The effect of self-management behavior on quality of life in patients with early-stage chronic kidney disease

Lu Xing; Yongshu Diao; Yi Chen; Dongju Yang; Jiahui Qian; Xiaolian Jiang

doi:10.4172/2161-0959.C1.028

The effect of self-management behavior on quality of life in patients with early-stage chronic kidney disease

9^th International Conference on Dialysis and Renal Care

August 18-19, 2016 London, UK

Lu Xing, Yongshu Diao, Yi Chen, Dongju Yang, Jiahui Qian and Xiaolian Jiang

West China Hospital of Sichuan University, China

Posters & Accepted Abstracts: J Nephrol Ther

Abstract :

Objective: To discuss the status of self-management behavior and quality of life in early-stage chronic kidney disease (CKD) patients and the relationship between them. Methods: A convenience sample of 348 early-stage chronic kidney disease patients was selected. Three instruments were used to collect data: General Data Scale; CKD Self-management Instrument (CKD-SM) and Kidney Disease and Quality of LifeTM (KDQOLTM-36). Results: The score of CKD-SM was (78.99�?±17.23), the scores of four subscales in descending order were self-integration, adherence to recommended regimen, problem solving and seeking social support. The scores of four subscales of KDQOLTM-36 in descending order were: symptom/problem list, effects of kidney disease, Mental Component Summary (MSC12), Physical Component Summary (PCS12) and burden of kidney disease. Multiple linear regression showed that problem solving and adherence to recommended regimen were the positive predictors of PCS12 and burden of kidney disease respectively (P=0.008, P=0.030), problem solving, adherence to recommended regimen and the total score of self-management behavior were all the positive predictors of symptom/ problem list (P=0.000), but adherence to recommended regimen was the negative predictor of effects of kidney disease P=0.000 (P=0.000). Conclusion: Self-management behavior and quality of life of patients with early-stage chronic kidney disease were above the average level, but seeking social support behavior was just at the middle level. The self-management behavior can influence quality of life in early-stage CKD patients. Medical workers should carry out individual interventions of self-management behavior targeted to improve patientsâ�?�? quality of life on the basis of a full assessment.