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There are growing numbers of person with chronic kidney disease globally, including in Thailand. To slow progression of chronic kidney disease, self-management is essential. However, there are few studies that explore self-management behavior of persons experiencing early stages of chronic kidney disease. This study contributes a causal model to enhance the understanding of the pattern of relationships of factors influence self-management behaviors is necessary. A total of 275 participants receiving treatment at two tertiary hospitals in Bangkok were recruited using cluster random sampling. Data collection used seven self-administered questionnaires including; a demographic data form, Chronic Kidney Disease Self-Efficacy Questionnaire, Brief Illness Perception Questionnaire, Social Support Questionnaire, Health Literacy Scale-14, Chulalongkorn Family Inventory, and Chronic Kidney Disease Self-management. Structural equation modeling was used to test the model.
The result showed that the final model fitted the empirical data, in which health literacy, family functioning, and social support variables explained 31% of total variance in self-management behaviors. Health literacy and social support had a direct effect on self-management behaviors. Family functioning had indirect effect on self-management behavior through social support and direct effect on only self-efficacy. These findings suggest that nurses can positively influence self-management behaviors through nursing interventions that encourage health literacy and effective family functioning, and provide social support for persons with chronic kidney disease.
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