The Relationship between Perceived Self-Efficacy and Social Support and Attitudes in Selecting Renal Replacement Therapy Among Patients with Stage 4 Chronic Kidney Disease
Article Sidebar
Main Article Content
Abstract
The study was aimed to: 1) determine the status of perceived self-efficacy and social support and attitudes in selecting renal replacement therapy among patients with stage 4 2) examine the relationship between perceived self-efficacy and social support and attitudes in selecting renal replacement therapy among patients with stage 4. The sample were selected at 15 sub-district health promoting hospitals in Muang District, Phayao Province. A total of 82 people were recruited by using the simple random sampling according to the inclusion criteria. The questionnaire consisted of personal data, the perceived self-efficacy questionnaire, the social support questionnaire and the attitudes in selecting renal replacement therapy questionnaire. The questionnaires were tested by using Cronbach alpha coefficients was 0.81, 0.91 and 0.91, respectively. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.
The results showed that: 1. The perceived self-efficacy was at a high level, 82.93 percent (𝑥̅= 29.30, SD = 4.27), social support was at a high level, 85.37 percent (𝑥̅= 34.70, SD = 4.33) and the attitudes in selecting renal replacement therapy was at a high level too, 78.05 percent (𝑥̅= 88, SD = 11.39).
2. The correlation between these factors showed that the perceived self-efficacy was positively associated with the social support (r= .460, P<.001). The attitudes in selecting renal replacement therapy were positively associated with the perceived self-efficacy (r= .449, P<.001) and the social support (r= .482, P<.001). It was also found that factors that most predictive of the attitudes in selecting renal replacement therapy were the social support (β=.349, p=.01) and the perceived self-efficacy (β=.289, p=.01)
Therefore, multi-disciplinary team should promote self-efficacy and social support in patients with stage four chronic kidney disease, to better attitudes in selecting renal replacement therapy.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
Ahmadi, S. M., Jalali, A. & Jalali, R. (2018). Factors associated with the choice of peritoneal dialysis in Iran: Qualitative study. Open Access Macedonian Journal of Medical Sciences, 6(7), 1253-1259.
Apiwatnakorn, A. & Chaiprasitti, S. (2019). Renal dialysis refusal in end-stage renal disease patients under universal health coverage scheme in Uttaradit Province. Srinagarind Medical Journal, 34(6), 546-551. (in Thai).
Bandura, A. (1997). Social learning theory. New Jersy: Englewood Cliffs.
Chaisiwamongkol, P. (2021). Factors related to decision making for non-dialysisin chronic kidney disease stage 5 patients. Journal of Health and Environmental Eucation, 6(2), 1-12. (in Thai).
Chylinska, J., Lazarewicz, M. A., Rzadkiewicz, M., Adamus, M., Jaworski, M., Haugan, G. & Wlodarczyk, D. (2017). The role of gender in the active attitude toward treatment and sociodemographic factors as moderators. Biomed Central Geriatrics, 17(284), 1-10.
Gantagad, T. & Kasemkitwattana, S. (2014). Predictive factors in the funtional ability of terminal chronic renal failure patients undergoing heemodialysis. Thai Journal of Nursing Council, 29(4), 92-104. (in Thai).
Hanpaiboon, K. & Pratoomsoot, C. (2019). Factors influencing patient health behaviors for delaying the progress in stage 3 - 4 chronic kidney disease patients at Khlongkhlung Hospital, Khampangphet Province. Thai Pharmaceutical and Health Science Journal, 14(2), 53-61. (in Thai).
Health data center (2022). Number of patients with chronic kidney disease receiving services at the hospital, classified by stage (Work Load). Retrieved from https://hdcservice.moph.go.th/hdc/main/index.php.
House, J.S. (1981). Work stress and social support.Reading. MA: Addison-Wesley
House J.S., Kahn, R.L., McLeod J.D. & Williams, D. (1985). Measures and concepts of social support. In: Cohen S, Syme SL (Eds.). Social support and health. San Diego: Academic Press.
Khantason, A., Thongthawee, B. & Pairojkittraku, S. (2022). The effects of a social support program on adherence to hypertension control behaviorsand clinical outcomes among chronic kidney disease patients receiving hemodialysis. Nursing Journal, 49(4), 225-237. (in Thai).
