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Patient assessment of chronic kidney disease self‐care using the chronic kidney disease self‐care scale in Taiwan
ABSTRACT 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 w...
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| Published in: | Nephrology (Carlton, Vic.) Vic.), 2019-06, Vol.24 (6), p.615-621 |
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| container_title | Nephrology (Carlton, Vic.) |
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| creator | Wang, Shu‐Li Chiu, Yi‐Wen Kung, Lan‐Fang Chen, Tzu‐Hui Hsiao, Shih‐Ming Hsiao, Pei‐Ni Hwang, Shang‐Jyh Hsieh, Hui‐Min |
| description | ABSTRACT
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 |
| doi_str_mv | 10.1111/nep.13475 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2091240597</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2091240597</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4195-b36813fec460a091d6476c686511ec3edf11f9f8e1adddc0a6f48794134586883</originalsourceid><addsrcrecordid>eNqNkbFOHDEQhq0oKBBIkRdAltKQYg-P7fXulggdSSQEFFBbxjvOmex5j51boet4hDxjngRf7qBAQmKameLTp9H_M_YVxATyHCdcTEDpqvzA9kBrUUDVVB_zraQoSlXWu-wz0Z0QUEkDn9iuEiAbCWKPjVduGTEtuSNCovn67AP3s6FP0fM_sU244m0kdIScsAv_Hv96NyAfKabffDnD98DkXYc8Jn7t4oNLB2wnuI7wy3bvs5uz6fXpz-L88sev05PzwmtoyuJWmRpUQK-NcKKB1ujKeFObEgC9wjYAhCbUCK5tWy-cCbquGp2zKGtT12qfHW28i6G_H5GWdh7JY9e5hP1IVmap1KJsqox-e4Xe9eOQ8ndWSgmlyomthd83lB96ogGDXQxx7oaVBWHXXdjchf3fRWYPt8bxdo7tC_kcfgaON8BD7HD1tsleTK82yifJR5TP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2221531298</pqid></control><display><type>article</type><title>Patient assessment of chronic kidney disease self‐care using the chronic kidney disease self‐care scale in Taiwan</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Wang, Shu‐Li ; Chiu, Yi‐Wen ; Kung, Lan‐Fang ; Chen, Tzu‐Hui ; Hsiao, Shih‐Ming ; Hsiao, Pei‐Ni ; Hwang, Shang‐Jyh ; Hsieh, Hui‐Min</creator><creatorcontrib>Wang, Shu‐Li ; Chiu, Yi‐Wen ; Kung, Lan‐Fang ; Chen, Tzu‐Hui ; Hsiao, Shih‐Ming ; Hsiao, Pei‐Ni ; Hwang, Shang‐Jyh ; Hsieh, Hui‐Min</creatorcontrib><description>ABSTRACT
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/m2 (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.
Summary at a Glance
This is a cross‐sectional survey study to validate the chronic kidney disease self‐care questionnaire (a 16‐item chronic kidney disease (CKD) self‐care tool) in 449 Taiwanese patients with CKD in the outpatient setting. Factors such as stage of CKD and exposure to pre‐dialysis care programme have predictive value.</description><identifier>ISSN: 1320-5358</identifier><identifier>EISSN: 1440-1797</identifier><identifier>DOI: 10.1111/nep.13475</identifier><identifier>PMID: 30129210</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Aged ; Blood pressure ; Blood Pressure Determination ; chronic kidney disease care ; chronic kidney disease self‐care scale ; Cross-Sectional Studies ; Diet ; Diet, Healthy ; Education ; Exercise ; Female ; Health Behavior ; Health Care Surveys ; Health Knowledge, Attitudes, Practice ; Humans ; Kidney diseases ; Male ; Medication Adherence ; Middle Aged ; Patients ; Predictive Value of Tests ; Regression analysis ; Renal Insufficiency, Chronic - diagnosis ; Renal Insufficiency, Chronic - physiopathology ; Renal Insufficiency, Chronic - psychology ; Renal Insufficiency, Chronic - therapy ; Reproducibility of Results ; Self Care ; self‐care deficits ; self‐management ; Smoking ; Smoking Cessation ; Surveys and Questionnaires ; Taiwan</subject><ispartof>Nephrology (Carlton, Vic.), 2019-06, Vol.24 (6), p.615-621</ispartof><rights>2018 Asian Pacific Society of Nephrology</rights><rights>2018 Asian Pacific Society of Nephrology.