Relationships between Knowledge, Resilience Quotient, and Family Support with Self-Management Behaviors among Older Adults with Chronic Kidney Disease Undergoing Hemodialysis

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Suwannee Chueakjoho
Monthira Udchumpisai


Objectives: To examine the correlation of knowledge, resilience quotient, and family support with self-management behaviors in chronic kidney disease (CKD)of older adults undergoing hemodialysis (HD). Methods: Purposive sampling was used to select a sample of 103 older adults with CKD undergoing HD in hemodialysis unit of hospitals under the Department of Medical Services Bangkok; included units from Lerdsin Hospital, Rajavithi Hospital, Priest Hospital, and the Kidney Foundation of Thailand at Priest Hospital. Five questionnaires were used to collect data 1) Demographic information form, 2) Self-management Behavior Questionnaire, 3) Chronic Kidney Disease Knowledge Test, 4) Resilience Quotient Questionnaire, and 5) Family Support Questionnaire. The 2nd to the 5th questionnaires yielded content validity indices for scale (CVI) of 1. The Kuder-Richardson 20 (KR-20) was used to examine the reliability of the Chronic Kidney Disease Knowledge Test, yielding a value of .81. Cronbach’s alpha coefficient was used to examine the reliability of the Self-management Behavior, Resilience Quotient, and the Family Support questionnaires, yielding values of .86, .95, and .86, respectively. Descriptive statistics were used to analyze each data variable, whereas the Pearson product moment correlation and Spearman’s Rho correlation were used to measure the association between two variables. Results: The Self-management behaviors of our older adults with chronic kidney disease undergoing hemodialysis were of a high level (M = 108.36, SD = 11.19). Knowledge and resilience quotient were significantly positively correlated with self-management behaviors (r = .371, p < .001 and r = .561, p < .001, respectively), while family support was not correlated with self-management behaviors (rsp = .140, p > .05). Conclusions: The results of this study can be used as a basic information to enhance
self-management behaviors among older adults with chronic kidney disease undergoing hemodialysis by improving their knowledge with chronic kidney disease as well as promoting their resilience quotient.


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Chueakjoho, S. ., & Udchumpisai, M. . (2023). Relationships between Knowledge, Resilience Quotient, and Family Support with Self-Management Behaviors among Older Adults with Chronic Kidney Disease Undergoing Hemodialysis. Journal of Research in Nursing-Midwifery and Health Sciences, 43(1), 133–145. Retrieved from
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