| Objective: The purpose of this study was to investigate the dietary knowledge,dietary self-efficacy,family function,dietary compliance behavior and their differences in general data in elderly patients with chronic kidney disease and non-dialysis patients,and to analyze the correlation between the variables.To explore the influencing factors of dietary compliance behavior in elderly patients with chronic kidney disease and non-dialysis patients,in order to provide scientific basis for improving dietary compliance and delaying the disease development of elderly patients with chronic kidney disease and non-dialysis patients.Methods: using descriptive research in the cross-sectional study,convenient sampling method,from the selection of a certain level of first-class hospital kidney disease in Grade III A hospital weihai238 elderly over the age of 60 in dialysis patients with chronic kidney disease(CKD)as investigation object,through the general demographic questionnaire,diet knowledge questionnaire,chronic kidney disease(CKD),dietary self-efficacy scale,family function scale,dietary adherence behavior scale of quantitative assessment.Statistical software SPSS26.0 Chinese version was used to collate and analyze the valid questionnaires.Results:(1)The total score of diet knowledge in elderly patients with chronic kidney disease and non-dialysis patients was(8.42±2.61),which was at a low level.There were significant differences in dietary knowledge scores in age,educational level,occupation before retirement,monthly family income,disease stage,course of disease,annual frequency of visits and self-care ability(P < 0.05).(2)The total score of dietary self-efficacy in elderly patients with chronic kidney disease and non-dialysis patients was(56.25±8.80),which was in the middle level.There were differences in dietary self-efficacy scores in educational level,pre-retirement occupation,disease course,annual frequency of medical treatment and self-care ability,with statistical significance(P < 0.05).(3)The total score of family function in elderly patients with chronic kidney disease without dialysis was(135.73±12.33),which was at the general level.There were differences in family function scores in pre-retirement occupation,family per capita monthly income,disease course,annual frequency of medical treatment,and self-care ability,with statistical significance(P < 0.05).(4)The total score of dietary compliance in elderly patients with chronic kidney disease and non-dialysis patients was(72.66±7.54),which was at the middle level.There were differences in dietary compliance scores in age,educational level,pre-retirement occupation,per capita monthly income of family,course of disease,number of visits and self-care ability,with statistical significance(P < 0.05).(5)Pearson correlation analysis results showed that the subjects’ dietary knowledge,dietary self-efficacy,and dietary compliance were positively correlated,while family function was negatively correlated with dietary knowledge,dietary self-efficacy,and dietary compliance.(6)Stepstep regression analysis showed that seven variables,including total score of dietary knowledge,total score of dietary self-efficacy,total score of family function,annual number of visits to doctors,self-care ability,educational level,and course of disease,were included in the regression equation,which together explained 52.7% of the variation of total score of dietary compliance behavior.Conclusion:(1)The elderly patients with chronic kidney disease and non-dialysis patients had a low level of dietary knowledge,moderate level of dietary self-efficacy and dietary compliance,and average level of family function.(2)Generally,the elderly non-dialysis patients with chronic kidney disease who are 60 to 70 years old,college education or above,national public servants,monthly income ≥5000 yuan,disease course of more than 10 years,consultation ≥12 times a year,and no dependence on self-care ability have better dietary compliance behavior.(3)The richer the diet knowledge,the higher the level of dietary self-efficacy,the better the family function,and the better the diet compliance behavior of the elderly patients with chronic kidney disease and non-dialysis.(4)Dietary knowledge,dietary self-efficacy,family function,annual visits,self-care ability,educational level,and course of disease were important influencing factors for dietary compliance behavior of elderly patients with chronic kidney disease without dialysis. |
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