Paper: Lifestyle Related Factors on the Risk of Early-Stage Chronic Kidney Disease: A Case-Control Study (19th International Nursing Research Congress Focusing on Evidence-Based Practice)

Wednesday, 9 July 2008

Yu-Rung Wang, BS, RN , Department of Nursing, National Cheng Kung University, Tainan City, Taiwan

Miaofen Yen, PhD, RN , Department of Nursing & Institute of Allied Health Sciences, National Cheng Kung University, Tainan city, Taiwan

Learning Objective 1: understand defer the progression of chronic kidney disease in the lifestyle.

Learning Objective 2: understanding the lifestyle of patients in their early stages of chronic kidney disease may serve as a guide for future modifications in lifestyle.

Taiwan's chronic disease population is gradually increasing. In the Ten Leading Causes of Death, a majority falls upon the cause of chronic diseases. Topping it all is chronic kidney disease in its process to end stage renal disease induced hemodialysis. Research indicated that 43% of the chronic diseases are induced by maladaptive lifestyles. Research has also reported that a major cause in the rapid progression of early stage chronic kidney disease towards the end stage renal disease is due to an unhealthy lifestyle. Consequently, in order to defer the progression, gaining a further understanding in the lifestyles of the chronic kidney disease patients is a necessary step, which can further provide referencing information for intervention measures.

This study is a designed case-control study, and adopts secondary data analysis. The original data came from the research project collected in 2006, entitled "Investigating the Lifestyle and its Related Factors among Patients with Chronic Kidney Disease in the Early Stages," which was funded by the National Science Council. From the original 3 year program; this research will utilize data from the first and second year, the case group consisted of patients who were diagnosed by doctors to be in stage 3 chronic kidney disease, and the control group included those who were never diagnosed by a doctor to have chronic kidney disease. Instruments utilized in the study comprised of the Health Promotion Lifestyle Profile-II (HPLP-II) form which was developed by Walker & Hill-Polerecky, and the Typical Week Physical Activity Survey (TWPAS) constructed by Multi-Ethnic Study of Atherosclerosis (MESA). The research purpose aims to understand the unhealthy lifestyles of the patients. Understanding the lifestyle of patients in their early stages of chronic kidney disease may serve as a guide for future modifications in lifestyle.

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