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Factors influencing self‐management among Indonesian patients with early‐stage chronic kidney disease: A cross‐sectional study.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Mar2022, Vol. 31 Issue 5/6, p703-715, 13p
- Publication Year :
- 2022
-
Abstract
- Aims and objectives: The purpose of this study was to explore the self‐management of patients with early‐stage chronic kidney disease (CKD) and its influencing factors. Methods: A convenient sample of 226 patients with early‐stage CKD was recruited from 63 Public Health Centers in Indonesia, from June to September 2020. Demographic characteristics, health literacy, illness perception, self‐efficacy and self‐management were assessed using self‐reported questionnaires. Stepwise multiple linear regression analysis was performed to identify the factors influencing self‐management. This study adhered to the EQUATOR checklist, STROBE. Results: The mean estimated glomerular filtration rate was 63.45 ml/min/1.73 m2 (standard deviation [SD] = 15.34). The average scores for health literacy, illness perception, self‐efficacy and self‐management were 32.11 (SD = 4.46), 4.57 (SD = 1.46), 183.64 (SD = 38.23) and 76.92 (SD = 9.45), respectively. The influencing factors were education level, monthly income, family history of comorbidity, health literacy and self‐efficacy, which accounted for 45% of total self‐management score. Conclusions: Indonesian patients with early‐stage CKD showed low level of health literacy, but positive illness perception and self‐efficacy; these factors significantly affected CKD self‐management. Health literacy was found to influence all dimensions of self‐management: self‐integration, problem‐solving, seeking social support and adherence to the recommended regimen. Relevance to clinical practice: Adherence to the recommended regimen is the most challenging dimension of CKD self‐management. Health literacy was found to be a major determinant of self‐management. Improving health literacy and motivation of patients with early‐stage CKD may help sustain positive illness perception and self‐efficacy, and improve self‐management. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of chronic kidney failure
GLOMERULAR filtration rate
STATISTICAL power analysis
PROBLEM solving
SOCIAL support
RESEARCH evaluation
SELF-management (Psychology)
CROSS-sectional method
SELF-perception
SELF-evaluation
MULTIPLE regression analysis
ONE-way analysis of variance
AGE distribution
REGRESSION analysis
HEALTH literacy
ATTITUDES toward illness
PATIENTS' attitudes
SELF-efficacy
INCOME
PSYCHOMETRICS
T-test (Statistics)
HEALTH behavior
DESCRIPTIVE statistics
QUESTIONNAIRES
SCALE analysis (Psychology)
PATIENT compliance
DATA analysis software
STATISTICAL sampling
STATISTICAL correlation
EDUCATIONAL attainment
FAMILY history (Medicine)
COMORBIDITY
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 31
- Issue :
- 5/6
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 155057343
- Full Text :
- https://doi.org/10.1111/jocn.15930