Differences in self‐care knowledge, self‐efficacy, psychological distress and self‐management between patients with early‐ and end‐stage chronic kidney disease

2021 ◽  
Author(s):  
Shu‐Fang Vivienne Wu ◽  
Tsae‐Jyy Wang ◽  
Shu‐Yuan Liang ◽  
Li‐Ju Lin ◽  
Yu‐Yin Lu ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Psychological Distress ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Self Care ◽  
Self Management ◽  
End Stage

scholarly journals Factors Influencing Self-Efficacy and Self-Management among Patients with Pre-End-Stage Renal Disease (Pre-ESRD)

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 266
Author(s):  
Pao-Chin Lai ◽  
Shu-Fang Vivienne Wu ◽  
Javad Alizargar ◽  
Satriya Pranata ◽  
Juin-Ming Tsai ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Early Stage ◽  
Depression Scale ◽  
Self Management ◽  
Public Health Issue ◽  
Factors Influencing ◽  
End Stage ◽  
Esrd Patients

Aim: Chronic kidney disease (CKD) is an emerging major public health issue that leads to end-stage kidney disease (ESRD). Factors influencing the self-management and self-efficacy of ESRD patients are still under investigation. The objective of this study is to evaluate the association of depression and anxiety with self-management and self-efficacy in patients with pre-ESRD. Methods: Patients in the department of nephrology of a regional hospital in Taiwan were invited to participate and were included in our study if they had a confirmed diagnosis of early-stage CKD, were more than 20 years old, and could converse in Mandarin Chinese or Taiwanese. Patients diagnosed with depression, who could not execute self-care, or who had cognitive deficits were excluded. In total, this cross-sectional study included 112 pre-ESRD patients. We used the Chinese versions of the hospital anxiety and depression scale (HADS), the chronic kidney disease self-efficacy instrument (CKD-SE), and the chronic kidney disease self-management instrument (CKD-SM) as the questionnaire. Spearman’s rank correlation and logistic regressions were used to analyze the data. Results: The top quartile of self-management and self-efficacy scores (28 patients) was defined as high self-management and -efficacy, respectively, and the lower three quartiles as low self-management and -efficacy. The logistic regression analysis showed that having depression decreased the odds of having high self-management by 75.4% and high self-efficacy by 75.1%. Having an education level of senior high school or above increased the odds ratios for having high self-management and high self-efficacy to 4.47 and 3.56 (all p-values < 0.05). Conclusion: Controlling depression as well as increasing the level of education can potentially increase self-management and self-efficacy in pre-ESRD patients.

The effects of knowledge and self‐management of patients with early‐stage chronic kidney disease: Self‐efficacy is a mediator

2020 ◽  
Author(s):  
Li‐Ming Chuang ◽  
Shu‐Fang Vivienne Wu ◽  
Mei‐Chen Lee ◽  
Li‐Ju Lin ◽  
Shu‐Yuan Liang ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Early Stage ◽  
Self Management

scholarly journals Knowledge, Self-Efficacy, Self-Management Behavior of the Patients With Predialysis Chronic Kidney Disease

2019 ◽  
Vol 42 (2) ◽  
pp. 38-48
Author(s):  
Satchina Moktan ◽  
Sirirat Leelacharas ◽  
Wonnapha Prapaipanich
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Public Health Problem ◽  
Self Management ◽  
Care Hospital ◽  
Global Public Health ◽  
Management Behavior

Background: Chronic kidney disease (CKD) is an emerging global public health problem. Control of risk factors and prevention of complications can delay the progression to end-stage renal disease. Self-efficacy and self-management behavior in patients with predialysis CKD has not been investigated in Nepal. Objectives: To describe knowledge of CKD, self-efficacy, and self-management behavior in patients with predialysis CKD and to determine the relationships between knowledge in CKD and self-efficacy with self-management behavior. Methods: Ninety-seven predialysis CKD patients visiting nephrology clinic of a tertiary care hospital in Kathmandu, Nepal were recruited from November 2016 to December 2016. Questionnaires comprised of sociodemographic data, CKD knowledge, self-efficacy, and self-management behavior questionnaires were used. Data were analyzed, using descriptive statistics and Pearson product moment correlation coefficient. Results: The mean age of 97 participants was 45.67 years. There were 3 stages of CKD among participants: stage G4 (54.64%), stage G3 (42.27%), and stage G2 (3.09%), respectively. Hypertension was the most common comorbidity (81.44%) followed by diabetes mellitus (30.92%). Predialysis CKD patients had a moderate level of knowledge on CKD and self-efficacy and high level of self-management behavior. There were positive relationships between knowledge in CKD and self-management behavior (r = 0.52; P < .05), and between self-efficacy and self-management behavior (r = 0.39; P < .05). Conclusions: This study suggested that education, counseling, workshop to increase the knowledge, self-efficacy, and self-management behavior might be helpful for the predialysis CKD patients. Healthcare providers can educate, motivate, and train the patients to practice self-management behavior to delay the progression of CKD.

scholarly journals Cultural Adaptation and Validation of the Malay Chronic Kidney Disease Self-Management Instrument (MCKD-SM)

2021 ◽  
Author(s):  
Al Sawad Ayat Ali ◽  
Soo Kun Lim ◽  
Li Yoong Tang ◽  
Aneesa Abdul Rashid ◽  
Boon-How Chew
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Cultural Adaptation ◽  
Self Efficacy ◽  
Self Management ◽  
Retest Reliability ◽  
Disease Knowledge ◽  
Management Behaviour ◽  
Management Instrument ◽  
Test Retest Reliability