Luemongkol, R. (2020). Factors associated with self-care behaviors among patients with chronic kidney disease at Khonsawan hospital. The Office of Disease Prevention and Control 10th Journal, 18(1), 16-26. (in Thai).
Nakhamin, K., Luankaew, M., Thongsombut, T. & Thingchure, B. (2018). Family participation in providing care to delay in progression of chronic kidney disease patients. Princess of Naradhiwas University Journal of Humanities and Social Sciences, 5(special edition), 160-171. (in Thai).
Paypat, S., Pakdevong, N. & Binhosen, V. (2021). The association among knowledge, self- efficacy and self-management behaviors in patients with chronic kidney disease. APHEIT Journal of Nursing and Health, 3(2), 22 - 36. (in Thai).
Pitsawong, W. (2021). Prevalence of chronic kidney patients and factors affecting decision-making on renal replacement therapy in the nephrology department of Surin Hospital in a period between 2014 and 2020. Medical journal of srisaket surin buriram hospitals, 36(3), 675-684. (in Thai).
Raj, R., Brown, B., Ahuja, K., Frandsen, M. & Jose, M. (2020). Enabling good outcome in older adult on dialysis: A qualitative study. Biomed Central Nephrology, 21(1), 1-12.
Ryan, R. M. & Deci, E. L. (2017). Self-determination theory basic psychological needs in motivation, development, and wellness. New York: The Guilford Press.
Sangsee, P., Tanatwanit, Y., Kunsongkeit, W. & Moungkum, S. (2020). Factors related to self-determination to select dialysis modalities in patients with end-stage renal diseases. The Journal of Faculty of Nursing Burapha University, 28(3), 53-65. (in Thai).
Sawasdee, P., Vuttanon, N. & Soivong, P. (2022). Factors related to the choice of treatment methods among persons with pre-dialysis chronic kidney disease. Nursing Journal, 49(4), 151-162. (in Thai).
Sawatphol, C., Pengpinit, T., Sananikorn, A. & Srisuraphol, W. (2017). Care for elderly dependents in the Northeast of Thailand. Journal of MCU Peace Studies, 5(Special issue), 387-405. (in Thai).
Sodsongkid, N. & Bosittipichet, T. (2023). Factors associated with rejection of renal replacement therapy in the end stage renal disease patients in PhraNakhon Si Ayutthaya Province. Regional Health Promotion Center 9 Journal, 17(2), 590-603. (in Thai).
Srita, N., Aungwattana, S. & Tamdee, D. (2023). Factors related to health behaviors among persons with chronic kidney disease in community. Journal of Nursing and Health Science Research, 15(1), 139-159. (in Thai).
The Nephrology Society of Thailand. (2018). Guideline of hemodialysis treatment and plasma filtration for kidney disease patients. Retrieved from https://www.nephrothai.org. (in Thai).
The Nephrology Society of Thailand. (2020). Annual report Thailand renal replacement therapy 2007-2020 (th). Retrieved from https://www.nephrothai.org. (in Thai).
Unaphak, P. & Rattanamanee, K. (2015). The correlation factors of self-care behaviors to prevent complications among patients with chronic kidney disease at Somdetphraphutthalertla hospital in Samutsongkhram Province. The Public Health Journal of Burapha University, 10(2), 44-54. (in Thai).
Wongsree, C. & Assalee, R. (2016). Experience of using social support in end stage renal disease patients receiving hemodialysis. Thai Red Cross Nursing Journal, 9(2), 132-144. (in Thai).
Wungrath, J., Rerkkasem, K., Saengyo, S., Pongtam, S. & Pinmars, N. (2018). Factors predicting food consumption behavior of hemodialysis patients with end stage renal disease at Maharaj Nakorn Chiang Mai hospital. Health Systems Research Institute, 12(4), 625-635. (in Thai).
Yoomuang, P. & Suphannakul, P. (2023). Factors predicting self-management behaviors among patients with chronic kidney disease stage 3 in suphanburi province, Thailand. Malaysian Journal of Public Health Medicine, 23(1), 272-278.
