ความสัมพันธ์ระหว่างปัจจัยเกื้อหนุนและปัจจัยที่เป็นอุปสรรคต่อพฤติกรรมการจัดการตนเองของผู้ป่วยที่ล้างไตทางช่องท้องแบบต่อเนื่อง โรงพยาบาลนครนายก

Phasuk  Suttavat; Surachai  Maninet; Jaruwan  Chuwongtrakul; Phakapun  Boontem

Authors

Phasuk Suttavat Continuous ambulatory peritoneal dialysis unit, Nakhon Nayok Hospital
Surachai Maninet Faculty of Nursing, Ubon Ratchathani University https://orcid.org/0000-0002-3892-3180
Jaruwan Chuwongtrakul Continuous ambulatory peritoneal dialysis unit, Nakhon Nayok Hospital
Phakapun Boontem Faculty of Nursing, Srinakharinwirot University, Ongkharak

Keywords:

facilitator factors, barrier factors, self-management behaviors, continuous ambulatory peritoneal dialysis

Abstract

This study aimed to explore the relationships between facilitating factors (income, knowledge related to peritoneal dialysis, environmental management, and social support) and barrier factors (age, comorbidity, and symptoms) to self-management behaviors among patients receiving continuous ambulatory peritoneal dialysis in Nakhon Nayok hospital. The participants were 77 patients who received continuous ambulatory peritoneal dialysis and visited doctors at the hemodialysis clinic. The instruments used for data collection were questionnaires about demographic data, knowledge related to peritoneal dialysis, an environmental management, a multi-dimensional scale of a perceived social support, symptoms, and a self-management behavior. These instruments were tested for the content validity by a panel of experts. Internal consistency reliabilities for each questionnaire tested by Cronbach’s alpha were .82, .93, .90, .92, and .92, respectively. Data were analyzed using descriptive statistics and Pearson’s product-moment correlation.

The study findings revealed that patients receiving continuous ambulatory peritoneal dialysis had a good level of self-management behaviors. The facilitating factors that significantly related to self-management behaviors among patients receiving continuous ambulatory peritoneal dialysis were environmental management, knowledge related to peritoneal dialysis, social support, and monthly income (r = .66, p = .00; r = .58, p = .00; r = .42, p = .00; r = .24, p = .03, respectively). The barrier factor that significantly related to self-management behaviors among patients receiving continuous ambulatory peritoneal dialysis was symptoms (r = -.68, p = .00).

This study contributes fundamental data for nephrology nurses and healthcare providers to promote better self-management behaviors among patients receiving continuous ambulatory peritoneal dialysis. Furthermore, nursing interventions should be developed by promoting facilitating factors and preventing barrier factors that might impact self-management behaviors among this population.

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