</rights><rights>2019 Asian Pacific Society of Nephrology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4195-b36813fec460a091d6476c686511ec3edf11f9f8e1adddc0a6f48794134586883</citedby><cites>FETCH-LOGICAL-c4195-b36813fec460a091d6476c686511ec3edf11f9f8e1adddc0a6f48794134586883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30129210$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Shu‐Li</creatorcontrib><creatorcontrib>Chiu, Yi‐Wen</creatorcontrib><creatorcontrib>Kung, Lan‐Fang</creatorcontrib><creatorcontrib>Chen, Tzu‐Hui</creatorcontrib><creatorcontrib>Hsiao, Shih‐Ming</creatorcontrib><creatorcontrib>Hsiao, Pei‐Ni</creatorcontrib><creatorcontrib>Hwang, Shang‐Jyh</creatorcontrib><creatorcontrib>Hsieh, Hui‐Min</creatorcontrib><title>Patient assessment of chronic kidney disease self‐care using the chronic kidney disease self‐care scale in Taiwan</title><title>Nephrology (Carlton, Vic.)</title><addtitle>Nephrology (Carlton)</addtitle><description>ABSTRACT
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/m2 (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.
Summary at a Glance
This is a cross‐sectional survey study to validate the chronic kidney disease self‐care questionnaire (a 16‐item chronic kidney disease (CKD) self‐care tool) in 449 Taiwanese patients with CKD in the outpatient setting. Factors such as stage of CKD and exposure to pre‐dialysis care programme have predictive value.</description><subject>Aged</subject><subject>Blood pressure</subject><subject>Blood Pressure Determination</subject><subject>chronic kidney disease care</subject><subject>chronic kidney disease self‐care scale</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Diet, Healthy</subject><subject>Education</subject><subject>Exercise</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Health Care Surveys</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Male</subject><subject>Medication Adherence</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Predictive Value of Tests</subject><subject>Regression analysis</subject><subject>Renal Insufficiency, Chronic - diagnosis</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Renal Insufficiency, Chronic - psychology</subject><subject>Renal Insufficiency, Chronic - therapy</subject><subject>Reproducibility of Results</subject><subject>Self Care</subject><subject>self‐care deficits</subject><subject>self‐management</subject><subject>Smoking</subject><subject>Smoking Cessation</subject><subject>Surveys and Questionnaires</subject><subject>Taiwan</subject><issn>1320-5358</issn><issn>1440-1797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqNkbFOHDEQhq0oKBBIkRdAltKQYg-P7fXulggdSSQEFFBbxjvOmex5j51boet4hDxjngRf7qBAQmKameLTp9H_M_YVxATyHCdcTEDpqvzA9kBrUUDVVB_zraQoSlXWu-wz0Z0QUEkDn9iuEiAbCWKPjVduGTEtuSNCovn67AP3s6FP0fM_sU244m0kdIScsAv_Hv96NyAfKabffDnD98DkXYc8Jn7t4oNLB2wnuI7wy3bvs5uz6fXpz-L88sev05PzwmtoyuJWmRpUQK-NcKKB1ujKeFObEgC9wjYAhCbUCK5tWy-cCbquGp2zKGtT12qfHW28i6G_H5GWdh7JY9e5hP1IVmap1KJsqox-e4Xe9eOQ8ndWSgmlyomthd83lB96ogGDXQxx7oaVBWHXXdjchf3fRWYPt8bxdo7tC_kcfgaON8BD7HD1tsleTK82yifJR5TP</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Wang, Shu‐Li</creator><creator>Chiu, Yi‐Wen</creator><creator>Kung, Lan‐Fang</creator><creator>Chen, Tzu‐Hui</creator><creator>Hsiao, Shih‐Ming</creator><creator>Hsiao, Pei‐Ni</creator><creator>Hwang, Shang‐Jyh</creator><creator>Hsieh, Hui‐Min</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Patient assessment of chronic kidney disease self‐care using the chronic kidney disease self‐care scale in Taiwan</title><author>Wang, Shu‐Li ; Chiu, Yi‐Wen ; Kung, Lan‐Fang ; Chen, Tzu‐Hui ; Hsiao, Shih‐Ming ; Hsiao, Pei‐Ni ; Hwang, Shang‐Jyh ; Hsieh, Hui‐Min</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4195-b36813fec460a091d6476c686511ec3edf11f9f8e1adddc0a6f48794134586883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Blood