Factors Affecting Self-management of Patients with Chronic Kidney Disease Receiving Treatment with Dialysis at Sichon Hospital, Nakhon Si Thammarat Province.

Abstract

This predictive correlational research aims to study: 1) the self-management of patients with chronic kidney disease undergoing dialysis, and 2) the factors affecting the self-management of these patients at Sichon Hospital, Nakhon Si Thammarat Province.
The population in this study consists of chronic kidney disease patients receiving dialysis treatment at Sichon Hospital, Nakhon Si Thammarat Province, during the years 2023–2024. The sample size was calculated to be 78 individuals, selected through simple random sampling. A questionnaire was used for data collection. The research instrument was validated by three experts, with a content validity index ranging from 0.67 to 1.00. The overall Cronbach’s alpha coefficient was 0.90. The statistical methods used were descriptive statistics and stepwise regression analysis.
            The research findings revealed that the overall self-management of patients with chronic kidney disease undergoing dialysis was at a high level (M = 3.93, SD = 0.52). The factors influencing self-management among these patients included self-efficacy, social support, average monthly income, age, and presence of comorbidities. These factors collectively accounted for 66.0% of the variance in self-management (adj R² = 0.660).
            Based on the research findings, professional nurses caring for patients with chronic kidney disease undergoing dialysis should promote patients' self-efficacy and ensure they receive adequate social support to facilitate appropriate and effective self-management.