ปัจจัยทำนายการจัดการตนเองในผู้สูงอายุโรคไตเรื้อรังระยะที่ 3

Abstract

Chronic Kidney Disease Stage III in elderly is a condition in which the kidneys of the elderly have a decreased filtration rate and impaired function, affecting them physically, mentally, and socially. Self-management is a way to enable these patients to develop skills for managing their illnesses which can slow down the deterioration of the kidneys in the end- stage. This predictive descriptive research aimed to study the predictive power of health literacy, self-efficacy, and social support for self-management in the elderly with chronic kidney disease stage III. A total of 120 elderly people with chronic kidney disease stage III, who received the service at Khlong Thom Hospital in Krabi Province, were selected by non-replaceable simple random sampling between August and September 2022. The research instruments include a Personal Information Questionnaire, a Health Literacy Questionnaire for the Elderly with Chronic Kidney Disease Stage III, a Self-Efficacy Interview, a Social Support Questionnaire for the Elderly with Chronic Kidney Disease, and a Self-Management Behaviors Questionnaire for the Elderly with Chronic Kidney Disease Stage III. Data were analyzed using descriptive statistics and normal multiple regression statistics. The results of the research found that 1. The level of health literacy was high (x ̅ = 46.11, S.D. = 6.74), the level of self-efficacy was high (x ̅ = 70.19, S.D. = 8.49), and the level of self-management was high (x ̅ = 97.75, S.D. = 19.13). 2. Health literacy, self-efficacy, and social support could jointly predict self-management among the elderly with chronic kidney disease stage III at 40.70%, with social support predicting self-management the most (β = .345, p < .001), followed by health literacy (β = .262, p < .001), and self -efficacy (β = .205, p = .029). The results of this research will provide information for health personnel involved in the care of the elderly with chronic kidney disease stage III to integrate social support, health literacy, and self-efficacy in self-management promotion activities in the elderly with chronic kidney disease stage III.