Factors associated with self-care behavior in patients with pre-dialysis or dialysis-dependent chronic kidney disease

Abstract

Self-care behavior plays a pivotal role in the management of chronic kidney disease. Improved self-care behavior in patients with chronic kidney disease is a key factor in health management and treatment adherence. This study aimed to evaluate the participants’ general and medical condition-related characteristics, physiological indices and the level of health literacy affecting self-care behavior in patients with chronic kidney disease in South Korea. The data of 278 participants were analyzed using t-test, analysis of variance, correlation coefficient, and linear multiple regression analysis. There were significant differences in self-care behavior scores depending on participants’ age and cohabitation status, employment, and smoking status as well as having dialysis due to end-stage kidney disease; number of comorbidities; levels of serum hemoglobin, calcium, and creatinine; and estimated glomerular filtration rate. The results of regression analysis revealed that not currently working, non-smoker, end-stage kidney disease, and positive response to the “actively managing my health” scale of the Health Literacy Questionnaire significantly affected self-care behavior in patients with chronic kidney disease, and the explanatory power of the model was 32.7%. Therefore, it is necessary to identify each patient’s barriers or needs according to individual characteristics, such as age, cohabitation and employment status, and daily life circumstances, including smoking habits, comorbidities, social support, and level of health literacy to develop efficient support strategies for promoting adequate self-care behavior with CKD.

Assessment of Knowledge on Dietary Management of Chronic Kidney Disease Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in South India: A Cross-Sectional Analytical Study

“…Patients on HD typically visit the hospital for dialysis sessions and will engage in consultations with nurses, addressing issues related to self-care behaviors, including dietary restrictions, exercise, medication adherence, and the management of comorbidities and complications. This heightened support from healthcare providers is especially beneficial for individuals with dialysis-dependent CKD, contributing to positive changes in their self-care behaviors [ 25 ]. Living with CKD presents challenges for both patients and their care partners.…”

Patient engagement during the transition from nondialysis‐dependent chronic kidney disease to dialysis: A meta‐ethnography

“…Patients possessing stronger physical, cognitive and psychological capacities are more likely to adopt a proactive approach to their medical responsibilities, seeking adequate knowledge and available resources to enhance their autonomy 73 . Additional support at the social and organizational levels might further strengthen patients' abilities to engage 74–76 …”

“…73 Additional support at the social and organizational levels might further strengthen patients' abilities to engage. [74][75][76] Twenty-four articles were identified and included in this review.…”

Effectiveness of teach‐back for chronic kidney disease patient education: A systematic review

“…In CKD, it can be challenging to follow treatment tasks because of the sheer number and, at times, its complexity (e.g., other comorbid conditions, kidney replacement therapy [KRT]). For instance, the reported prevalence of medication nonadherence in those not receiving KRT is about 40% (Tesfaye et al, 2021), while other studies have reported low levels of adherence with dietary changes, smoking behaviours and BP monitoring (Ahn et al, 2022; Wang et al, 2019). In two systematic reviews of studies involving people receiving haemodialysis (HD), nonadherence to diet and fluid restrictions was between 47% and 72% (Vijay & Kang, 2021), and for medications between 12% and 98% (Ghimire et al, 2015).…”