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Volume 5 Issue 1
Jan.  2025
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Article Navigation >  Frigid Zone Medicine  > 2025  >  5(1): 10-21
Xinrui Wei, Chunlian Li, Hongmei Yu, Lingling Xu, Siwen Meng, Chun Xing, Qiang Gao, Guangming Chang, Yongchen Wang. Study on the status and countermeasures of disease self-management ability in chronic kidney disease patients in cold regions[J]. Frigid Zone Medicine, 2025, 5(1): 10-21. doi: 10.1515/fzm-2025-0002
Citation: Xinrui Wei, Chunlian Li, Hongmei Yu, Lingling Xu, Siwen Meng, Chun Xing, Qiang Gao, Guangming Chang, Yongchen Wang. Study on the status and countermeasures of disease self-management ability in chronic kidney disease patients in cold regions[J]. Frigid Zone Medicine, 2025, 5(1): 10-21. doi: 10.1515/fzm-2025-0002
shu

Study on the status and countermeasures of disease self-management ability in chronic kidney disease patients in cold regions

doi: 10.1515/fzm-2025-0002
  • 1.

    Department of General Practice, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China

  • 2.

    Department of General Practice, Yichun Central Hospital, Yichun 153099, China

  • 3.

    Department of Geriatrics, Second Affiliated Hospital of Harbin Medical University, Harbin, China

  • 4.

    Ethics Committee Office, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China

Funds:

the Natural Science Foundation of China 7247042122

the Key Research and Development Project of Heilongjiang Province, China 2024ZX12C06

More Information
    Abstract
  •   Objective  Effective Chronic Kidney Disease (CKD) management is particularly important in cold regions of China, where climate and lifestyle factors play significant roles. However, there is a lack of relevant studies in this area. Therefore, the purpose of this study was: (1) to assess the status of self-management capacity in individuals with CKD in cold regions of China and analyze the factors influencing it; (2) to identify strategies to improve CKD management in primary care settings in these regions; and (3) to understand patients' attitudes toward eHealth services.  Methods  This was a regional, cross-sectional observational study. A questionnaire measuring CKD patients' self-management abilities was derived from the Perceived Kidney Disease Self-Management Scale, the Kidney Disease Behavioral Inventory (KDBI), and the Health Literacy Questionnaire. Data were collected from hospitalized CKD patients in Heilongjiang Province and analyzed using One-Way Analysis of Variance (ANOVA), Hierarchical Regression Analysis, and K-prototype cluster analysis.  Results  A total of 957 participants were tested. Of these, 70.64% had less than a bachelor's degree, and 56.27% had been diagnosed with hypertensive or diabetic nephropathy. The KDBI scale showed a lower overall score compared to the PKDSMS. Factors such as CKD stage 4 (F = 2.367, P = 0.042), last year's medical expenses (F = 3.974, P = 0.004), and poor self-rated health (F = 33.352, P < 0.01) were found to influence scores on both scales. The health literacy questionnaire revealed significant differences (P < 0.01) in health knowledge, except by sex. Additionally, healthcare expenditures and poor self-rated health were negatively associated with self-management capacity.  Conclusions  This study provides valuable insights into the self-management challenges faced by CKD patients in cold regions of China. Despite some difficulties in improving self-management, patients showed positive attitudes toward enhancing CKD management services in primary care and developing digital management tools. These findings offer useful references and recommendations for future clinical practice and research in this field.

     

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