{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T12:27:45Z","timestamp":1793968065604,"version":"4.8.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Artif Organs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hemodialysis requires patients to maintain complex and lifelong self-care behaviors. Health literacy, self-management, and patient empowerment are key components of effective care, yet their combined roles in hemodialysis populations remain unclear. This study aimed to evaluate these constructs and examine their interrelationships in patients receiving hemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This cross-sectional study included 219 patients from three dialysis centers between January and May 2024. Data were collected using validated scales assessing health literacy, self-management, and patient empowerment. Analyses included descriptive statistics, Pearson correlation, and multivariable linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants had above-midpoint mean scores for health literacy, self-management, and patient empowerment. Health literacy was positively associated with patient empowerment and health maintenance efficacy, and negatively associated with self-stigmatization. Age was negatively associated with health literacy, whereas higher education was positively associated with both health literacy and patient empowerment. No significant predictors were identified for self-management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Health literacy, self-management, and patient empowerment are interrelated in patients receiving hemodialysis. Health literacy showed consistent associations with patient empowerment and selected aspects of self-management, whereas self-management was not explained by sociodemographic or clinical variables, suggesting the influence of behavioral and psychosocial factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03913988261473831","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T04:15:29Z","timestamp":1787199329000},"page":"671-678","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Health literacy, self-management, and patient empowerment in hemodialysis patients: A cross-sectional study"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9828-9313","authenticated-orcid":false,"given":"Sude N","family":"\u00d6lmez","sequence":"first","affiliation":[{"name":"Bilkent City Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2790-1426","authenticated-orcid":false,"given":"G\u00fclay","family":"Turgay","sequence":"additional","affiliation":[{"name":"Health Services Vocational School, Ba\u015fkent University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease","volume":"105","author":"Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group","year":"2024","unstructured":"Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int 2024; 105(4 suppl): S117\u2013S314.","journal-title":"Kidney Int"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30045-3"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-025-02349-8"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-025-04229-6"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12739"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2021.11.007"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep15090314"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-05912-0"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-022-01537-0"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfad061"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/03913988221108754"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2020.105077"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13020175"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318783919"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052247"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-022-02669-y"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-02829-z"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfaa127"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_3_21_2","volume-title":"Biostatistics: a foundation for analysis in the health sciences","author":"Daniel WW.","year":"1999","unstructured":"Daniel WW. Biostatistics: a foundation for analysis in the health sciences. 7th ed. New York, NY: Wiley, 1999.","edition":"7"},{"issue":"1","key":"e_1_3_3_22_2","article-title":"Sampling methods in clinical research: an educational review","volume":"5","author":"Elfil M","year":"2017","unstructured":"Elfil M, Negida A. Sampling methods in clinical research: an educational review. Emergency 2017; 5(1): Article e52.","journal-title":"Emergency"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-018-0749-y"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2024.45.6.20240158"},{"issue":"1","key":"e_1_3_3_25_2","first-page":"1","article-title":"The relationship between health literacy and treatment adherence in patients receiving hemodialysis","volume":"4","author":"B\u00fclb\u00fcl E","year":"2023","unstructured":"B\u00fclb\u00fcl E, Demiro\u011flu S. The relationship between health literacy and treatment adherence in patients receiving hemodialysis. Karya J Health Sci 2023; 4(1): 1\u20135.","journal-title":"Karya J Health Sci"},{"key":"e_1_3_3_26_2","volume-title":"Assessment of the relationship of health literacy with the quality of life and treatment efficiency using the health literacy scale developed for hemodialized patients","author":"Yavuz N","year":"2021","unstructured":"Yavuz N. Assessment of the relationship of health literacy with the quality of life and treatment efficiency using the health literacy scale developed for hemodialized patients. Medical Specialty Thesis, Gazi University, Faculty of Medicine, Department of Internal Medicine, Turkey, 2021."},{"issue":"3","key":"e_1_3_3_27_2","first-page":"375","article-title":"Validity and reliability of the Turkish version of the Chronic Disease Self-Management Scale","volume":"7","author":"\u00d6zt\u00fcrk YE","year":"2021","unstructured":"\u00d6zt\u00fcrk YE, Ye\u015fildal M, Ar\u0131k \u00d6, et al. Validity and reliability of the Turkish version of the Chronic Disease Self-Management Scale. J Acad Value Stud 2021; 7(3): 375\u2013381.","journal-title":"J Acad Value Stud"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-263"},{"issue":"1","key":"e_1_3_3_29_2","first-page":"27","article-title":"Validity and reliability of the Turkish version of the Patient Empowerment Scale","volume":"6","author":"Kaya N","year":"2018","unstructured":"Kaya N, I\u015f\u0131k O. Validity and reliability of the Turkish version of the Patient Empowerment Scale. J Bus Sci 2018; 6(1): 27\u201342.","journal-title":"J Bus Sci"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1207\/S15324796ABM2601_01"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2016.06.422"}],"container-title":["The International Journal of Artificial Organs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03913988261473831","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03913988261473831","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03913988261473831","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T11:52:52Z","timestamp":1793965972000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03913988261473831"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":30,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/03913988261473831"],"URL":"https:\/\/doi.org\/10.1177\/03913988261473831","relation":{},"ISSN":["0391-3988","1724-6040"],"issn-type":[{"value":"0391-3988","type":"print"},{"value":"1724-6040","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]}}}