Abstract Background: There is growing evidence that self‐management behaviour can improve outcomes for patients with chronic kidney disease (CKD). However, there are no measures available in Malay to effectively assess self-management of CKD. The aim of this study was to translate, culturally adapt, and validate the Malay Chronic Kidney Disease Self-Management (MCKD-SM) for Malay-speaking health professionals and patients. Methods: This study was carried out in two phases: translation and cultural adaptation, and validation. Instruments were translated from English to Malay then adapted and validated in a sample of 337 patients with CKD stages 3-4 attending a nephrology clinic in a tertiary hospital in Malaysia. Construct validity was evaluated by exploratory factor analysis. Reliability of the instrument was assessed by internal consistency and test‐retest reliability. The correlations between MCKD-SM and kidney disease knowledge, MCKD-SM and self-efficacy were hypothesised a priori and investigated. Results: The Malay version of the Chronic Kidney Disease Self-Management instrument has 29 items grouped into three factors: “Understanding and Managing my CKD”, “Seeking Support” and “Adherence to Recommended Regimen”. The three factors accounted for 56.3 % of the total variance. Each factor showed acceptable internal reliability with Cronbach’s α from 0.885-0.960. 2-week intra-rater test-retest reliability intraclass correlation coefficient values for all items ranged between 0.938 to 1.000. MCKD-SM scores significantly correlates with kidney disease knowledge (r = 0.366, p < 0.01) and self-efficacy (r = 0.212, p < 0.01).Conclusion: The Malay version of the CKD-SM was found to be a valid and reliable patient‐reported outcome measure of pre-dialysis CKD self-management behaviour in the Malay-speaking population.

Prediction of self-care behaviour on the basis of knowledge about chronic kidney disease using self-efficacy as a mediator

2016 ◽  
Vol 25 (17-18) ◽  
pp. 2609-2618 ◽  
Author(s):  
Shu-Fang Vivienne Wu ◽  
Nan-Chen Hsieh ◽  
Li-Ju Lin ◽  
Juin-Ming Tsai
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Self Care

Self-Efficacy and Self-Management Behaviors in Patients With Chronic Kidney Disease

2008 ◽  
Vol 15 (2) ◽  
pp. 191-205 ◽  
Author(s):  
Roberta Braun Curtin ◽  
Brian A.J. Walters ◽  
Dorian Schatell ◽  
Philip Pennell ◽  
Meg Wise ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Self Management ◽  
Management Behaviors

scholarly journals Zone Tool: Improving Self-Care and Self-Efficacy among Patients with Chronic Kidney Disease

2020 ◽  
Vol 8 (6) ◽  
pp. 608-623
Author(s):  
Azza Fathi Ibrahim Mohammed ◽  
Thoraya Mohammed Abdel Aziz ◽  
Ola Ezzat Eltohamy
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Self Care

scholarly journals A Mobile App to Support Self-management of Chronic Kidney Disease: Development Study

10.2196/29197 ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. e29197
Author(s):  
Talar W Markossian ◽  
Jason Boyda ◽  
Jennifer Taylor ◽  
Bella Etingen ◽  
François Modave ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Focus Group ◽  
Primary Care Physicians ◽  
Self Care ◽  
Health Data ◽  
Mobile App ◽  
Self Management ◽  
Smart Device ◽  
Care Providers

Background Chronic kidney disease (CKD) is a common and costly condition that is usually accompanied by multiple comorbidities including type 2 diabetes, hypertension, and obesity. Proper management of CKD can delay or prevent kidney failure and help mitigate cardiovascular disease risk, which increases as kidney function declines. Smart device apps hold potential to enhance patient self-management of chronic conditions including CKD. Objective The objective of this study was to develop a mobile app to facilitate self-management of nondialysis-dependent CKD. Methods Our stakeholder team included 4 patients with stage 3-4 nondialysis-dependent CKD; a kidney transplant recipient; a caretaker; CKD care providers (pharmacists, a nurse, primary care physicians, a nephrologist, and a cardiologist); 2 health services and CKD researchers; a researcher in biomedical informatics, nutrition, and obesity; a system developer; and 2 programmers. Focus groups and in-person interviews with the patients and providers were conducted using a focus group and interview guide based on existing literature on CKD self-management and the mobile app quality criteria from the Mobile App Rating Scale. Qualitative analytic methods including the constant comparative method were used to analyze the focus group and interview data. Results Patients and providers identified and discussed a list of requirements and preferences regarding the content, features, and technical aspects of the mobile app, which are unique for CKD self-management. Requirements and preferences centered along themes of communication between patients and caregivers, partnership in care, self-care activities, adherence to treatment regimens, and self-care self-efficacy. These identified themes informed the features and content of our mobile app. The mobile app user can enter health data including blood pressure, weight, and blood glucose levels. Symptoms and their severity can also be entered, and users are prompted to contact a physician as indicated by the symptom and its severity. Next, mobile app users can select biweekly goals from a set of predetermined goals with the option to enter customized goals. The user can also keep a list of medications and track medication use. Our app includes feedback mechanisms where in-range values for health data are depicted in green and out-of-range values are depicted in red. We ensured that data entered by patients could be downloaded into a user-friendly report, which could be emailed or uploaded to an electronic health record. The mobile app also includes a mechanism that allows either group or individualized video chat meetings with a provider to facilitate either group support, education, or even virtual clinic visits. The CKD app also includes educational material on CKD and its symptoms. Conclusions Patients with CKD and CKD care providers believe that a mobile app can enhance CKD self-management by facilitating patient-provider communication and enabling self-care activities including treatment adherence.

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