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

• 作者: A Mary Vilay Bruce Horowitz Junvie Pailden Matthew E Borrego Radhika Devraj
• 来源期刊: 世界肾病学杂志：英文版
• 学科: 医学
• 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
• 年，卷（期）: 2018,（1）
• 页码范围: 41-50
• 页数: 10页
• 分类号: R

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-management knowledge tool(CKD-SMKT)to assess knowledge,past performance of CKD-SMB,CKD-A.Estimated GFR(eGFR)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.eGFRs ranged from 17-152 mL/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 eGFR,suggesting the need for focused patient education in CKD stages 1.