Frailty, Health Literacy, and Self-Care in Patients with Chronic Kidney Disease in Taiwan
Mu-Dan Tsai,
Jen-Pi Tsai,
Min-Li Chen and
Li-Chun Chang
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Mu-Dan Tsai: Department of Nursing, Douliou Tzu Chi Hospital, Yunlin City 64041, Taiwan
Jen-Pi Tsai: Department of Nephrology, Dalin Tzu Chi Hospital, Chiayi City 62247, Taiwan
Min-Li Chen: School of Nursing, Chang Gung University of Science and Technology, Chiayi City 61363, Taiwan
Li-Chun Chang: School of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
IJERPH, 2022, vol. 19, issue 9, 1-8
Abstract:
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.
Keywords: frailty; health literacy (HL); chronic kidney disease (CKD); self-care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:9:p:5350-:d:804088
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