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. 2023 Jan 10:10:1073409.
doi: 10.3389/fpubh.2022.1073409. eCollection 2022.

Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic

Yi Cui  1 , Tianqi Yang  2 , Rong Li  3 , Hua Wang  4 , Shasha Jin  4 , Na Liu  1 , Xufeng Liu  2 , Hongbao Liu  4 , Yinling Zhang  1
Affiliations

Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic

Yi Cui et al. Front Public Health. .

Abstract

Background: Family function plays a pivotal role in self-management among patients with early chronic kidney disease (CKD), which has been especially important during the COVID-19 pandemic. Previous studies have investigated the relationships between family function and self-management using total scores through self-report questionnaires while ignoring the different components in both family function and self-management. The specific objective of this study was to explore the network structure of family function and self-management at the component level.

Methods: A total of 360 patients with early CKD from three tertiary hospitals were enrolled in our cross-sectional survey from September to December 2021 in China. Components of family function were measured by the Family Adaptation Partnership Growth and Resolve Index, and components of self-management were measured by the Chronic Kidney Disease Self-management Instrument. Network analysis was used to establish the network structure.

Results: Edges across the community of family function and self-management were mainly positive. Edges between F3 "Growth" and M1 "Self-integration", F2 "Partnership" and M3 "Seeking social support," F5 "Resolve" and M3 "Seeking social support" were the strongest. F3 "Growth" had the greatest positive bridge expected influence of family function community (0.12), and M3 "Seeking social support" had the greatest positive bridge expected influence of self-management community (0.16).

Conclusion: We explored the potential pathways between different components of family function and self-management among patients with early CKD during the COVID-19 pandemic and found fine-grained relationships between them. The two nodes F3 "Growth" and M3 "Seeking social support" may provide a new idea from the perspective of family function for interventions to improve self-management.

Keywords: COVID-19; chronic kidney disease; family function; network structure; self-management.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The network model of family function and self-management and the bridge expected influence. (A) The network model of family function and self-management. The red edges indicate negative partial correlations, the blue edges indicate positive partial correlations, and thick lines and saturated colors indicate large partial correlation coefficients. (B) The bridge expected influence indices in the network of family function and self-management (raw score). F1, Adaptation; F2, Partnership; F3, Growth; F4, Affection; F5, Resolve; M1, Self-integration; M2, Problem-solving; M3, Seeking social support; M4, Adherence to recommended regimen.
Figure 2
Figure 2
Network structure of family function and self-management showing bridge components in patients with early CKD.
See this image and copyright information in PMC

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