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Patient assessment of chronic kidney disease self‐care using the chronic kidney disease self‐care scale in Taiwan
Author(s) -
Wang ShuLi,
Chiu YiWen,
Kung LanFang,
Chen TzuHui,
Hsiao ShihMing,
Hsiao PeiNi,
Hwang ShangJyh,
Hsieh HuiMin
Publication year - 2019
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/nep.13475
Subject(s) - medicine , kidney disease , blood pressure , affect (linguistics) , physical therapy , disease , self care , patient education , cross sectional study , health care , family medicine , pathology , philosophy , linguistics , economics , economic growth
Aim Self‐care represents the ‘action’ element of self‐management. This study aimed to use the chronic kidney disease self‐care (CKDSC) scale to examine factors associated with self‐care and aspects of self‐care deficits among CKD patients in Taiwan. Methods A cross‐sectional investigation was conducted using the CKDSC scale with 449 CKD patients in Taiwan. The CKDSC is a 16‐item questionnaire with five subscales, including medication adherence, diet control, exercise, smoking behaviours and blood pressure monitoring. Patient demographic and clinical factors taht may affect CKD self‐care were analyzed in the multivariable regression models. Results Overall CKDSC scores were significantly higher for women ( P = 0.020), older patients ( P < 0.001), higher education ( P = 0.033), BMI <24 kg/m 2 ( P = 0.005), later CKD stage or participants in the CKD care programme. Early‐stage CKD patients had significantly lower for medication adherence, diet control, and blood pressure monitoring. Patients who participated in the CKD care programme had higher for medication adherence, diet control and regular exercise habits. Conclusion The CKDSC scale is a tool to assess patient self‐care. However, given the CKDSC tool is in Chinese, future studies should validate it in CKD patients in other languages or countries before it can be considered for general use.