Health promotion behaviors and related factors in end stage renal disease patients treated with continuous ambulatory peritoneal dialysis

Abstract

Objective: To present study health promotion behaviors and related factors in end stage renal disease (ESRD) patients treated with continuous ambulatory peritoneal dialysis (CAPD).

Material and method: Questionnaires of Pender to evaluate health promotion behaviors which measure 5 aspects of health-affected behaviors were examined in 90 CAPD patients at dialysis unit of Udornthani Hospital. Results were categorized into 3 groups according to Bloom's scale as follows: high, moderate, and low levels. The data were displayed as ranges or means +/- standard deviation, according to the characteristics of each variable, with a 5% (p < 0.05) significant level. For nonparametric variables, comparisons were conducted by using the Chi-square and Fisher exact tests. Pearson correlation test was utilized for statistical analysis where appropriate.

Results: Three fourths of the participants had high overall and individual rating of health promotion behaviors, including health responsibility, interpersonal relationship, spiritual improvement, and stress management behaviors. However, the behaviors related to personal activities and nutrition fell into moderate category. Of interest, none of patients had low overall rating. To assess influence factors on health promotion behaviors, only perception of health care promotion usefulness, perception of health care promotion obstacle, perception of themselves, and social support were related to the health promotion behaviors (r = 0.35, 0.34, 0.44, and 0.45, respectively; individual p-value was less than 0.01). Caregiver also influenced with lower degree correlation compared to the above factors. Neither demographics nor patient characteristics affected the behaviors.

Conclusion: The results encourage efforts to monitor and detect health behaviors that might impair compliance with PD system. The center should find tailor-made strategy with assistance and supports by local community and family member to continuously promote and cherish health behaviors of the patients.