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

Hayfa Almutary,Nahla Tayyib

doi:10.3390/healthcare10030436

Hayfa Almutary, Nahla Tayyib

Open Access

https://doi.org/10.3390/healthcare10030436

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Journal: Healthcare	Publication Date: Feb 25, 2022
Citations: 2	License type: CC BY 4.0

Affiliation: King Abdulaziz University, Umm al-Qura University

Abstract

Aim: The new trend in the management of chronic kidney disease (CKD) is based on the adoption of self-management approaches. However, there is a paucity of research assessing the level of self-management behavior among non-dialysis patients. The aim of the study is to assess the association between self-management behaviors and the level of disease-specific knowledge among non-dialysis CKD patients. In addition, this study aimed to assess the predictors of self-management among non-CKD patients. Methods: A convenience sample of 203 non-dialysis patients with stage 3–5 CKD was surveyed from the nephrology clinics in Saudi Arabia. Descriptive statistics and linear regression were used to analyze the data. Results: The mean level of knowledge and self-management was 17.9 ± 3.2 and 76.9 ± 13.3, respectively. The results of the multiple regression of self-management showed that knowledge was independently associated with self-management (r = 0.51, **, p < 0.001). Conclusions: This study demonstrated that knowledge and self-management were associated with each other in non-dialysis patients. More efforts are needed to track and enhance the knowledge levels in patients with CKD. Future research should focus on the effectiveness of educational programs of self-management behavior.

Highlights

Chronic kidney disease (CKD) is becoming a public health issue with a global prevalence of 13.4% in stages 1–5 and 10.6% in stages 3–5 [1]
The results showed that kidney disease knowledge, age, and body mass index (BMI) were independently associated with self-management behavior scores
Other factors that may contribute to the poor knowledge level of non-dialysis patients are levels of communication between healthcare professionals and patients, which could be the result of the number of clients per clinic, insufficient information, and handover of patient care between caregivers

Summary

Introduction

Chronic kidney disease (CKD) is becoming a public health issue with a global prevalence of 13.4% in stages 1–5 and 10.6% in stages 3–5 [1]. The prevalence of CKD is projected to increase by 16.7% among adults by 2030 [2]. Global epidemiological data show that 1.2 million individuals died from CKD in 2017 and that this mortality rate increased by 41.5% from 1990 to 2017 [3]. These high prevalence and mortality rates are probably due to insufficient management of the disease and population aging [3]

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Conclusion