Lifestyle Related Factors on the Risk of Early-stage Chronic Kidney Disease - A Case-control Study

• Main Authors: Yu-Rung Wang, 王俞蓉
• Other Authors: Miao-fen Yen
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/10883751029418215510

碩士 === 國立成功大學 === 護理學系碩博士班 === 96 === The number of chronic kidney disease patients has been increased gradually. In Taiwan, the use of hemodialysis therapies for end-stage renal failure patients is on the top list from a worldwide survey. Abnormal lifestyles and low awareness are considered as possible factors underlying the progression of chronic kidney disease to end-stage renal failure. The purpose of this study was to identify the risk factors, including demographic and lifestyle, for early stage chronic kidney disease. By comparing with the non-chronic kidney disease population, the major risk factors for renal failure were evaluated. This was a case-control study with secondary data analysis. The original data is from the research project entitled “Investigating the Lifestyle and Its Related Factors among Patients with Chronic Kidney Disease in the Early Stages.” This study represents the first 2 years’ work of a 3-year project funded by the National Science Council, 2006. Some of the samples were collected from patients with chronic kidney disease at 4 hospitals in southern Taiwan; other samples were obtained from people living in the local neighborhood of the hospitals. These samples were categorized as chronic kidney disease (n = 92) and the non-chronic kidney disease population (n = 92); both sample categories were sub-grouped by area, age, and gender. Each individual enrolled in the study was tested using the “Health Promotion Lifestyle Profile-II” (HPLP-II) and the “Typical Week Physical Activity Survey” (TWPAS). Independent t-test, chi-square and logistic regression were applied for statistical analysis. The results of this study indicated the following: (1) diseases including hypertension and diabetes, and a high body mass index (BMI) were positively correlated with chronic kidney disease; and (2) in terms of lifestyles, inattention to physical activity, external problems disease management, personal health management and insufficient amounts of physical activity might increase the possibility of renal disease. The result of this study suggested that it is crucial to educate patients for better understanding of health threats of the disease, and to suggestion them actively seeking medical care, in order to postpond the deterioration of renal function. In addition, for those patients with chronic disease and overweight particular attention should be paid to regularly examining them renal function in order to prevent the potential development of chronic kidney disease.