Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice
Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice作者机构：School of Pharmacy Southern Illinois University Edwardsville College of Pharmacy University of New Mexico College of Arts and Sciences Southern Illinois University Edwardsville Division of Nephrology and Hypertension University of Utah
出 版 物：《World Journal of Nephrology》 (世界肾病学杂志（英文版）)
年 卷 期：2018年第7卷第1期
页 面：41-50页
学科分类：10[医学]
主 题：Chronic kidney disease awareness Health literacy Kidney function Self-management behaviors Self-management behavior performance Epidermal growth factor receptor Chronic kidney disease knowledge
摘 要：AIM To determine the relationship between chronic kidney disease(CKD) awareness(CKD-A), self-management behaviors(CKD-SMB) knowledge, performance of CKDSMBs, health literacy(HL) and kidney function. METHODS Participants were eligible patients attending an outpatient nephrology clinic. Participants were administered: Newest Vital Sign to measure HL, CKD self-managementknowledge tool(CKD-SMKT) to assess knowledge, past performance of CKD-SMB, CKD-A. Estimated GFR(e GFR) was determined using the MDRD-4 equation. Duration of clinic participation and CKD cause were extracted from medical charts. RESULTS One-hundred-fifty patients participated in the study. e GFRs ranged from 17-152 m L/min per 1.73 m2. Majority(83%) of respondents had stage 3 or 4 CKD, low HL(63%), and were CKD aware(88%). Approximately 40%(10/25) of patients in stages 1 and 2 and 6.4%(8/125) in stages 3 and 4 were unaware of their CKD. CKD-A differed with stage(P 0.001) but not by HL level, duration of clinic participation, or CKD cause. Majority of respondents(≥ 90%) correctly answered one or more CKD-SMKT items. Knowledge of one behavior, controlling blood pressure differed significantly by CKD-A. CKD-A was associated with past performance of two CKD-SMBs, controlling blood pressure(P = 0.02), and keeping healthy body weight(P = 0.01). Adjusted multivariate analyses between CKD-A and:(1) HL; and(2) CKD-SMB knowledge were nonsignificant. However, there was a significant relationship between CKD-A and kidney function after controlling for demographics, HL, and CKD-SMB(P 0.05). CONCLUSION CKD-A is not associated with HL, or better CKD-SMBs. CKD-A is significantly associated with kidney function and substantially lower e GFR, suggesting the need for focused patient education in CKD stages 1.
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