J Korean Acad Nurs.  2012 Oct;42(5):699-708. 10.4040/jkan.2012.42.5.699.

Structural Equation Modeling on Quality of Life in Pre-dialysis Patients with Chronic Kidney Disease

• Kim HW
• Choi-Kwon

• KMID: 1499497
• DOI: http://doi.org/10.4040/jkan.2012.42.5.699

Abstract

PURPOSE
This study was designed to test structural equation modeling of the quality of life of pre-dialysis patients, in order to provide guidelines for the development of interventions and strategies to improve the quality of life of patients with Chronic Kidney Disease (CKD).
METHODS
Participants were patients who visited the nephrology outpatient department of a tertiary hospital located in Seoul. Data on demographic factors, social support, nutritional status, physical factors and biobehavioral factors and quality of life were collected between March 4 and March 31, 2011.
RESULTS
In the final analysis 208 patients were included. Of the patients 42% were in a malnourished state. Anxious or depressed patients accounted for 62.0%, 72.6%, respectively. Model fit indices for the hypothetical model were in good agreement with the recommended levels (GFI=.94 and CFI=.99). Quality of life in pre-dialysis patients with CKD was significantly affected by demographic factors, social support, nutritional status, physical factors and biobehavioral factors. Biobehavioral factors had the strongest and most direct influence on quality of life of patients with CKD.
CONCLUSION
In order to improve the quality of life in pre-dialysis patients with CKD, comprehensive interventions are necessary to assess and manage biobehavioral factors, physical factors and nutritional status.

Keyword

Chronic kidney disease; Quality of life; Nutritional status; Biobehavioral factors

MeSH Terms

Adult
Aged
Aged, 80 and over
Demography
Depression
Fatigue
Female
Glomerular Filtration Rate
Humans
Kidney Failure, Chronic/*psychology
Male
Middle Aged
*Models, Theoretical
Motor Activity
Nutritional Status
*Quality of Life
Questionnaires
Renal Dialysis
Social Support

Figure

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  Figure 1. Research framework.

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  Figure 2. Path diagram for the hypothetical model.

Reference

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