Factors Influencing Self-Management among Non-Dialysis Chronic Kidney Disease Patients

Almutary, Hayfa; Tayyib, Nahla

doi:10.3390/healthcare10030436

Cited by 3 publications

(2 citation statements)

References 43 publications

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“…Across the studies [ 20 – 26 ], patients highlighted their need for CKD-related education. Almutary and Tayyib [ 27 ] observed that knowledge was independently associated with self-management in a sample of patients who have CKD without KRT. These findings potentially reflect the empowering effects of CKD-related education.…”

Section: Discussionmentioning

confidence: 99%

The psychosocial needs of patients who have chronic kidney disease without kidney replacement therapy: a thematic synthesis of seven qualitative studies

Seery

Buchanan

2022

J Nephrol

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Background Limited quantitative data suggests that patients who have chronic kidney disease without kidney replacement therapy (CKD without KRT) may present with psychosocial needs just as patients who have acute kidney injury and are treated by dialysis (AKI stage 3D) do. This systematic review aims to synthesise qualitative research on patients’ experiences of CKD without KRT to provide further insight into patients’ experience of the healthcare they receive and simultaneously, their psychosocial needs, to inform the development of appropriate psychological interventions. Methods The review followed ENTREQ guidelines. PubMed/MEDLINE, PsycINFO, EMBASE and CINAHL were searched in July and August 2021. Qualitative studies in English on the experiences of CKD without KRT care were included in the review. Thematic synthesis was conducted on the findings of the included studies. Results The search identified 231 articles for screening. Eight studies met the inclusion criteria, and one was excluded at the quality assessment stage. The final seven articles [n = 130 patients] were analysed. Five themes on psychosocial needs were developed: addressing patients’ CKD-related educational needs, supporting the patient’s relationships, honouring the patient’s need for control, adjusting to change, and recognising fear of disease and treatment. Discussion This review highlights the range of psychosocial needs of patients who have CKD without KRT. There are numerous intervention options that clinicians may develop that could benefit patients and address multiple needs, such as group educational programmes. Graphical abstract

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Section: Discussionmentioning

confidence: 99%

The psychosocial needs of patients who have chronic kidney disease without kidney replacement therapy: a thematic synthesis of seven qualitative studies

Seery

Buchanan

2022

J Nephrol

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“…One predictor of inadequate engagement in CKD self-care behavior is older age, a trend attributed to older adults’ lower capacity for engagement relative to younger adults ( 5 ). Compared to younger counterparts, older adults face unique challenges in meeting personal care and support needs, such as multi-morbidity, functional limitations in activities of daily living, cognitive decline, frailty, socioeconomic disadvantage, social isolation, and geriatric conditions ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

The potential of mHealth for older adults on dialysis and their care partners: What’s been done and where do we go from here?

Burrows¹,

DePasquale²,

Ma³

et al. 2023

Front. Nephrol.

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Self-care, or the dynamic, daily process of becoming actively involved in one’s own care, is paramount to prevent and manage complications of end-stage kidney disease. However, many older dialysis patients face distinctive challenges to adequate engagement in self-care. One promising strategy for facilitating self-care among older dialysis patients and their care partners is the utilization of mobile health (mhealth). mHealth encompasses mobile and wireless communication devices used to improve healthcare delivery, patient and care partner outcomes, and patient care. In other disease populations, mHealth has been linked to maintenance of or improvements in self-management, medication compliance, patient education, and patient-provider communication, all of which can slow disease progression. Although mHealth is considered feasible, acceptable, and clinically useful, this technology has predominately targeted younger patients. Thus, there is a need to develop mHealth for older dialysis patients and their care partners. In this article, we describe current mHealth usage in older dialysis patients, including promising findings, challenges, and research gaps. Given the lack of research on mHealth among care partners of older dialysis patients, we highlight lessons learned from other disease populations to inform the future design and implementation of mHealth for these key stakeholders. We also propose that leveraging care partners represents an opportunity to meaningfully tailor mHealth applications and, by extension, improve care partner physical and mental health and decrease caregiver burden. We conclude with a summary of future directions to help older dialysis patients and their care partners receive recognition as target end-users amid the constant evolution of mHealth.

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Related Factors with Self-Management Behaviors among Patients with Predialysis Chronic Kidney Disease: A Multicenter Study in Myanmar

Lininger

2023

MJHR

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Background: Self-management behavior is key to managing patients with predialysis chronic kidney disease (CKD) and is effective in slowing disease progression in impoverished Burmese patients with CKD. This study aimed to outline the association of personal and environmental factors with the self-management behaviors of people with predialysis CKD. Methods: Using convenience sampling, this cross-sectional study included 84 individuals with predialysis CKD from two private hospitals in Myanmar. The interviewer-administered questionnaire included demographic information, the Health Literacy Short Form-12, the CKD knowledge questionnaire, the self-efficacy questionnaire, the Multidimensional Scale of Perceived Social Support, and the self-management behavior questionnaire. This study analyzed the data using descriptive statistics, Pearson’s correlation coefficients, Spearman’s rho correlation, and Chi-square tests. Results: The results revealed that participants had moderate health literacy (26.12 ± 7.51), CKD knowledge (10.10 ± 3.76), and perceived self-efficacy levels (30.58 ± 10.28), a high social support level (67.33 ± 8.54), and a moderate self-management behavior level (74.20 ± 7.80). Health literacy (r = 0.40, p < 0.01), CKD knowledge (r = 0.62, p < 0.01), perceived self-efficacy (r = 0.62, p < 0.01), and social support (r = 0.44, p < 0.01) were related to self-management behaviors. Conclusions: The results indicated that enhanced health literacy, CKD knowledge, self-efficacy, and social support could support the self-management behaviors of individuals with predialysis CKD.

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Factors Influencing Self-Management among Non-Dialysis Chronic Kidney Disease Patients

Cited by 3 publications

References 43 publications

The psychosocial needs of patients who have chronic kidney disease without kidney replacement therapy: a thematic synthesis of seven qualitative studies

The psychosocial needs of patients who have chronic kidney disease without kidney replacement therapy: a thematic synthesis of seven qualitative studies

The potential of mHealth for older adults on dialysis and their care partners: What’s been done and where do we go from here?

Related Factors with Self-Management Behaviors among Patients with Predialysis Chronic Kidney Disease: A Multicenter Study in Myanmar

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