TY - JOUR
T1 - Factors influencing self-management among Indonesian patients with early-stage chronic kidney disease
T2 - A cross-sectional study
AU - Suarilah, Ira
AU - Lin, Chiu Chu
N1 - Funding Information:
The authors acknowledge the patients and the research assistants for their great contribution to the study. The authors also thank Prof. Kusnanto, Dean of Academic Affairs at Faculty of Nursing and Tiyas Kusumaningrum, M. Kep, the Head School of Nursing at Universitas Airlangga, for their support.
Publisher Copyright:
© 2021 John Wiley & Sons Ltd.
PY - 2022/3
Y1 - 2022/3
N2 - Aims and objectives: The purpose of this study was to explore the self-management of patients with early-stage chronic kidney disease (CKD) and its influencing factors. Methods: A convenient sample of 226 patients with early-stage CKD was recruited from 63 Public Health Centers in Indonesia, from June to September 2020. Demographic characteristics, health literacy, illness perception, self-efficacy and self-management were assessed using self-reported questionnaires. Stepwise multiple linear regression analysis was performed to identify the factors influencing self-management. This study adhered to the EQUATOR checklist, STROBE. Results: The mean estimated glomerular filtration rate was 63.45 ml/min/1.73 m2 (standard deviation [SD] = 15.34). The average scores for health literacy, illness perception, self-efficacy and self-management were 32.11 (SD = 4.46), 4.57 (SD = 1.46), 183.64 (SD = 38.23) and 76.92 (SD = 9.45), respectively. The influencing factors were education level, monthly income, family history of comorbidity, health literacy and self-efficacy, which accounted for 45% of total self-management score. Conclusions: Indonesian patients with early-stage CKD showed low level of health literacy, but positive illness perception and self-efficacy; these factors significantly affected CKD self-management. Health literacy was found to influence all dimensions of self-management: self-integration, problem-solving, seeking social support and adherence to the recommended regimen. Relevance to clinical practice: Adherence to the recommended regimen is the most challenging dimension of CKD self-management. Health literacy was found to be a major determinant of self-management. Improving health literacy and motivation of patients with early-stage CKD may help sustain positive illness perception and self-efficacy, and improve self-management.
AB - Aims and objectives: The purpose of this study was to explore the self-management of patients with early-stage chronic kidney disease (CKD) and its influencing factors. Methods: A convenient sample of 226 patients with early-stage CKD was recruited from 63 Public Health Centers in Indonesia, from June to September 2020. Demographic characteristics, health literacy, illness perception, self-efficacy and self-management were assessed using self-reported questionnaires. Stepwise multiple linear regression analysis was performed to identify the factors influencing self-management. This study adhered to the EQUATOR checklist, STROBE. Results: The mean estimated glomerular filtration rate was 63.45 ml/min/1.73 m2 (standard deviation [SD] = 15.34). The average scores for health literacy, illness perception, self-efficacy and self-management were 32.11 (SD = 4.46), 4.57 (SD = 1.46), 183.64 (SD = 38.23) and 76.92 (SD = 9.45), respectively. The influencing factors were education level, monthly income, family history of comorbidity, health literacy and self-efficacy, which accounted for 45% of total self-management score. Conclusions: Indonesian patients with early-stage CKD showed low level of health literacy, but positive illness perception and self-efficacy; these factors significantly affected CKD self-management. Health literacy was found to influence all dimensions of self-management: self-integration, problem-solving, seeking social support and adherence to the recommended regimen. Relevance to clinical practice: Adherence to the recommended regimen is the most challenging dimension of CKD self-management. Health literacy was found to be a major determinant of self-management. Improving health literacy and motivation of patients with early-stage CKD may help sustain positive illness perception and self-efficacy, and improve self-management.
KW - chronic kidney disease
KW - health literacy
KW - health risk
KW - illness perception
KW - self-efficacy
KW - self-management
UR - http://www.scopus.com/inward/record.url?scp=85112723625&partnerID=8YFLogxK
U2 - 10.1111/jocn.15930
DO - 10.1111/jocn.15930
M3 - Article
AN - SCOPUS:85112723625
SN - 0962-1067
VL - 31
SP - 703
EP - 715
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
IS - 5-6
ER -