Predicting Health Behaviors for Delaying the Progression of Chronic Kidney Disease Stages 2–3 at Primary Care Services
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Abstract
Background: Chronic kidney disease (CKD) requires continuous self-care to slow the progression of renal deterioration. Patients’ accurate perception and understanding of the disease are crucial for adopting effective health behaviors that delay kidney function decline.
Objectives: To identify predictive factors of health behaviors for slowing kidney deterioration among patients with stage 2–3 chronic kidney disease in primary care settings.
Methods: This cross-sectional descriptive study was conducted among 136 patients diagnosed with stage 2–3 CKD. Data were collected using five instruments: (1) personal information, (2) predisposing factors, (3) enabling factors, (4) reinforcing factors, and (5) health behavior questionnaires. Descriptive statistics were used to analyze general information, while multiple linear regression analysis was used to identify predictive factors of health behavior.
Results: Access to health services and resources, classified as enabling factors, was the only significant predictor of health behavior (β=.29, p<.01). This factor accounted for 26% of the variance in health behavior (R²=0.26, F=5.25, p<.01). Predisposing factors were not significantly associated with health behavior.
Conclusion: Enabling and reinforcing factors, particularly those related to the social environment, have a greater influence on health behaviors among early-stage CKD patients than predisposing factors such as knowledge. Therefore, health promotion strategies should shift from focusing solely on health education to developing systematic mechanisms that strengthen enabling and reinforcing factors, emphasizing family and community health networks to sustainably support patients in adopting and maintaining healthy behaviors.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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