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Understanding Health Literacy in Fluid Management in Individuals Receiving Haemodialysis: A Directed Qualitative
Chen Chen1, Jing Zheng2, Xu Liu3
1Department of Nephrology, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Aims:
To describe the perspectives of individuals receiving haemodialysis regarding health literacy in fluid management.
Design:
A qualitative descriptive approach using directed content analysis of interviews from an explanatory mixed methods study.
Methods:
Semi-structured individual interviews were conducted from September 2020 to February 2021 with 28 individuals receiving haemodialysis who had attended a prior quantitative study. A directed qualitative content analysis approach was used to identify categories and subcategories emerging from the data.
Results:
Six categories of health literacy were identified: (1) active health management, (2) engagement with healthcare providers, (3) understanding and support from healthcare providers, (4) social support, (5) health information literacy and (6) navigation of the healthcare system.
Conclusions:
Based on their real-life experience, individuals receiving haemodialysis have unique health literacy needs regarding fluid management. A comprehensive understanding of these unique needs is crucial in creating person-centered interventions to address inadequate fluid restriction.
Implications For The Profession And/Or Patient Care:
Interventions to address inadequate fluid restriction should be person-centered, considering each individual's unique health literacy needs. This involves conducting a comprehensive assessment of individuals' health literacy needs, empowering individuals to actively engage in health, engaging the entire support network and facilitating health information literacy in line with individuals' preferences.
Impact:
This study offers detailed insights into the health literacy needs related to fluid management in individuals undergoing haemodialysis. The findings could inform the development of person-centered fluid management strategies for these individuals.
Reporting Method:
We adhered to the Consolidated Criteria for Reporting Qualitative Research checklist.
Patient Or Public Contribution:
No patient or public contribution.
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