pressure</topic><topic>Blood Pressure Determination</topic><topic>chronic kidney disease care</topic><topic>chronic kidney disease self‐care scale</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Diet, Healthy</topic><topic>Education</topic><topic>Exercise</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Health Care Surveys</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Male</topic><topic>Medication Adherence</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Predictive Value of Tests</topic><topic>Regression analysis</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Renal Insufficiency, Chronic - psychology</topic><topic>Renal Insufficiency, Chronic - therapy</topic><topic>Reproducibility of Results</topic><topic>Self Care</topic><topic>self‐care deficits</topic><topic>self‐management</topic><topic>Smoking</topic><topic>Smoking Cessation</topic><topic>Surveys and Questionnaires</topic><topic>Taiwan</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Shu‐Li</creatorcontrib><creatorcontrib>Chiu, Yi‐Wen</creatorcontrib><creatorcontrib>Kung, Lan‐Fang</creatorcontrib><creatorcontrib>Chen, Tzu‐Hui</creatorcontrib><creatorcontrib>Hsiao, Shih‐Ming</creatorcontrib><creatorcontrib>Hsiao, Pei‐Ni</creatorcontrib><creatorcontrib>Hwang, Shang‐Jyh</creatorcontrib><creatorcontrib>Hsieh, Hui‐Min</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Nephrology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Shu‐Li</au><au>Chiu, Yi‐Wen</au><au>Kung, Lan‐Fang</au><au>Chen, Tzu‐Hui</au><au>Hsiao, Shih‐Ming</au><au>Hsiao, Pei‐Ni</au><au>Hwang, Shang‐Jyh</au><au>Hsieh, Hui‐Min</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient assessment of chronic kidney disease self‐care using the chronic kidney disease self‐care scale in Taiwan</atitle><jtitle>Nephrology (Carlton, Vic.)</jtitle><addtitle>Nephrology (Carlton)</addtitle><date>2019-06</date><risdate>2019</risdate><volume>24</volume><issue>6</issue><spage>615</spage><epage>621</epage><pages>615-621</pages><issn>1320-5358</issn><eissn>1440-1797</eissn><abstract>ABSTRACT
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/m2 (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.
Summary at a Glance
This is a cross‐sectional survey study to validate the chronic kidney disease self‐care questionnaire (a 16‐item chronic kidney disease (CKD) self‐care tool) in 449 Taiwanese patients with CKD in the outpatient setting. Factors such as stage of CKD and exposure to pre‐dialysis care programme have predictive value.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>30129210</pmid><doi>10.1111/nep.13475</doi><tpages>7</tpages></addata></record> |
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| ispartof | Nephrology (Carlton, Vic.), 2019-06, Vol.24 (6), p.615-621 |
| issn | 1320-5358 1440-1797 |
| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Aged Blood pressure Blood Pressure Determination chronic kidney disease care chronic kidney disease self‐care scale Cross-Sectional Studies Diet Diet, Healthy Education Exercise Female Health Behavior Health Care Surveys Health Knowledge, Attitudes, Practice Humans Kidney diseases Male Medication Adherence Middle Aged Patients Predictive Value of Tests Regression analysis Renal Insufficiency, Chronic - diagnosis Renal Insufficiency, Chronic - physiopathology Renal Insufficiency, Chronic - psychology Renal Insufficiency, Chronic - therapy Reproducibility of Results Self Care self‐care deficits self‐management Smoking Smoking Cessation Surveys and Questionnaires Taiwan |
| title | Patient assessment of chronic kidney disease self‐care using the chronic kidney disease self‐care scale in Taiwan |
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