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

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.

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Factors influencing self‐management among Indonesian patients with early‐stage chronic kidney disease: A cross‐sectional study

Journal of Clinical Nursing ◽

10.1111/jocn.15930 ◽

2021 ◽

Author(s):

Ira Suarilah ◽

Chiu‐Chu Lin

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Early Stage ◽

Cross Sectional Study ◽

Self Management ◽

Sectional Study ◽

Cross Sectional ◽

Factors Influencing

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

Journal of Clinical Nursing ◽

10.1111/jocn.16046 ◽

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

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Early Stage Chronic Kidney Disease Self-Management Instrument

PsycTESTS Dataset ◽

10.1037/t42805-000 ◽

2012 ◽

Author(s):

Chiu-Chu Lin ◽

Chia-Chen Wu ◽

Li-Min Wu ◽

Hsing-Mei Chen ◽

Shu-Chen Chang

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Early Stage ◽

Self Management ◽

Management Instrument

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Self-management of dietary intake using mindful eating to improve dietary intake for individuals with early stage chronic kidney disease

Journal of Behavioral Medicine ◽

10.1007/s10865-017-9835-1 ◽

2017 ◽

Vol 40 (5) ◽

pp. 702-711 ◽

Cited By ~ 4

Author(s):

Gayle M. Timmerman ◽

Muna J. Tahir ◽

Richard M. Lewis ◽

Deborah Samoson ◽

Holli Temple ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Dietary Intake ◽

Early Stage ◽

Self Management ◽

Mindful Eating

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Experiences and Disease Self-Management in Individuals Living With Chronic Kidney Disease: Qualitative Analysis of the National Kidney Foundation's Online Community

10.21203/rs.3.rs-1125087/v1 ◽

2021 ◽

Author(s):

Yan Du ◽

Brittany Dennis ◽

Valerie Ramirez ◽

Chengdong Li ◽

Jing Wang ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Emotional Support ◽

Online Community ◽

Peer Interactions ◽

Early Stage ◽

Self Management ◽

Online Forum ◽

Care Community ◽

Health Communities

Abstract Background: Self-management of chronic kidney disease (CKD) is one of the keys in improving CKD outcomes and quality of life. There has been an increased use of online health communities to share the experiences of those living with CKD. By analyzing the CKD online forum data, this study aims to: 1) understand the experiences and challenges of individuals living with CKD, and 2) explore how online communities may help CKD patients in improving CKD self-management. Methods: Publicly available posts of peer interactions on the National Kidney Foundation's online community for people affected by CKD were extracted in April 2021 using computer programming. A total of 20,436 posts were collected, of which 400 posts were analyzed using inductive thematic analysis, and saturation was reached. Two researchers coded each post independently, and discrepancies were discussed to reach consensus. Results: The analysis identified seven themes: 1) Dynamics of CKD status, 2) CKD comorbidities, 3) Managing CKD and symptoms, 4) Life participation and outlook; 5) Navigating healthcare and clinical needs, 6) Medical tests and results; and 7) Support on the forum. The results revealed that comorbidities were common in CKD patients and early-stage CKD was not communicated in a timely manner to patients by the health care community; living with CKD challenged both CKD and caregivers; some common challenges included but were not limited to the management of a diet for CKD and co-morbidities (especially co-morbid diabetes), CKD dynamics and symptoms, and fear of/ways to prevent progression. Individuals living with CKD primarily used the online forum to share and seek information and emotional support for managing CKD (including co-morbidities). Conclusions: Challenges of living with CKD were found not only in those with advanced kidney disease and those on dialysis, but also in those with early and middle stages. Information and emotional support from the online forum serves as a platform to empower CKD patients with the knowledge, skills and confidence for CKD self-management. Proactive and innovative strategies with a combination of virtual and real settings to improve self-management for individuals with all-stage CKD needs to be explored and tailored.

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

Ramathibodi Medical Journal ◽

10.33165/rmj.2019.42.2.119901 ◽

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.

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

10.21203/rs.3.rs-816054/v1 ◽

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.

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