Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Nephrology (Carlton). 2019 Jun;24(6):615-621. doi: 10.1111/nep.13475. Epub 2019 Apr 24.
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.
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.
Overall CKDSC scores were significantly higher for women (P = 0.020), older patients (P < 0.001), higher education (P = 0.033), BMI <24 kg/m (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.
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.
自我护理代表自我管理的“行动”要素。本研究旨在使用慢性肾脏病自我护理（CKDSC）量表，检验与台湾慢性肾脏病患者自我护理相关的因素，以及自我护理缺陷的方面。
采用横断面调查方法，使用台湾 449 例慢性肾脏病患者的 CKDSC 量表。CKDSC 量表由 16 个条目组成，包括药物依从性、饮食控制、运动、吸烟行为和血压监测五个亚量表。多变量回归模型分析了可能影响慢性肾脏病自我护理的患者人口统计学和临床因素。
女性（P=0.020）、年龄较大（P<0.001）、受教育程度较高（P=0.033）、BMI<24kg/m（P=0.005）、较晚的慢性肾脏病分期或参加慢性肾脏病护理计划的患者总体 CKDSC 评分显著较高。早期慢性肾脏病患者在药物依从性、饮食控制和血压监测方面得分显著较低。参加慢性肾脏病护理计划的患者在药物依从性、饮食控制和定期运动习惯方面得分较高。
CKDSC 量表是评估患者自我护理的一种工具。然而，鉴于 CKDSC 量表为中文，在考虑普遍使用之前，未来的研究应在其他语言或国家的慢性肾脏病患者中验证其有效性。
