| Summary: | 碩士 === 義守大學 === 醫務管理學系 === 104 === Background: Chronic kidney disease (CKD) is a kind of long-term disease, in order to prevent from early stage into the dialysis stage, patients will receive advices from the medical team. Such as providing health education on disease control, dieting, maintaining good daily health, and other related topics. However, whether if patients could thoroughly understand the content of health education and implement self-management to enhance their quality of life, is worth the research and investigation.
Purpose: The study explores long-term follow-up CKD patients'' health literacy, self-management, quality of life, and the current status of disease control and predicted factor.
Method:This was longitudinal research design , and 150 CKD patients were recruited from medical center hospital in southern Taiwan. This study used structured questionnaires to collect data from them and total three times .The data included a base information sheet, the Symptom distress Scale, Short-form Mandarin Health Literacy Scale, Chronic Kidney Disease Self-Management Scale (CKD-SM) and SF-36 Taiwan Vision . Data were analyzed in SPSS for 20.0 software.
Results:The result of the study shows that as time increases, the CKD patients'' quality of life and self-management have improved and significantly correlated (p< .001).Exercise was significantly influenced individual quality of life (p< .05).Symptom distress and quality of life were significantly negatively correlated (p< .05). CKD-SM was significantly influenced individual factors (p< .05) included: religious status, level of education, whether if assisted on reading medical information and exercise. Health literacy and quality of life were significantly correlated (p< .05). However, the score of CKD-SM was significant negative correlated with symptom disease after the sixth months of observation (p< .001). eGFR was different significantly between the initial time and six months (p< .005).
Conclusion: This study assists in understanding long-term changes in CKD patients'' self-management and quality of life. It recommends that medical teams can provide diverse and proper care model , enhancing the overall quality of life and self-management of CKD patients, in order to delay the deterioration of their kidney function and avoid the possibility of conducting dialysis.
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