The research on mediating effects of health literacy between resourcefulness and treatment burden in hemodialysis patients with comorbidities
WU Yiping
HUANG Yanlin
CHEN Guowei
CHEN Fengdan
YANG Jie
ZOU Baolin
Abstract：Objective To explore the mediating effects of health literacy between resourcefulness and treatment burden in hemodialysis patients with comorbidities.Methods A convenience sampling method was used to select 251 patients with comorbidities undergoing hemodi-alysis in the hemodialysis departments of two tertiary grade A hospitals in Nanning from July 2022 to January 2023 as the research subjects.The general information questionnaire,Resourcefulness Scale,Health Literacy Management Scale and Multimorbidity Treatment Burden Ques-tionnaire were used for investigation.Results The resourcefulness score of hemodialysis patients with comorbidities was 82.00(72.00,96.00),the health literacy score was(92.13±10.88),and the treatment burden score was 14.58(6.25,25.00).Resourcefulness was positively corre-lated with health literacy(r=0.488,P＜0.01),while treatment burden was negatively correlated with both resourcefulness(r=-0.382,P＜0.01)and health literacy(r=-0.408,P＜0.01).Health literacy played a partial mediating effect between resourcefulness and treatment burden,accounting for 27.54％of the total effect.Conclusion The resourcefulness and health literacy of hemodialysis patients with comor-bidities need to be improved,while their treatment burden remains at a moderate level.Health literacy plays a mediating role between re-sourcefulness and treatment burden.Enhancing resourcefulness can help improve health literacy of hemodialysis patients with comorbidities and alleviate their treatment burden.
Keywords：hemodialysiscomorbiditieshealth literacyresourcefulnesstreatment burdennursingmediating effects
Publication Date：2025-05-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 423-427 )