The interaction between self-care behavior and disease knowledge on the decline in renal function in chronic kidney disease

Yi-Chun Tsai, Shu-Li Wang, Hui-Ju Tsai, Tzu-Hui Chen, Lan-Fang Kung, Pei-Ni Hsiao, Shih-Ming Hsiao, Shang-Jyh Hwang, Hung-Chun Chen, Yi-Wen Chiu
2021 Scientific Reports  
AbstractMultidisciplinary care can improve the outcomes of chronic kidney disease (CKD), however the contribution of self-care behavior and knowledge about CKD is unclear. This study enrolled 454 participants with CKD stages 1–5 not on dialysis. Structured questionnaires were used to evaluate self-care behavior and kidney disease knowledge. Rapid decline in renal function was defined as the decline in estimated filtration rate > 3 ml/min per 1.73 m2/year within 1-year prior to enrollment. The
more » ... an age of all study participants was 65.8 ± 12.1 years and 55.9% were male. The elderly had better self-care behavior while younger participants had better disease knowledge. Both high self-care and high disease knowledge scores were significantly associated with and had a synergistic effect on decreasing the risk of rapid decline in renal function. CKD patients with better self-care behavior and better kidney disease knowledge had lower risk of rapid decline in renal function.
doi:10.1038/s41598-020-79873-z pmid:33432037 fatcat:qx2s6i7vjreytlv6qzp3zh6y6e