Health Promoting Lifestyle Behaviors and Quality of Life among Chronic Kidney Disease Patients in Taiwan

Thursday, 15 July 2010: 8:50 AM

Hsiu-Lan Teng, MS, RN
Fooyin University / Department of Nursing, National Cheng Kung University / Institute of Allied Health Sciences, 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 that the engagement of health promotion lifestyle may improve QOL.

Learning Objective 2: understand the predictors of QOL in relation to health promotion behaviors.

Purpose: To describe the relationship between health-promoting lifestyle behaviors and quality of life (QOL) and to identify key variables associated with QOL among patients with chronic kidney disease (CKD) at pre-dialysis stage.

Methods: This was a cross-sectional and correlational study carried out in 2008. A total of 220 patients with CKD were recruited from outpatient clinics from 4 hospitals in Southern Taiwan. Quality of life was measured using Taiwan version of the WHOQOL-BREF. The Chinese version of the Health Promotion Lifestyle Profile-II (HPLP-II) was used to measure the health promotion behaviors.  Demographic and scores from HPLP-II were entered sequentially into the hierarchical regression model to determine the impact of each variable on perceived QOL.

Results: A total of 145 subjects with CKD from stage 1 to 3 completed the survey. The average age was 63.5 (SD = 13.3) years and ranged from 25 to 87 years old. Approximately 90% (n = 130) of the participants neither smoked nor drank alcohol. However, only 21% (n = 30) of the participants engaged physical activity regularly. The highest score of HPLP-II subscales was in nutrition dimension. The second was interpersonal relations. The lowest average score was stress management in this study. Males were having higher HPLP-II scores than females. The four QOL domains were explained by different predictors, results in 14-30% explained variance. Spiritual growth was the significant predictor of QOL after controlling for effect of demographic factors.

Conclusion: The spiritual growth was a key variable to predict QOL among patients with CKD at stage 1 to 3.