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Frailty, Health Literacy, and Self-Care in Patients with Chronic Kidney Disease in Taiwan

Author

Listed:
  • Mu-Dan Tsai

    (Department of Nursing, Douliou Tzu Chi Hospital, Yunlin City 64041, Taiwan)

  • Jen-Pi Tsai

    (Department of Nephrology, Dalin Tzu Chi Hospital, Chiayi City 62247, Taiwan
    School of Medicine, Tzu Chi University, Hualien 97004, Taiwan)

  • Min-Li Chen

    (School of Nursing, Chang Gung University of Science and Technology, Chiayi City 61363, Taiwan)

  • Li-Chun Chang

    (School of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
    Chang Gung Memorial Hospital, Keelung 20401, Taiwan
    Department of Nursing, Chang Gung University, Taoyuan City 33302, Taiwan)

Abstract

Chronic kidney disease (CKD) is a chronic and often irreversible disease that requires active self-care to mitigate adverse outcomes. This study aimed to analyze the associations of demographic and disease data, frailty, health literacy (HL), and CKD self-care (CKDSC) in patients with CKD. We conducted a cross-sectional study at two hospitals in Taiwan. A total of 144 CKD patients with a mean age of 66.8 ± 9.1 years were included in the study. Among them, 79.2% were in CKD G3, and the mean time since diagnosis of CKD was 86 ± 48 months. Approximately 62.5% were identified as non-frail. The mean of HL and CKDSC were 11.76 ± 4.10 and 62.12 ± 9.31. In multivariate linear regression analysis, age ≥ 65 years (odds ratio (OR) = 5.67, 95% confidence interval (CI) 1.59–9.75), non-frailty (OR = 2.19, 95% CI 0.02–5.40), and high critical HL (OR = 1.43, 95% CI 0.13–2.90) showed significant positive correlation with CKDSC. Therefore, management of patients with CKD should focus on the young population, reinforcing health education strategies that improve critical HL and preventing frailty that may interfere with self-care. In addition, the patient’s social support resources should be expanded to achieve the goal of CKDSC.

Suggested Citation

  • Mu-Dan Tsai & Jen-Pi Tsai & Min-Li Chen & Li-Chun Chang, 2022. "Frailty, Health Literacy, and Self-Care in Patients with Chronic Kidney Disease in Taiwan," IJERPH, MDPI, vol. 19(9), pages 1-8, April.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5350-:d:804088
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