A qualitative study exploring self-management behaviour of patients with chronic kidney disease during COVID-19

Authors : Mehmet Barlas Uzun, Gizem Gülpınar, Aysel Pehkivanlı, Şule Şengül

Pages : 345-358

Doi:10.55262/fabadeczacilik.1449084

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Publication Date : 2024-08-25

Article Type : Research Paper

Abstract :Chronic kidney disease (CKD) is a major public health issue. COVID-19 immensely affects people with chronic diseases including patients with CKD. We aimed to explore the factors that might have an impact on the self-management of patients receiving haemodialysis (HD) and patients with kidney transplant (KTx) during COVID-19 by using the Health Belief Model (HBM). A qualitative phenomenology research design was used to build evidence to establish the effects of the COVID-19 pandemic on self-management behaviour of patients with CKD. Data were analysed using framework analysis to identify key factors influencing patients’ perceptions regarding the self-management of their conditions during COVID-19. Eighteen patients with KTx and seven with HD were interviewed during the lockdown. Having CKD was discussed as a major contributing factor contributing to the perception of susceptibility. The fear of death expressed by the participants had a profound impact on self-management. Delays in check-ups and monitoring, staying at home, financial burden of treatment, lack of trusted information, safety of test sites, and fatalistic attitudes of patients were the barriers identified in the study towards self-management behaviours of patients. External and internal triggers were the motivators of adopting self-management behaviour. This study provides an in-depth view of factors impacting the adoption of self-management behaviour of patients with CKD during COVID-19 and may provide healthcare providers and policymakers knowledge about factors contributing towards compromised patient care.
Keywords : COVID 19, kronik böbrek hastalığı, sağlık inanç modeli, nitel araştırma, öz yönetim