The Relationship between Health-Promoting Behaviors and Resilience in Patients with Chronic Kidney Disease

This cross-sectional research study explored differences in health-promoting behavior and resilience among three groups of chronic kidney disease patients (high-risk, early chronic kidney disease; early CKD and pre-end stage renal disease; pre-ESRD) treated at the Nephrology outpatient clinic in nor...

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Main Authors: Li-Ching Ma, Hong-Jer Chang, Yueh-Min Liu, Hsiang-Li Hsieh, Lan Lo, Mei-Yu Lin, Kuo-Cheng Lu
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/124973
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author Li-Ching Ma
Hong-Jer Chang
Yueh-Min Liu
Hsiang-Li Hsieh
Lan Lo
Mei-Yu Lin
Kuo-Cheng Lu
author_facet Li-Ching Ma
Hong-Jer Chang
Yueh-Min Liu
Hsiang-Li Hsieh
Lan Lo
Mei-Yu Lin
Kuo-Cheng Lu
author_sort Li-Ching Ma
collection DOAJ
description This cross-sectional research study explored differences in health-promoting behavior and resilience among three groups of chronic kidney disease patients (high-risk, early chronic kidney disease; early CKD and pre-end stage renal disease; pre-ESRD) treated at the Nephrology outpatient clinic in northern Taiwan. A total of 150 CKD outpatients were interviewed using structured questionnaires including a CKD Health to Promote Lifestyle Scale, and resilience scale. We found that the pre-ESRD group had lower resilience than either high-risk or early CKD groups. Factors affecting pre-ESRD resilience were gender, occupational status, diabetes and health-promoting behaviors. Factors affecting resilience of the high-risk group included level of education and health-promoting behaviors while factors affecting resilience in the early CKD group involved whether they are employed and health promoting behaviors. A significant positive correlation was found between health promoting behavior and resilience in all study subjects. Multiple regression analysis found that factors which could effectively predict resilience in patients at high-risk for CKD were gender, whether the patient had a job, nutrition, self-actualization, and stress level, accounting for 69.7% of the variance. Therefore, nursing education should focus on health promotion advocacy throughout the life of not only patients but also their families.
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spelling doaj-art-34f1e708f273472e9db215535637421f2025-02-03T01:11:20ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/124973124973The Relationship between Health-Promoting Behaviors and Resilience in Patients with Chronic Kidney DiseaseLi-Ching Ma0Hong-Jer Chang1Yueh-Min Liu2Hsiang-Li Hsieh3Lan Lo4Mei-Yu Lin5Kuo-Cheng Lu6Department of Nursing, Cardinal Tien Hospital, New Taipei, TaiwanGraduate Institute of Long-Term Care, National Taipei College of Nursing, Taipei, TaiwanDepartment of Nursing, Cardinal Tien Hospital, New Taipei, TaiwanDepartment of Nursing, Cardinal Tien Hospital, New Taipei, TaiwanDepartment of Nursing, Cardinal Tien Hospital, New Taipei, TaiwanDivision of Nephrology, Department of Medicine, Cardinal Tien Hospital, School of Medicine, Fu-Jen Catholic University, 362 Chung-Cheng Road, Hsin-Tien, New Taipei, TaiwanDivision of Nephrology, Department of Medicine, Cardinal Tien Hospital, School of Medicine, Fu-Jen Catholic University, 362 Chung-Cheng Road, Hsin-Tien, New Taipei, TaiwanThis cross-sectional research study explored differences in health-promoting behavior and resilience among three groups of chronic kidney disease patients (high-risk, early chronic kidney disease; early CKD and pre-end stage renal disease; pre-ESRD) treated at the Nephrology outpatient clinic in northern Taiwan. A total of 150 CKD outpatients were interviewed using structured questionnaires including a CKD Health to Promote Lifestyle Scale, and resilience scale. We found that the pre-ESRD group had lower resilience than either high-risk or early CKD groups. Factors affecting pre-ESRD resilience were gender, occupational status, diabetes and health-promoting behaviors. Factors affecting resilience of the high-risk group included level of education and health-promoting behaviors while factors affecting resilience in the early CKD group involved whether they are employed and health promoting behaviors. A significant positive correlation was found between health promoting behavior and resilience in all study subjects. Multiple regression analysis found that factors which could effectively predict resilience in patients at high-risk for CKD were gender, whether the patient had a job, nutrition, self-actualization, and stress level, accounting for 69.7% of the variance. Therefore, nursing education should focus on health promotion advocacy throughout the life of not only patients but also their families.http://dx.doi.org/10.1155/2013/124973
spellingShingle Li-Ching Ma
Hong-Jer Chang
Yueh-Min Liu
Hsiang-Li Hsieh
Lan Lo
Mei-Yu Lin
Kuo-Cheng Lu
The Relationship between Health-Promoting Behaviors and Resilience in Patients with Chronic Kidney Disease
The Scientific World Journal
title The Relationship between Health-Promoting Behaviors and Resilience in Patients with Chronic Kidney Disease
title_full The Relationship between Health-Promoting Behaviors and Resilience in Patients with Chronic Kidney Disease
title_fullStr The Relationship between Health-Promoting Behaviors and Resilience in Patients with Chronic Kidney Disease
title_full_unstemmed The Relationship between Health-Promoting Behaviors and Resilience in Patients with Chronic Kidney Disease
title_short The Relationship between Health-Promoting Behaviors and Resilience in Patients with Chronic Kidney Disease
title_sort relationship between health promoting behaviors and resilience in patients with chronic kidney disease
url http://dx.doi.org/10.1155/2013/124973
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