Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients

Young-Mun Cho; Yon-Hee Seo; Mee-Jeong Park

doi:10.7475/kjan.2018.30.4.437

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Cho, Seo, and Park: Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients

Original Article

Korean Journal of Adult Nursing 2018; 30(4): 437-446.

Published online: 24 August 2018

DOI: https://doi.org/10.7475/kjan.2018.30.4.437

Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients

Young-Mun Cho¹

, Yon-Hee Seo²

, Mee-Jeong Park³

¹Assistant Professor, Department of Nursing, Dongshin University, Naju, Korea.

²Assistant Professor, Department of Nursing, Shingyeong University, Hwaseong, Korea.

³Nursing Director, Department of Nursing Hanman Sunhshim General Hospital, Gwangju, Korea.

Corresponding author: Seo, Yon-Hee. Department of Nursing, Shingyeong University, 400-5 Namyangchungang-ro, Namyang-eup, Hwaseong 18274, Korea. Tel: +82-31-369-9205, Fax: +82-31-369-9116, yseo017@naver.com

Received 16 May 2018 Revised 19 July 2018 Accepted 8 August 2018

Korean Society of Adult Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study aimed to investigate the relationships between uncertainty in illness, subjective health status, and compliance with sick role behavior according to levels of health literacy in hemodialysis patients.

Methods

Participants were 172 hemodialysis patients, selected from outpatient dialysis clinics at 9 dialysis centers located in Gwangju metropolitan city and Chonnam province, from October to December 2016. Data were collected using self-reported questionnaires that included the Uncertainty in Illness Scale, Subjective Health Status Scale, Sick Role Behavior Scale, and Health Literacy Scale. Data were analyzed using the SPSS/WIN 23.0 program, with χ²-test, Pearson correlation coefficient, and multivariate analysis of covariance.

Results

The results revealed that uncertainty was negatively correlated with subjective health status (r=−.30, p<.001) and compliance with sick role behavior (r=−.20, p=.012). In addition, compliance with sick role behavior was positively correlated with health literacy (r=.17, p=.034) and subjective health status (r=.24, p=.003). Participants' levels of health literacy differed significantly based on sick role behaviors (F=5.355, p=.006), with a partial eta squared of .070, indicating high explanatory power.

Conclusion

This study suggests that hemodialysis patients do not understand health - related medical information appropriately in their daily life. Therefore, efforts should be made to identify the level of health literacy of hemodialysis patients and improve the performance of sick role behaviors.

Keywords: Hemodialysis, Health literacy, Uncertainty, Subjective health, Sick role

Figures and Tables

Table 1

Difference in Health Literacy according to General Characteristics of Patients (N=147)

Table 2

Descriptive Statistics of Health Literacy and Uncertainty in Illness, Subjective Health Status, Compliance with Sick Role Behavior (N=147)

Table 3

Correlations between Health Literacy and Other Variables in Hemodialysis Patients (N=147)

Table 4

Multivariate Analysis of Covariance between Uncertainty in Illness, Subjective Health Status, Compliance with Sick Role Behavior according to Levels of Health Literacy (N=147)

η²=Partial Eta Squared.

Notes

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

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ORCID iDs

Young-Mun Cho
https://orcid.org/0000-0002-5555-6204

Yon-Hee Seo
https://orcid.org/0000-0002-1344-3607

Mee-Jeong Park
https://orcid.org/0000-0003-3817-288X

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