The Exploration of the Influence of Chronic Kidney Disease Patients’ Self - care and Health Behaviors Trained from Health Education on Kidney Function Indicators

• Main Authors: Ya-Pei Yu, 游雅珮
• Other Authors: Chen-Chung Ma
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/863j98

碩士 === 義守大學 === 醫務管理學系 === 102 === Research Purpose: To explore the influence of demography, medical history, self-care and health behaviors of patients with chronic kidney diseases on renal functions tracked for 3 years. Research Method: Chart review was adopted with the source of “Care and Health Education Plan for Patients with Pre-End-stage Renal Disease（Pre-ESRD）” provided from the division of Nephrology of a southern medical center. With the period starting from 2006 to 2010, the research has been kept track of for 3 years and completed. The main source of the research was based on 536 patients who hadn’t undergone dialysis. The evaluation variables included: Demographic information, medical history, self-care, health behaviors and inspection reports relating to indicators of renal functions. Research Result: Among 536 patients with chronic kidney diseases, 60.3% were males, and 52.1% had the education under elementary schools (inclusive), 47% were at the 4th stage of chronic kidney diseases in the first year, 68.8% also had hypertension, and 27.1% also had diabetes. The average age was 68.33, and the average eGFR in the first year was 26. In the influence of self-care and health behaviors, grades of “regular medication”, “regular visits”, and “regular blood test record” were all close to full marks, and grads of “regular self-check skins” and “regular blood pressure record” were the lowest. Moreover, the education and the presence of Hyperlipidemia as well as Neuropathy of patients with chronic kidney disease would significantly influence the value of Creatinine tracked for 3 years; eGFR in the first year, 5th-stage chronic kidney disease in the first year, presence of diabetes and the regular blood pressure record of patients may significantly forecast whether Creatinine tracked for 3 years doubled. Second, the education, eGFR in the first year, the stage of chronic kidney diseases in the first year and the presence of cancer of patients may influence the value of eGFR tracked for 3 years; the regular blood pressure record may significantly forecast whether eGFR tracked for 3 years was reduced by 50% of the original value. In addition, the gender, education, eGFR in the first year, the stage of chronic kidney diseases in the first year and the presence of cerebrovascular diseases and Cancer of patients may significantly influence the grade of the stage of chronic kidney diseases in the third year. Furthermore, the eGFR in the first year, the presence of anemia, regular exercises and the regular self-check skins of male patients may significantly forecast the grades of the stage of renal functions tracked for 3 years. Conclusion: Patients attending the care and health education plan did postpone the degree of renal failure in a long run due to the different self-care and health behaviors. As a result, the research results may be provided for hospital administrators and clinic patients as the reference to the care and health education.