Evaluation of Self Management Behavior of Chronic Kidney Disease Patients

作     者：Sook Hui Phua Nur Akmar Taha Kiew Bing Pau Wei Yen Kong 

作者机构：Faculty of Pharmacy Universiti Kebangsaan Malaysia 43600 UKM Bangi Selangor Malaysia Pharmacy Department Universiti Kebangsaan Malaysia Medical Centre Jalan Yaacob Latif Bandar Tun Razak 56000 Cheras Kuala Lumpur Malaysia Nephrology Unit Medical Department Universiti Kebangsaan Malaysia Medical Centre Jalan Yaacob Latif Bandar Tun Razak 56000 Cheras Kuala Lumpur Malaysia 

出 版 物：《Journal of Pharmacy and Pharmacology》 (药剂与药理学（英文版）)

年 卷 期：2017年第5卷第4期

页      面：179-188页

学科分类：081401[工学-岩土工程] 08[工学] 0906[农学-兽医学] 09[农学] 0814[工学-土木工程] 

主　　题：Self management behaviour chronic kidney disease predictors demographic factors clinical factors. 

摘      要：CKD （chronic kidney disease） is a progressive disease. If it is left untreated, it can eventually result in end stage renal failure and necessitate dialysis or kidney transplantation. There is no cure for CKD; instead a great deal of self management over time is essential. The purpose is to evaluate self management behaviour of patients at different stages of CKD. A total of 300 CKD patients were recruited in this cross sectional study from March to July 2015 at nephrology clinic of a tertiary care setting using convenience sampling. Self management behaviour score was determined using in Partners in Health scale and was then compared at different stages of CKD. Demographic and clinical factors contributing to self management behaviour were determined. Results： There was a significant difference in age （p 〈 0.001）, gender （p 〈 0.001）, education level （p 〈 0.001）, marital status （p 〈 0.001）, duration of illness （p 〈 0.001） and number of co-morbidities （p 〈 0.001） among CKD stages. A significant difference in self management behaviour mean score was found among CKD stages （p 〈 0.001）. Post hoc analysis showed self management behaviour mean score for Stage Ⅰ （mean ± SD： 77.81 ± 9.41） was significantly higher than Stage Ⅳ （mean ± SD： 70.53 ± 13.91） and Stage Ⅴ （mean ± SD： 69.54 ± 12.31）. Self management behaviour mean score for Stage Ⅱ （mean ± SD： 78.46 ± 10.01） was significantly higher than Stage Ⅳ and Stage Ⅴ. Multiple linear regression revealed education level （p 〈 0.001） and number of co-morbidities （p = 0.01） as significant predictors of self management behaviour. It can be concluded that special attention should be focused on patients at late stage of CKD, especially those with diabetic nephropathy; low education level and multiple co-morbidities to improve self management behaviour.