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The effects of knowledge and self‐management of patients with early‐stage chronic kidney disease: Self‐efficacy is a mediator
Author(s) -
Chuang LiMing,
Wu ShuFang Vivienne,
Lee MeiChen,
Lin LiJu,
Liang ShuYuan,
Lai PaoChin,
Kao MeiChin
Publication year - 2021
Publication title -
japan journal of nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.363
H-Index - 17
eISSN - 1742-7924
pISSN - 1742-7932
DOI - 10.1111/jjns.12388
Subject(s) - self efficacy , kidney disease , medicine , disease , analysis of variance , pearson product moment correlation coefficient , self management , nonprobability sampling , descriptive statistics , clinical psychology , physical therapy , psychology , statistics , social psychology , computer science , population , mathematics , environmental health , machine learning
Aim The purpose of this study is to investigate the relationship among knowledge, self‐efficacy, and self‐management of patients with early‐stage chronic kidney disease (ESCKD). Methods This is a cross‐sectional correlational study design. This study used purposive sampling to enroll a total of 130 patients with ESCKD. The research instruments included Chronic Kidney Disease Self‐Care Knowledge Scale, Chronic Kidney Disease Self‐Efficacy Instrument, Chronic Kidney Disease Self‐Management Scale, and so on. This study used the statistical software SPSS 20.0 to perform statistical analyses, such as descriptive statistical analysis, independent samples t test, one‐way analysis of variance, Pearson product–moment correlation coefficient analysis, and multiple hierarchical regression analysis. Results The knowledge of patients with early kidney disease was moderate (55.10%), self‐efficacy was moderate (54.44%), and self‐management was moderate (61.11%). The disease knowledge and self‐efficacy ( r = .59, p < .01) were significantly positively correlated with self‐management ( r = .50, p < .01); the intervening effect of self‐efficacy on self‐management ( z = 4.58, p < .001) reached statistically significant difference. Self‐efficacy was the most significant predictor for self‐management and explained 49% of the total variance. Conclusions This study suggested that self‐efficacy was a mediator and predictor for self‐management. The research results may serve as reference for related administrative authorities or medical personnel to develop self‐efficacy strategies with theoretical basis, as well as appropriate self‐efficacy improvement schemes, to transform the methods for enhancing disease knowledge to improve the intervention with self‐efficacy language or method and increase patients' disease self‐management.