ArticleInternational journal of nephrology and renovascular disease2018
Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia.
Article in International journal of nephrology and renovascular disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Patient reported barriers and facilitators of chronic kidney disease care in Sub-Saharan Africa: a mixed methods systematic review using the COM-B model.BMC nephrology · 2025Pooled it
- Effects of health education based on self-determination theory on hemodialysis knowledge and self-management in maintenance hemodialysis patients.Scientific reports · 2025Trial
- Predictors of self-management behaviors among patients undergoing hemodialysis.Scientific reports · 2025Article
- The mediating role of hope in the relation between uncertainty and social support with self-management among patients with ESKD undergoing hemodialysis.BMC nephrology · 2024Article
- Article
- Podocarpusflavone alleviated renal fibrosis in obstructive nephropathy by inhibiting Fyn/Stat3 signaling pathway.Journal of natural medicines · 2023Article
- Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2023Article
- Observational
- Factors Influencing Self-Management Behaviors among Hemodialysis Patients.Journal of personalized medicine · 2022Article
- Relationships between social capital, patient empowerment, and self-management of patients undergoing hemodialysis: a cross-sectional study.BMC nephrology · 2022Article
- Social support and self-management among end-stage renal disease patients undergoing hemodialysis in Indonesia.Journal of public health research · 2021Article
- Psychometric testing of the hemodialysis self-management instrument (HDSMI-18): A confirmatory factor analysis.Nursing open · 2021Article
- Factors Influencing Self-Efficacy and Self-Management among Patients with Pre-End-Stage Renal Disease (Pre-ESRD).Healthcare (Basel, Switzerland) · 2021Article
- Patient Knowledge, Adherence to the Therapeutic Regimen, and Quality of Life in Hemodialysis : Knowledge, Adherence, and Quality of Life in Hemodialysis.Advances in experimental medicine and biology · 2021Article
- Lived Experiences of Nursing Students and Educators on Self-Management in Teaching and Learning in Ghana: An Interpretive Phenomenological Study.SAGE open nursingArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPatients with end-stage renal disease (ESRD) face multifaceted problems arising from complications of the disease and dialysis that require consistent and, effective self-management from the patients' side, on top of the management offered by health care professionals. However, little is known about the level of self-management and influencing factors among patients with ESRD undergoing hemodialysis in the study area. Therefore, the aim of this study was to assess self-management and associated factors of patients with ESRD undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia.
methodsAn institution-based cross-sectional survey was used to recruit 169 patients with ESRD undergoing hemodialysis from six private health facilities between March and April 2016. Data were collected using an interviewer-administered structured questionnaire inquiring about patients' self-management and associated factors. Data were entered into EpiData Version 3.1 and analyzed using the descriptive, correlation, and logistic regression using the SPSS Version 22.0 statistical software.
resultsThe mean age of the patients was 49.86±15.58 years. The majority of the respondents (69.8%) were male, and 65.7% of them were married. Half of the respondents (50.3%) had diploma and above educational level. The great majority of the respondents (93.5%) were on hemodialysis for less than 5 years, and 53.3% of them underwent dialysis twice a week. More than half (57.4%) of the patients had low levels of self-management. There were statistically significant positive associations between self-management and education (adjusted OR [AOR] =6.25, 95% CI =1.40, 27.85), knowledge (AOR =5.5, 95% CI =2.15, 14.03), and self-efficacy (AOR =4.73, 95% CI =1.95, 11.48), while there were statistically significant negative associations between self-management and anxiety (AOR =3.19, 95% CI =1.28, 7.95) and depression (AOR =2.68, 95% CI =1.01, 7.05,
conclusionPatients' education, knowledge, self-efficacy, anxiety, and depression were found to be independent predictors of self-management.
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