Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice

查看全文 作　　者：Radhika [1]Devraj;Matthew E [2]Borrego;A Mary [2]Vilay;Junvie [3]Pailden;Bruce [4]Horowitz

机构地区：[1]School of Pharmacy, Southern Illinois University Edwardsville;[2]College of Pharmacy, University of New Mexico;[3]College of Arts and Sciences, Southern Illinois University Edwardsville;[4]Division of Nephrology and Hypertension, University of Utah

出　　处：《World Journal of Nephrology》索引2018年第7卷第1期,共10页

基　　金：Supported by SIUE STEP 摘　　要：AIM To determine the relationship between chronic kidney disease(CKD) awareness(CKD-A), self-management behaviors(CKD-SMB) knowledge, performance of CKDSMBs, health literacy(HL) and kidney function. METHODS Participants were eligible patients attending an outpatient nephrology clinic. Participants were administered: Newest Vital Sign to measure HL, CKD self-managementknowledge tool(CKD-SMKT) to assess knowledge, past performance of CKD-SMB, CKD-A. Estimated GFR(e GFR) was determined using the MDRD-4 equation. Duration of clinic participation and CKD cause were extracted from medical charts. RESULTS One-hundred-fifty patients participated in the study. e GFRs ranged from 17-152 m L/min per 1.73 m2. Majority(83%) of respondents had stage 3 or 4 CKD, low HL(63%), and were CKD aware(88%). Approximately 40%(10/25) of patients in stages 1 and 2 and 6.4%(8/125) in stages 3 and 4 were unaware of their CKD. CKD-A differed with stage(P < 0.001) but not by HL level, duration of clinic participation, or CKD cause. Majority of respondents(≥ 90%) correctly answered one or more CKD-SMKT items. Knowledge of one behavior, 'controlling blood pressure' differed significantly by CKD-A. CKD-A was associated with past performance of two CKD-SMBs, 'controlling blood pressure'(P = 0.02), and 'keeping healthy body weight'(P = 0.01). Adjusted multivariate analyses between CKD-A and:(1) HL; and(2) CKD-SMB knowledge were nonsignificant. However, there was a significant relationship between CKD-A and kidney function after controlling for demographics, HL, and CKD-SMB(P < 0.05). CONCLUSION CKD-A is not associated with HL, or better CKD-SMBs. CKD-A is significantly associated with kidney function and substantially lower e GFR, suggesting the need for focused patient education in CKD stages 1. 关键词：CHRONIC KIDNEY DISEASE AWARENESS Health LITERACY KIDNEY function SELF-MANAGEMENT behaviors SELF-MANAGEMENT behavior performance Epidermal growth factor receptor CHRONIC KIDNEY DISEASE knowledge

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Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice

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