, monthly income, and medical payment methods as independent influencing factors of e-HL.Conclusion: The findings suggest that MHD patients generally exhibit sub-optimal e-HL, highlighting the need for healthcare providers, particularly nephrology professionals, to pay attention to this issue. Targeted interventions should be developed to enhance e-HL, thereby empowering patients to better manage their health conditions.Keywords: end-stage kidney disease, hemodialysis, health literacy, cross-sectional study, quality of life
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1177-889X
Relation: https://www.dovepress.com/e-health-literacy-in-maintenance-hemodialysis-patients-a-multi-center--peer-reviewed-fulltext-article-PPA; https://doaj.org/toc/1177-889X
Access URL: https://doaj.org/article/44896bfc40364134838016b3f25bc410
Accession Number: edsdoj.44896bfc40364134838016b3f25bc410
Database: Directory of Open Access Journals
Description
Abstract:Xuejiao Han, Lan Yang, Hong Zhang Department of Nephrology, Baoding No. 1 Central Hospital, Baoding, Hebei, People’s Republic of ChinaCorrespondence: Lan Yang, Department of Nephrology, Baoding No. 1 Central Hospital, Baoding Great Wall North Street No. 320, Baoding, Hebei, 071000, People’s Republic of China, Email Yl18617789859@sina.comObjective: This cross-sectional study aimed to explore the level of electronic health literacy (e-HL) among maintenance hemodialysis (MHD) patients and identify its influencing factors.Methods: A cross-sectional survey was conducted from June to October 2024, involving 350 MHD patients from three tertiary hospitals in Baoding, Hebei Province, China. The e-Health Literacy Scale (e-HEALS) was used to assess the patients’ e-HL levels across its three domains: application ability, judgement ability, and decision-making ability. Univariate analysis and generalized linear regression models were employed to analyze the factors influencing e-HEALS scores. The Cronbach’s α for the e-HEALS in this study was 0.966.Results: The results revealed that the average e-HEALS score among MHD patients was 29.58 ± 4.87, indicating a moderate to low level of e-HL. Generalized linear regression analysis identified education level, monthly income, and medical payment methods as independent influencing factors of e-HL.Conclusion: The findings suggest that MHD patients generally exhibit sub-optimal e-HL, highlighting the need for healthcare providers, particularly nephrology professionals, to pay attention to this issue. Targeted interventions should be developed to enhance e-HL, thereby empowering patients to better manage their health conditions.Keywords: end-stage kidney disease, hemodialysis, health literacy, cross-sectional study, quality of life
ISSN:1177889X