Department of Nursing, Douliou Tzu Chi Hospital, Yunlin City 64041, Taiwan.
Department of Nephrology, Dalin Tzu Chi Hospital, Chiayi City 62247, Taiwan.
Int J Environ Res Public Health. 2022 Apr 28;19(9):5350. doi: 10.3390/ijerph19095350.
Chronic kidney disease (CKD) is a chronic and often irreversible disease that requires active self-care to mitigate adverse outcomes. This study aimed to analyze the associations of demographic and disease data, frailty, health literacy (HL), and CKD self-care (CKDSC) in patients with CKD. We conducted a cross-sectional study at two hospitals in Taiwan. A total of 144 CKD patients with a mean age of 66.8 ± 9.1 years were included in the study. Among them, 79.2% were in CKD G3, and the mean time since diagnosis of CKD was 86 ± 48 months. Approximately 62.5% were identified as non-frail. The mean of HL and CKDSC were 11.76 ± 4.10 and 62.12 ± 9.31. In multivariate linear regression analysis, age ≥ 65 years (odds ratio (OR) = 5.67, 95% confidence interval (CI) 1.59-9.75), non-frailty (OR = 2.19, 95% CI 0.02-5.40), and high critical HL (OR = 1.43, 95% CI 0.13-2.90) showed significant positive correlation with CKDSC. Therefore, management of patients with CKD should focus on the young population, reinforcing health education strategies that improve critical HL and preventing frailty that may interfere with self-care. In addition, the patient's social support resources should be expanded to achieve the goal of CKDSC.
慢性肾脏病（CKD）是一种慢性且常不可逆的疾病，需要积极的自我护理来减轻不良后果。本研究旨在分析人口统计学和疾病数据、虚弱、健康素养（HL）和 CKD 自我护理（CKDSC）与 CKD 患者的关联。我们在台湾的两家医院进行了一项横断面研究。共纳入 144 名平均年龄为 66.8±9.1 岁的 CKD 患者。其中，79.2%的患者处于 CKD G3 期，CKD 的平均诊断时间为 86±48 个月。大约 62.5%的患者被认定为非虚弱。HL 和 CKDSC 的平均值分别为 11.76±4.10 和 62.12±9.31。在多变量线性回归分析中，年龄≥65 岁（比值比（OR）=5.67，95%置信区间（CI）1.59-9.75）、非虚弱（OR=2.19，95%CI 0.02-5.40）和高临界 HL（OR=1.43，95%CI 0.13-2.90）与 CKDSC 呈显著正相关。因此，CKD 患者的管理应侧重于年轻人群，加强可改善关键 HL 的健康教育策略，并预防可能影响自我护理的虚弱。此外，应扩大患者的社会支持资源，以实现 CKDSC 的目标。
