Self-efficacy and self-management behaviors in patients with chronic kidney disease
Self-efficacy and self-management behaviors in patients with chronic kidney disease
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DOI：
10.1053/j.ackd.2008.01.006
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发表时间：
2008-04-01
影响因子：
2.9
通讯作者：
Klicko, Kristi
中科院分区：
文献类型：
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作者：
Curtin, Roberta Braun;Walters, Brian A. J.;Klicko, Kristi
尽管过去的研究检查了终末期肾病(ESRD)患者的自我管理，但对慢性肾脏疾病(CKD)患者的自我管理知之甚少。在这项横断面调查(无干预)中，174名CKD患者(血肌酐和Gt；=1.7 mg/dL)完成了自我报告的自我效能、身心功能和自我管理。本研究旨在探讨患者自我效能感与自我管理行为之间的关系。测量了五种类型的自我管理行为：与照顾者的沟通、护理中的伙伴关系、自我护理、自我倡导和服药依从性。控制了其他相关变量，包括年龄、教育程度、糖尿病状况、高血压、血肌酐、身体功能和心理健康功能，自我效能感分较高与更多的沟通、伙伴关系、自我照顾和服药行为相关。在这项研究中，患者的自我效能感与自我管理行为的相关性比人口统计学或健康特征更一致。由于自我管理一直与积极的患者结局相关，通过支持患者自我效能来培养自我管理可能会有长期的好处。(C)2008年，由国家肾脏基金会公司提供。
Although past research has examined self-management among patients with end-stage renal disease (ESRD), little is known about self-management in patients with chronic kidney disease (CKD). In this cross-sectional survey (no intervention), 174 patients with CKD (serum creatinine >= 1.7 mg/dL) completed self-reported measures of self-efficacy, physical and mental functioning, and self-management. The purpose of the study was to explore the association between patients' perceived self-efficacy and their self-management behaviors. Five types of self-management behaviors were measured: communication with caregivers, partnership in care, self-care, self-advocacy, and medication adherence. Controlling for other relevant variables including age, education, diabetic status, hypertension, serum creatinine, physical functioning, and mental health functioning, higher perceived self-efficacy scores were associated with increased communication, partnership, self-care, and medication-adherence behaviors. In this study, patients' perceived self-efficacy was a more consistent correlate of self-management behavior than were demographic or health characteristics. Because self-management has been associated with positive patient outcomes, fostering self-management by supporting patient self-efficacy may have long-term benefits. (c) 2008 by the National Kidney Foundation, Inc.