Factors Influencing Self-Efficacy and Self-Management among Patients with Pre-End-Stage Renal Disease (Pre-ESRD)

Abstract

Aim: Chronic kidney disease (CKD) is an emerging major public health issue that leads to end-stage kidney disease (ESRD). Factors influencing the self-management and self-efficacy of ESRD patients are still under investigation. The objective of this study is to evaluate the association of depression and anxiety with self-management and self-efficacy in patients with pre-ESRD. Methods: Patients in the department of nephrology of a regional hospital in Taiwan were invited to participate and were included in our study if they had a confirmed diagnosis of early-stage CKD, were more than 20 years old, and could converse in Mandarin Chinese or Taiwanese. Patients diagnosed with depression, who could not execute self-care, or who had cognitive deficits were excluded. In total, this cross-sectional study included 112 pre-ESRD patients. We used the Chinese versions of the hospital anxiety and depression scale (HADS), the chronic kidney disease self-efficacy instrument (CKD-SE), and the chronic kidney disease self-management instrument (CKD-SM) as the questionnaire. Spearman’s rank correlation and logistic regressions were used to analyze the data. Results: The top quartile of self-management and self-efficacy scores (28 patients) was defined as high self-management and -efficacy, respectively, and the lower three quartiles as low self-management and -efficacy. The logistic regression analysis showed that having depression decreased the odds of having high self-management by 75.4% and high self-efficacy by 75.1%. Having an education level of senior high school or above increased the odds ratios for having high self-management and high self-efficacy to 4.47 and 3.56 (all p-values < 0.05). Conclusion: Controlling depression as well as increasing the level of education can potentially increase self-management and self-efficacy in pre-ESRD patients.

Exploring of Self-management Experience among Health Professional Survivors from Coronavirus Disease 2019 in West Nusa Tenggara, Indonesia

“…Health professionals have a higher risk of being infected with COVID-19 than other professions because the chances of being exposed to this virus are much greater in a hospital environment [17]. Based on the theory, self-management has a positive impact on the quality of one's health [18], [19], [20]. The fact that has been found so far, poor self-management in self-awareness to prevent the spread of the virus, ignoring healthy living habits, or not digging deeper information about COVID-19 makes the spread of COVID-19 continuously [16], [21].…”

Precision Health Care Elements, Definitions, and Strategies for Patients with Diabetes: A Literature Review

“…Self-efficacy drives patients through self-management to follow the plans (e.g., test, medication, procedure, behavior change) formulated in collaboration with health professionals [ 48 ]. For self-management, the understanding of facts or perspectives among patients with diabetes is needed [ 51 ]. Verifying and clarifying this understanding is paramount for health literacy.…”

Hubungan Self-Efficacy dengan Kepatuhan Pembatasan Cairan Pada Pasien Hemodialisa: Literature Review

“…Self-efficacy pada pasien gagal ginjal kronik yang menjalani hemodialisa dapat dinilai dengan melihat faktor yang mempengaruhi self-efficacy yaitu otonomi, integritas diri, pemecahan sosial, dan pencarian dukungan sosial yang dapat mewaliki 25 pertanyaan di dalam instrumen CKD-SE [31]. Self-efficacy berpengaruh terhadap jumlah usaha yang dilakukan pasien dalam tindakan mereka untuk mengatasi penyakitnya serta seberapa baik mereka bereaksi ketika menghadapi rintangan dan kegagalan, kekuatan ketahanan mereka ketika menghadapi situasi buruk yang disebabkan oleh kondisi medis dan penyakit penyerta yang dialaminya [32]. Hal ini juga dikaitkan dengan pembatasan cairan yang harus dilakukan oleh pasien hemodialisa.…”

“…Self-efficacy membantu pasien hemodialisa untuk menentukan berapa lama pasien akan gigih ketika menghadapi hambatan dalam melakukan pembatasan caira. Self-efficacy yang rendah biasanya dapat meningkatkan masalah dan memperburuk kondisi penyakit serta memiliki peluang lebih besar untuk mengalami masalah emosional dan sosial, termasuk kondisi kesehatan mental seperti kecemasan dan depresi [32].…”