1.Analysis of slef-perceived burden and its influencing factors among non-dialysis chronic kidney disease patients
Yu SHI ; Junna DENG ; Yan CHEN ; Jing HE
Chinese Journal of Modern Nursing 2016;22(12):1694-1697
Objective To describe the level of slef-perceived burden among non-dialysis chronic kidney disease(CKD) patients and analyze its influencing factors .Methods Adopting sampling survey method , 148 cases of non-dialysis CKD patients were included .General condition questionnaire , slef-perceived burden scale (SPBS) and self-rating anxiety scale (SAS) were employed to investigate.Results The score of SPBS was (3.08 ±1.01) in non-dialysis patients with CKD, which was in mild-to-moderate levels, item of economic had the highest scores.In addition, mono factor analysis and multi-factor analysis showed the course of disease (χ2 =38.69,P<0.001), number of complications (χ2 =4.30,P=0.04), and anxiety state (χ2 =4.61,P=0.03) were three of the major influences on self-perceived burden .Conclusions Non-dialysis CKD patients′self-perceived burden is in mild-to-moderate levels, economic burden generally heavier .The course of disease, number of complications and anxiety state constitute the main influencing factors .For this reason , medical personnel should strengthen the attention to these aspects to lighten the patients psychological burden and delay the process of kidney disease .
2.Self-management types and characteristics of patients with chronic kidney disease: A cluster analysis
Yu SHI ; Hongmei PENG ; Yan CHEN ; Junna DENG ; Caiping SONG
Chinese Journal of Modern Nursing 2019;25(6):673-677
Objective? To explore the potential types of patients with chronic kidney disease (CKD) based on their self-management ability and hope level. Methods? A total of 133 patients who were selected as subjects from the follow-up cases in the Chronic Kidney Disease Management Center of Xinqiao Hospital Army Medical University from January to June 2017 using the convenient sampling method. CKD Self-Management Instrument and Herth Hope Index were used to assess the subjects and cluster analysis was used to identify patient types. Comparison of general information was conducted across different patient types. Results? A total of 121 valid surveys were collected. The 121 cases of CKD patients can be characterized into 3 types: Type I patients have high self-management ability with a high hope level; Type II patients have medium self-management ability with a high hope level; Type III patients have low self-management ability with a medium hope level. There were statistical differences in age, educational level, medical payment method, and CKD staging across patients of the three different types (P< 0.05). Conclusions? There are 3 types of CKD patients in this study. If health professionals can effectively identify patient types and offer individualized care accordingly, the health condition of CKD patients could greatly improve.