In:
Japan Journal of Nursing Science, Wiley, Vol. 18, No. 2 ( 2021-04)
Abstract:
The purpose of this study is to investigate the relationship among knowledge, self‐efficacy, and self‐management of patients with early‐stage chronic kidney disease (ESCKD). Methods This is a cross‐sectional correlational study design. This study used purposive sampling to enroll a total of 130 patients with ESCKD. The research instruments included Chronic Kidney Disease Self‐Care Knowledge Scale, Chronic Kidney Disease Self‐Efficacy Instrument, Chronic Kidney Disease Self‐Management Scale, and so on. This study used the statistical software SPSS 20.0 to perform statistical analyses, such as descriptive statistical analysis, independent samples t test, one‐way analysis of variance, Pearson product–moment correlation coefficient analysis, and multiple hierarchical regression analysis. Results The knowledge of patients with early kidney disease was moderate (55.10%), self‐efficacy was moderate (54.44%), and self‐management was moderate (61.11%). The disease knowledge and self‐efficacy ( r = .59, p 〈 .01) were significantly positively correlated with self‐management ( r = .50, p 〈 .01); the intervening effect of self‐efficacy on self‐management ( z = 4.58, p 〈 .001) reached statistically significant difference. Self‐efficacy was the most significant predictor for self‐management and explained 49% of the total variance. Conclusions This study suggested that self‐efficacy was a mediator and predictor for self‐management. The research results may serve as reference for related administrative authorities or medical personnel to develop self‐efficacy strategies with theoretical basis, as well as appropriate self‐efficacy improvement schemes, to transform the methods for enhancing disease knowledge to improve the intervention with self‐efficacy language or method and increase patients' disease self‐management.
Type of Medium:
Online Resource
ISSN:
1742-7932
,
1742-7924
Language:
English
Publisher:
Wiley
Publication Date:
2021
detail.hit.zdb_id:
2156618-5
