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

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 selfmanagement. This study adhered to the EQUATOR checklist, STROBE. Results: The mean estimated glomerular filtration rate was 63.45 ml/min/1.73 m 2 (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 selfefficacy, and improve self-management.

Self-Care, Health Literacy and Their Associations Amongst Patients with Chronic Kidney Disease (CKD) in Primary Care

“…The association between health literacy and the 3 domains of self-care namely behaviour, self-efficacy and motivation were consistent with findings in other studies 47 . The association between health literacy and self-efficacy was particularly strong and further expand the association roadmap that may potentially influence self-care positively.…”

Supporting Factors in Continuing Life of Chronic Renal Failure Patients Undergoing Hemodialysis

“…Both of these elements can boost motivation to get out of bed. Furthermore, good health literacy will be formed based on these two elements to encourage and influence all aspects of patient self-management and treatment regimens (12) .…”

The Association between Self-Rated Health and Health Self-Management Ability of Healthcare Undergraduates: The Chain Mediating Roles of eHealth Literacy and Resistance to Peer Influence

“…eHealth literacy was found to be a major determinant of health self-management among patients with chronic diseases [ 25 , 26 ]. For patients with chronic kidney disease, eHealth literacy exerted impact on all aspects of their self-management: self-integration, problem solving, and seeking social support [ 25 , 26 ].…”

“…eHealth literacy was found to be a major determinant of health self-management among patients with chronic diseases [ 25 , 26 ]. For patients with chronic kidney disease, eHealth literacy exerted impact on all aspects of their self-management: self-integration, problem solving, and seeking social support [ 25 , 26 ]. Patients suffering from chronic obstructive pulmonary disease with sufficient eHealth literacy reported positive experiences of eHealth resources in improving their disease self-management skills (e.g., exercises and breathing techniques) and boosting their confidence in their ability to manage their disease [ 20 ].…”