Chain mediating effect between health literacy and frailty in maintenance hemodialysis patients

CAO Min; LI Qin; FENG Li; MA Xin; KANG Li; YANG Qian

doi:10.16766/j.cnki.issn.1674-4152.002900

Volume 21 Issue 3

Mar. 2023

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Article Navigation > Chinese Journal of General Practice > 2023 > 21(3): 429-433

CAO Min, LI Qin, FENG Li, MA Xin, KANG Li, YANG Qian. Chain mediating effect between health literacy and frailty in maintenance hemodialysis patients[J]. Chinese Journal of General Practice, 2023, 21(3): 429-433. doi: 10.16766/j.cnki.issn.1674-4152.002900

Citation:

CAO Min, LI Qin, FENG Li, MA Xin, KANG Li, YANG Qian. Chain mediating effect between health literacy and frailty in maintenance hemodialysis patients[J]. Chinese Journal of General Practice, 2023, 21(3): 429-433. doi: 10.16766/j.cnki.issn.1674-4152.002900

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Chain mediating effect between health literacy and frailty in maintenance hemodialysis patients

doi: 10.16766/j.cnki.issn.1674-4152.002900

CAO Min¹
, LI Qin²
, FENG Li³
, MA Xin²
, KANG Li²
, YANG Qian^{1
,
,}

1.
School of Nursing, Chengdu Medical College, Chengdu, Sichuan 610083, China

Funds:

82200823

2021MS153

YCX2022-01-46

Received Date: 2022-07-12
Available Online: 2023-04-19

Abstract

Abstract

Objective To explore the multiple mediating roles of social support and psychological resilience between health literacy and frailty in patients with maintenance hemodialysis and to provide some reference and basis for the development of frailty management strategies. Methods A convenience sampling method was used to select 382 maintenance hemodialysis patients in three hospitals in Sichuan Province from November 2021 to April 2022 as the study population. The survey was conducted by using the general information questionnaire, health literacy management scale, social support rating scale, connor-davidson resilience scale and Tilburg scale. Amos 23.0 software was used to construct the structural equation-model diagram and perform the intermediary effect test. Results The scores of health literacy, social support, psychological resilience and frailty were (94.23±11.49) points, (34.89±7.87) points, (63.20±14.26) points and 3.00 (2.00, 7.00) points, respectively. The specific mediating effect and chain-mediating effect of social support and psychological resilience between health literacy and frailty were all established. The specific mediating effect of social support accounted for 31.19% of the total effect, and that of psychological resilience accounted for 8.09% of the total effect. The chain-mediating effect accounted for 7.86% of the total effect. Conclusion There are multiple mediating effects of social support and psychological resilience on maintenance hemodialysis patient ' s health literacy and frailty. Healthcare professionals should take targeted measures to help maintenance hemodialysis patients establish health beliefs, improve health literacy, expand social support networks, and develop psychological resilience, thereby improving frailty symptoms.
- Frailty,
- Health literacy,
- Social support,
- Psychological resilience,
- Hemodialysis

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References(26)

References

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Chain mediating effect between health literacy and frailty in maintenance hemodialysis patients

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Chain mediating effect between health literacy and frailty in maintenance hemodialysis patients

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