Correlation of self-management and social support with quality of life in patients with chronic kidney disease undergoing hemodialysis: A cross-sectional study from Kerala, India

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2024-07-30 DOI:10.1016/j.cegh.2024.101731

Shewta Ramesh , Chitra Tomy , Rajesh R Nair , Jeby Jose Olickal , Joseph K Joseph , Kavumpurath Raman Thankappan

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引用次数: 0

Abstract

Introduction

Chronic Kidney Disease (CKD) is a progressive condition that impacts the quality of life (QOL) of individuals worldwide. However, the role of self-management and social support among CKD patients on their QOL remains understudied in India. Therefore, this study aims to find the correlation of self-management and social support on the QOL of CKD patients undergoing hemodialysis.

Methods

This hospital-based cross-sectional study involved 110 adult CKD patients (mean (SD) age of 56 (±13.9) years, 73 % men) undergoing hemodialysis in two tertiary care hospitals in Ernakulam district. Face-to-face interviews with questionnaires, including World Health Organisation Quality of Life- Brief Version (WHOQOL-BREF), Medical Outcome Survey – Social Support Survey (MOS-SSS), and Hemodialysis Self-Management Instrument-18 (HDSMI-18) were used. Pearson correlation and simple linear regression analysis were done to find the correlation between self-management and social support with QOL.

Findings

The mean (SD) QOL score was 56.27 (11.62), with the environment domain rating highest [62.47 (14.02)] and social relations lowest [52.12 (18.52)]. Mean (SD) self-management score was 41.12 (5.66) and mean (SD) social support score was 65.28 (18.21). Self-management (r = 0.382, p = 0.001) and social support (r = 0.309, p = 0.001) showed a moderate positive correlation with QOL.

Discussion

Self-management and social support were moderately correlated with QOL. Strengthening self-management programs and social support networks are likely to improve the QOL of CKD patients undergoing hemodialysis.

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接受血液透析的慢性肾病患者的自我管理和社会支持与生活质量的相关性：印度喀拉拉邦横断面研究

导言慢性肾脏病（CKD）是一种渐进性疾病，影响着全球个人的生活质量（QOL）。然而，在印度，慢性肾脏病患者的自我管理和社会支持对其生活质量的影响仍未得到充分研究。这项以医院为基础的横断面研究涉及埃纳库拉姆地区两家三级医院的 110 名接受血液透析治疗的成年 CKD 患者（平均（标清）年龄为 56 (±13.9) 岁，73% 为男性）。采用面对面访谈和问卷调查的方法，包括世界卫生组织生活质量简明版（WHOQOL-BREF）、医疗结果调查-社会支持调查（MOS-SSS）和血液透析自我管理工具-18（HDSMI-18）。结果 QOL 平均得分（标清）为 56.27（11.62），其中环境领域得分最高[62.47（14.02）]，社会关系领域得分最低[52.12（18.52）]。自我管理的平均（标清）得分为 41.12（5.66）分，社会支持的平均（标清）得分为 65.28（18.21）分。自我管理（r = 0.382，p = 0.001）和社会支持（r = 0.309，p = 0.001）与 QOL 呈中度正相关。加强自我管理计划和社会支持网络可能会改善接受血液透析的 CKD 患者的 QOL。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.