{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:48:44Z","timestamp":1773254924410,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Failure to adhere to fluid restrictions negatively affects the quality of life and increases the risk of complications among hemodialysis patients. In chronic diseases, including chronic kidney disease, health literacy plays a crucial role in mitigating disease complications. The level of health literacy in chronic diseases such as chronic kidney disease can play a significant role in reducing the complications of the disease. This study aimed to assess the relationship between fluid control and health literacy in hemodialysis patients, representing the first such research in Turkey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This descriptive, cross\u2010sectional, and correlational study was conducted in all dialysis centers in Bolu province, Turkey, from September 2022 to August 2023. The study included 144 hemodialysis outpatients meeting the inclusion criteria. Patient fluid control and health literacy were assessed using the \u201cFluid Restriction Scale in Patients Receiving Hemodialysis Treatment\u201d and the \u201cTurkey Health Literacy Scale\u201032\u201d. Statistical analysis was performed using SPSS version 25.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean total score on the Health Literacy Scale was 22.6\u2009\u00b1\u200910.2, indicating a relatively low level of health literacy among the hemodialysis patients. 54.2% of patients receiving hemodialysis treatment exhibited inadequate health literacy. The mean score on the Fluid Restriction Scale was 50.4\u2009\u00b1\u20098.63, suggesting moderate fluid control adherence among the study population. 56.3% of hemodialysis patients had moderate levels of fluid control. A statistically significant moderate positive correlation was found between fluid control and health literacy levels (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.456,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Health literacy scores accounted for 20.2% of the variance in fluid restriction scores (\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.20), indicating a moderate contribution of health literacy to fluid control adherence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study revealed a positive correlation between health literacy and fluid control adherence. Therefore, it is recommended that hemodialysis nurses concurrently assess patients' health literacy and fluid control and develop tailored educational programs based on these assessments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hdi.13240","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T10:12:40Z","timestamp":1743156760000},"page":"672-678","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Relationship Between Fluid Control and Health Literacy in Patients Receiving Hemodialysis Treatment"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8115-8751","authenticated-orcid":false,"given":"Havva","family":"Do\u011fankaya","sequence":"first","affiliation":[{"name":"Dialysis Unit Izzet Baysal Training and Research Hospital  Bolu Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5697-8572","authenticated-orcid":false,"given":"Ezgi Mutluay","family":"Yayla","sequence":"additional","affiliation":[{"name":"Nursing Department, Health Sciences Faculty Tarsus University  Mersin Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2991\/jegh.k.200716.001"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12493"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/fmch\u20102020\u2010000351"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/205435812210866"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.12921216"},{"issue":"4","key":"e_1_2_12_7_1","first-page":"53","article-title":"Health Literacy in the German Population: Results of a Representative Survey","volume":"114","author":"Schaeffer D.","year":"2017","journal-title":"Dtsch \u00c4rztebl"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010023\u201009907\u20105"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/JNMS.JNMS_57_20"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12377"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16214295"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12314"},{"issue":"11","key":"e_1_2_12_13_1","first-page":"293","article-title":"Noncompliance to Diet and Fluid Restrictions in Hemodialysis Patients","volume":"45","author":"Safdar N.","year":"1995","journal-title":"Journal of the Pakistan Medical Association"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010018\u20101031\u20107"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806\u20109282.66.S1.3"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2021.11.007"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm12111816"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0270100"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12055"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.4103\/IJPC.IJPC_141_19"},{"key":"e_1_2_12_21_1","unstructured":"A.Albayrak Co\u015farandS.Cinar Pakyuz \u201cScale Development Study: Fluid Control in Hemodialysis Patients \u201d Doctoral Thesis Marmara University; Institute of Health Sciences: Istanbul(2012)."},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckv175.220"},{"issue":"80","key":"e_1_2_12_23_1","first-page":"1","article-title":"Health Literacy and Public Health: A Systematic Review and Integration of Definitions and Models","volume":"12","author":"S\u00f8rensen K.","year":"2012","journal-title":"BMC Public Health"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201008527\u20109"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp09X472584"},{"issue":"2","key":"e_1_2_12_26_1","first-page":"109","article-title":"The Association Between Health Literacy and Diet Adherence Among Primary Care Patients With Hypertension","volume":"7","author":"Kuhn L.","year":"2014","journal-title":"JHDRP"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0020\u20107489(02)00007\u2010x"},{"issue":"6","key":"e_1_2_12_28_1","first-page":"407","article-title":"Compliance of Individuals Receiving Hemodialysis Treatment With Fluid Restriction","volume":"27","author":"Kulaks\u0131z A. 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