The interaction between self-care behavior and disease knowledge on the decline in renal function in chronic kidney disease

• Published in: Scientific reports 2021-01, Vol.11 (1), p.401-401, Article 401
• Main Authors: Tsai, Yi-Chun, Wang, Shu-Li, Tsai, Hui-Ju, Chen, Tzu-Hui, Kung, Lan-Fang, Hsiao, Pei-Ni, Hsiao, Shih-Ming, Hwang, Shang-Jyh, Chen, Hung-Chun, Chiu, Yi-Wen
• Format: Article
• Language: English
• Subjects: 692/4022; 692/700; Activities of daily living; Dialysis; Humanities and Social Sciences; Kidney diseases; Kidneys; Knowledge; multidisciplinary; Renal function; Science; Science (multidisciplinary); Synergistic effect
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-020-79873-z

Multidisciplinary care can improve the outcomes of chronic kidney disease (CKD), however the contribution of self-care behavior and knowledge about CKD is unclear. This study enrolled 454 participants with CKD stages 1–5 not on dialysis. Structured questionnaires were used to evaluate self-care behavior and kidney disease knowledge. Rapid decline in renal function was defined as the decline in estimated filtration rate > 3 ml/min per 1.73 m 2 /year within 1-year prior to enrollment. The mean age of all study participants was 65.8 ± 12.1 years and 55.9% were male. The elderly had better self-care behavior while younger participants had better disease knowledge. Both high self-care and high disease knowledge scores were significantly associated with and had a synergistic effect on decreasing the risk of rapid decline in renal function. CKD patients with better self-care behavior and better kidney disease knowledge had lower risk of rapid decline in renal function.