Self-management in Chronic Kidney Disease Patients in a Tertiary Care Hospital in Rawalpindi: A Cross-Sectional Study

Abstract

Objectives: To investigate self-management practices of chronic kidney disease (CKD) patients, patient’s perception regarding self-efficacy on its self-management and determine relation between self-management and disease control. Study type, settings & duration: This Cross-sectional study was conducted at Nephrology Department of Tertiary Care Hospital in Rawalpindi from October 2019 to July 2020. Methodology: A purposive sample of 169 CKD patients was recruited after taking informed consent. The data regarding patient’s demographic and disease profile including blood urea, creatinine and random Glucose levels was collected along with self-care intervention and management information using validated questionnaires i.e. Perceived Kidney Disease Self-Management Scale (PKDSMS) and Kidney Disease Behaviour Inventory (KDBI). Written informed consent was taken prior to the data collection. Results: Among 169 patients, 84% had stage V of CKD. The mean age of patients was 53.1±16.2 years. PKDSMS showed mean item score of 3.41±0.437 reflecting better perception of patients on how they manage their kidney disease. Self-management of the participants assessed using the KDBI scored with a mean score of 2.43±0.29, which is low score as compared to PKDSMS. This finding indicate that disease managing behaviour of CKD patients is not adequate. Further PKDSMS has positive correlation with KDBI, however, it was not statistically significant with patients’ disease profile. Conclusion: The patients generally had better perception about their disease, but self-management practices were not adequate. However, there was a positive significant relationship between self-perception and self-management. As practice was poor so no positive relation was found between self-care practices and clinical outcomes. .................

Keywords

• Chronic kidney disease
• self-management
• self-efficacy
• patient perception