ArticleBMJ open2021
Patients' and healthcare professionals' beliefs, perceptions and needs towards chronic kidney disease self-management in China: a qualitative study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- eHealth Solutions for Symptom Assessment and Monitoring in Adults With Chronic Kidney Disease: A Systematic Review.Journal of clinical nursing · 2025Pooled it
- Facilitators and barriers to self-management among patients with maintenance hemodialysis in central China: a qualitative study.BMC nephrology · 2026Article
- Article
- Developing a Tailored eHealth Self-Management Intervention for Patients With Chronic Kidney Disease in China: Intervention Mapping Approach.JMIR formative research · 2024Article
- Middle-range theory of the existential dimension of being-in-the-world of chronic kidney disease: Grounded Theory.Revista brasileira de enfermagem · 2024Article
- Evaluation of the efficacy of intervention in the management of AD chronic disease based on the theory of "prevention of the recrudescence of disease".Technology and health care : official journal of the European Society for Engineering and Medicine · 2024Article
- Strategies to Improve Long-Term Outcomes for Patients with Chronic Kidney Disease in China.Kidney diseases (Basel, Switzerland) · 2023Review
- Impact of COVID-19 on Disease Self-management Among Patients With Advanced CKD: A Qualitative Study.Kidney medicine · 2023Article
- Content Validity Assessment of the Revised Illness Perception Questionnaire in CKD Using Qualitative Methods.International journal of environmental research and public health · 2022Article
- Article
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Authors and funding
8 authors.
Funding
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Abstract
objectivesTo support the adaptation and translation of an evidence-based chronic kidney disease (CKD) self-management intervention to the Chinese context, we examined the beliefs, perceptions and needs of Chinese patients with CKD and healthcare professionals (HCPs) towards CKD self-management.
designA basic interpretive, cross-sectional qualitative study comprising semistructured interviews and observations.
settingOne major tertiary referral hospital in Henan province, China.
participants11 adults with a diagnosis of CKD with CKD stages G1-G5 and 10 HCPs who worked in the Department of Nephrology.
resultsFour themes emerged: (1) CKD illness perceptions, (2) understanding of and motivation towards CKD self-management, (3) current CKD practice and (4) barriers, (anticipated) facilitators and needs towards CKD self-management. Most patients and HCPs solely mentioned medical management of CKD, and self-management was largely unknown or misinterpreted as adherence to medical treatment. Also, the majority of patients only mentioned performing disease-specific acts of control and not, for instance, behaviour for coping with emotional problems. A paternalistic patient-HCP relationship was often present. Finally, the barriers, facilitators and needs towards CKD self-management were frequently related to knowledge and environmental context and resources.
conclusionsThe limited understanding of CKD self-management, as observed, underlines the need for educational efforts on the use and benefits of self-management before intervention implementation. Also, specific characteristics and needs within the Chinese context need to guide the development or tailoring of CKD self-management interventions. Emphasis should be placed on role management and emotional coping skills, while self-management components should be tailored by addressing the existing paternalistic patient-HCP relationship. The use of electronic health innovations can be an essential facilitator for implementation.
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