A Comparison of Health Promoting Behavior and Quality of Life Among Early Stage of CKD and Healthy Adults in Taiwan

Monday, 30 July 2012

Hsiu-Lan Teng, MS, RN
Institute of Allied Health Sciences, 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: The learner will be able to understand that the engagement of health promotion lifestyle may improve QOL.

Learning Objective 2: The learner will be able to understand the differences in health promotion lifestyle and QOL between early stage of CKD and healthy adults.


This study was to compare 1-3 stage of CKD and healthy adults in terms of: (a) the differences in health promoting behaviors and quality of life; (b) the relationships between health promoting behavior and quality of life.


 This cross-sectional study was conducted through a convenience sample of 78 CKD subjects and 87 healthy adults recruited in southern Taiwan. The Chinese version of the Health Promotion Lifestyle Profile-II (HPLP-II) was used to measure the health promotion behaviors. Quality of life was measured using Taiwan version of the WHOQOL-BREF. Independent t-tests were used to compare the means of the HPLP-II and QOL. Pearson correlation coefficient was used to measure relations between the HPLP-II and QOL.


Of the 165 participants who completed the questionnaires, 87 (52.7%) were healthy adults and 78 (47.3%) were CKD patients. The mean age was 46.4 (±7.13) years for healthy adults and 49.1 (±9.86) years for CKD patient. The data revealed no statistically significant differences between the two groups for most of the demographic variables. Health promotion lifestyle behaviors scores for CKD and healthy adults were significant different in health responsibility, nutrition and spiritual growth subscales. QOL of CKD patients was found to be significantly impaired in comparison to QOL of healthy adults, particularly with respect to the overall health and psychological domains, but not in the physical, social and environment domain. Person’s correlation showed a positive relation between the health promotion behavior and QOL. 


The early stage of CKD is often asymptomatic and similar to general population. The performed of healthy behaviors may be more strongly associated with QOL in the two groups.