The Relationship between Health-Promoting Behaviors and Resilience in Patients with Chronic Kidney DiseaseReport as inadecuate

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The Scientific World JournalVolume20132013, Article ID124973, 7 pages

Research Article

Department of Nursing, Cardinal Tien Hospital, New Taipei, Taiwan

Graduate Institute of Long-Term Care, National Taipei College of Nursing, Taipei, Taiwan

Division of Nephrology, Department of Medicine, Cardinal Tien Hospital, School of Medicine, Fu-Jen Catholic University, 362 Chung-Cheng Road, Hsin-Tien, New Taipei, Taiwan

Received 7 January 2013; Accepted 29 January 2013

Academic Editors: C.Varricchio and D.Wynaden

Copyright 2013 Li-Ching Ma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This cross-sectional research study explored differences in health-promoting behavior and resilience among three groups of chronic kidney disease patients high-risk, early chronic kidney disease; early CKD and pre-end stage renal disease; pre-ESRD treated at the Nephrology outpatient clinic in northern Taiwan. A total of 150 CKD outpatients were interviewed using structured questionnaires including a CKD Health to Promote Lifestyle Scale, and resilience scale. We found that the pre-ESRD group had lower resilience than either high-risk or early CKD groups. Factors affecting pre-ESRD resilience were gender, occupational status, diabetes and health-promoting behaviors. Factors affecting resilience of the high-risk group included level of education and health-promoting behaviors while factors affecting resilience in the early CKD group involved whether they are employed and health promoting behaviors. A significant positive correlation was found between health promoting behavior and resilience in all study subjects. Multiple regression analysis found that factors which could effectively predict resilience in patients at high-risk for CKD were gender, whether the patient had a job, nutrition, self-actualization, and stress level, accounting for 69.7% of the variance. Therefore, nursing education should focus on health promotion advocacy throughout the life of not only patients but also their families.

Author: Li-Ching Ma,Hong-Jer Chang,Yueh-Min Liu,Hsiang-Li Hsieh,Lan Lo,Mei-Yu Lin,and Kuo-Cheng Lu



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