Evaluation of Self Management Behavior of Chronic Kidney Disease Patients

Abstract

CKD (chronic kidney disease) is a progressive disease. If it is left untreated, it can eventually result in end stage renal failure and necessitate dialysis or kidney transplantation. There is no cure for CKD; instead a great deal of self management over time is essential. The purpose is to evaluate self management behaviour of patients at different stages of CKD. A total of 300 CKD patients were recruited in this cross sectional study from March to July 2015 at nephrology clinic of a tertiary care setting using convenience sampling. Self management behaviour score was determined using in Partners in Health scale and was then compared at different stages of CKD. Demographic and clinical factors contributing to self management behaviour were determined. Results: There was a significant difference in age (p < 0.001), gender (p < 0.001), education level (p < 0.001), marital status (p < 0.001), duration of illness (p < 0.001) and number of co-morbidities (p < 0.001) among CKD stages. A significant difference in self management behaviour mean score was found among CKD stages (p < 0.001). Post hoc analysis showed self management behaviour mean score for Stage I (mean ± SD: 77.81 ± 9.41) was significantly higher than Stage IV (mean ± SD: 70.53 ± 13.91) and Stage V (mean ± SD: 69.54 ± 12.31). Self management behaviour mean score for Stage II (mean ± SD: 78.46 ± 10.01) was significantly higher than Stage IV and Stage V. Multiple linear regression revealed education level (p < 0.001) and number of co-morbidities (p = 0.01) as significant predictors of self management behaviour. It can be concluded that special attention should be focused on patients at late stage of CKD, especially those with diabetic nephropathy; low education level and multiple co-morbidities to improve self management behaviour.

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

“…This finding is similar to a previous study done in different stages of CKD. 29 Furthermore, diabetic patients in Nepal have verbalized feeling of responsibility towards family, beliefs in god, and trust in doctor and medicine for practicing self-management behavior. 30 The same beliefs among participants might have played a role in scoring high level of selfmanagement behavior.…”

The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 (CKD-NLSM): Study protocol for a randomized controlled trial

“…In Malaysia, people who are at risk of developing CKD are not well informed on CKD and they also tend to have poor self-management behaviors. 33 , 34 Besides, there is limited evidence to support the effectiveness of clinical practices in delivering nurse-led self-management support programs for people with earlier CKD stages as most of the published studies focused on patients receiving hemodialysis. In reality, the strategies used to improve self-management behavior are likely to vary in terms of the format, content, and delivery for different groups of patients.…”