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KMID : 0367020150270050505
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Journal of Korean Academic of Adult Nursing
2015 Volume.27 No. 5 p.505 ~ p.514
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The Relationships between Knowledge of the Kidney, Self-efficacy, and Kidney Function in Pre-dialysis Patients with Chronic Renal Insufficiency
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차은지:Cha Eun-Ji
박효정:Park Hyo-Jung
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Abstract
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Purpose : The purpose of this study was to examine their levels of knowledge of the kidney, self-efficacy, and kidney function in pre-dialysis patients with chronic renal insufficiency.
Methods : A total of 142 pre-dialysis patients with chronic renal insufficiency were recruited from a nephrology clinic of a hospital in Korea. Participants` knowledge of the kidney, self-efficacy, and kidney function were measured, and the correlations between these factors were computed.
Results : The levels of knowledge of the kidney were moderate, with a mean score of 12.30±5.35. Knowledge level was significantly correlated with age, education level, occupation, income, physical symptoms, and information resources (p<.05). The mean score for self-efficacy was 6.06±2.00. Self-efficacy was significantly associated with patients` age, education level, occupation, income, cigarette use, and information resources (p<.05). The mean score for kidney function was 35.66±18.68 mL/min/1.73 m2. Kidney function was significantly correlated with use of medications and drinking behavior (p<.05). Knowledge of the kidney was significantly correlated with self-efficacy (r=.31, p<.001), but not with kidney function. There was a significant correlation between self-efficacy and kidney function (r=.30, p<.001). Multiple regression analysis revealed that self-efficacy and drinking behavior accounted for 11% of the variance in kidney function of pre-dialysis patients with chronic renal insufficiency.
Conclusion : Nursing interventions are necessary to increase self-efficacy among pre-dialysis patients with chronic renal insufficiency in order to maintain their kidney function.
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KEYWORD
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Chronic renal insufficiency, Glomerular filtration rate, Knowledge, Self efficacy
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