The relationship between health literacy, social support, self-care and quality of life in patients undergoing hemodialysis: A systematic review

Abstract

Target: Due to the prevalence of chronic renal failure and hemodialysis, these patients generally need long-term care, so having health literacy to recognize, control, prevent and care after hemodialysis can greatly help improve the mental and physical condition of these patients. Therefore, the study of the factors affecting it is very important, so far, a systematic review has not been done in this regard, so this study aims to investigate the relationship between health literacy and social support, self-care and quality of life in patients undergoing hemodialysis as a systematic review. Has been Methodology: During the search process in electronic databases such as Pubmed, EMBASE, ProQuest, CINAHL nursing, Cochrane Library, Google scholar, as well as reviewing references, keywords were entered. The quality of the studies was assessed using the JBI standard tool and two independent researchers simultaneously reviewed the research. The Oxford critical appraisal standard checklist was used to assess the accuracy of the methodology. Preliminary consequences include: self-care behavior and cognitive determinants such as patients' awareness, attitudes and skills, perceived self-efficacy, adherence to treatment, perceived barriers and benefits of behavior, and social support such as independence, isolation, self-reliance. And be depressed. Also, quality of life and its determinants such as life expectancy, mental health, general health, disaster preparedness, pain and fear of illness and its consequences will be. findings: After a systematic search of electronic databases of articles published from 2000 to 2018, out of a total of 6,000 articles found, after deleting duplicate items, a total of 1336 articles entered the screening stage. Of these, 109 articles made it to the full implementation stage of the study. Extracted articles using the desired checklist, by two people in terms of seven characteristics of sample entry criteria, sample description, measurement, instrument standardization, identification of disruptive factors, strategies to deal with disruptive factors, assurance of appropriate statistical measurement and analysis Were evaluated. In total, the health literacy status of all 18 studies showed that the lowest level of health literacy was 16% and the highest was 56%. 25% were calculated among internal studies and 31.5% among external studies and 31.5% of the total studies were calculated. The findings also showed a positive relationship between health literacy and quality of life and self-care of patients undergoing hemodialysis, but no relationship was found between social support and health literacy in these patients. Conclusion: The results of this systematic study showed that the higher the level of health literacy, the more self-care affected by the perceived barriers and benefits of behavior is seen in patients, and science and awareness of the consequences of organ transplantation on post-transplant care. Effectiveness of hemodialysis patients should therefore be able to identify the effective causes of the benefits and barriers to self-care behaviors, social support and subsequent increase in the quality of life of dialysis patients so that they can increase costs and disability and death with proper educational planning. These patients die. Therefore, conducting this research, considering the importance that can be in the planning of health care providers in preparing checklists of factors related to the health of patients under hemodialysis and identify the factors that can be dangerous for these patients.