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Open AccessArticle

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

1
Department of Nursing, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
2
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan
3
Research Center for Healthcare Industry Innovation, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan
4
Faculty of Nursing and Health Sciences, Muhammadiyah University of Semarang, Jawa Tengah 50273, Indonesia
5
Department of Gerontological Health Care, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan
6
Department of Information Management, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan
*
Authors to whom correspondence should be addressed.
Academic Editors: Ilaria Baiardini and Paolo Cotogni
Healthcare 2021, 9(3), 266; https://doi.org/10.3390/healthcare9030266
Received: 7 January 2021 / Revised: 26 January 2021 / Accepted: 24 February 2021 / Published: 2 March 2021
(This article belongs to the Special Issue Palliative Care in Kidney Disease)
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. View Full-Text
Keywords: anxiety; chronic kidney disease patients; depression; end-stage renal disease (ESRD); self-efficacy; self-management anxiety; chronic kidney disease patients; depression; end-stage renal disease (ESRD); self-efficacy; self-management
MDPI and ACS Style

Lai, P.-C.; Wu, S.-F.V.; Alizargar, J.; Pranata, S.; Tsai, J.-M.; Hsieh, N.-C. Factors Influencing Self-Efficacy and Self-Management among Patients with Pre-End-Stage Renal Disease (Pre-ESRD). Healthcare 2021, 9, 266. https://doi.org/10.3390/healthcare9030266

AMA Style

Lai P-C, Wu S-FV, Alizargar J, Pranata S, Tsai J-M, Hsieh N-C. Factors Influencing Self-Efficacy and Self-Management among Patients with Pre-End-Stage Renal Disease (Pre-ESRD). Healthcare. 2021; 9(3):266. https://doi.org/10.3390/healthcare9030266

Chicago/Turabian Style

Lai, Pao-Chin; Wu, Shu-Fang Vivienne; Alizargar, Javad; Pranata, Satriya; Tsai, Juin-Ming; Hsieh, Nan-Chen. 2021. "Factors Influencing Self-Efficacy and Self-Management among Patients with Pre-End-Stage Renal Disease (Pre-ESRD)" Healthcare 9, no. 3: 266. https://doi.org/10.3390/healthcare9030266

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Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

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