Self-management as a determinant of quality of life in Thai patients with continuous ambulatory peritoneal dialysis: A cross-sectional study

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Prapatsinee Prapaiwong
Aurawamon Sriyuktasuth
Kanaungnit Pongthavornkamol
Nopporn Vongsirimas
Piyatida Chuengsaman

Abstract

The current study aimed to determine whether certain variables, particularly self-management, were significantly associated with quality of life (QoL) among Thai patients receiving continuous ambulatory peritoneal dialysis (CAPD). A cross-sectional design was used to conduct the study. Data were collected from 92 patients undergoing CAPD at Banphaeo Dialysis Center, Bangkok using self-administered questionnaires and a body composition monitor. They were analyzed using descriptive statistics and multiple regression analysis. The results showed that the mean score for overall self-management capabilities was 3.36, indicating a good level of self-management, whereas the mean score for overall QoL was 63.16, indicating a fair level. Multiple regression analysis revealed that the diet and fluid restriction component of self-management was a significant determinant of the overall QoL and SF-36 general health QoL, that the medications component of self-management was a significant determinant of the overall QoL and end-stage kidney disease-specific QoL, and that the duration of CAPD treatment was a determinant of the SF-36 general health QoL.

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How to Cite
Prapaiwong, P., Sriyuktasuth, A., Pongthavornkamol, K., Vongsirimas, N., & Chuengsaman, P. (2025). Self-management as a determinant of quality of life in Thai patients with continuous ambulatory peritoneal dialysis: A cross-sectional study. Science, Engineering and Health Studies, 19, 25050004. https://doi.org/10.69598/sehs.19.25050004
Section
Health sciences

References

Aiyasanon, N. (2009). Comparative study of quality of life in patients on chronic hemodialysis and chronic peritoneal dialysis [Master’s thesis, Silpakorn University]. Silpakorn University Repository. https://sure.su.ac.th/xmlui/handle/123456789/10704 [in Thai]

Aiyasanon, N., Premasathian, N., Nimmannit, A., Jetanavanich, P., & Sritippayawan, S. (2009). Validity and reliability of CHOICE health experience questionnaire: Thai version. Journal of the Medical Association of Thailand, 92(9), 1159–1166. https://www.thaiscience.info/journals/Article/JMAT/10402885.pdf

Akbal, Y., & Nural, N. (2021). Effect of self-care agency on symptoms in patients on peritoneal dialysis. Turkish Journal of Nephrology, 30(2), 130–137. https://doi.org/10.5152/turkjnephrol.2021.4494

Artiwitchayanon, A., Keeratiyutawong, P., & Duangpaeng, S. (2015). Predictors of self-management in patients with chronic kidney disease undergoing continuous ambulatory peritoneal dialysis. Ramathibodi Nursing Journal, 21(2), 172–185. https://he02.tci-thaijo.org/index.php/RNJ/article/view/32306 [in Thai]

Ayala, M., Marchant, M., Rivera, A., Castillo, G., & Morales, R. (2019). Health-related quality of life in peritoneal dialysis patients: Improving the patient’s experience. Kidney International Reports, 4(7), S332. https://doi.org/10.1016/j.ekir.2019.05.857

Chang, R. E., Hsieh, Y. L., & Tsai, H. B. (2019). Exploring the association between social support, dialysis-related support, perceived autonomy support, self-efficacy and health related quality of life in peritoneal dialysis patients. Kidney International Reports, 4(7), S182. https://doi.org/10.1016/j.ekir.2019.05.464

Chuasuwan, A., & Lumpaopong, A. (2020). Thailand renal replacement therapy year 2020. The Nephrology Society of Thailand. https://www.nephrothai.org/wp-content/uploads/2022/06/Final-TRT-report-2020.pdf [in Thai]

de Oliveira, J. F., Marinho, C. L. A., da Silva, R. S., & Lira, G. G. (2019). Quality of life of patients on peritoneal dialysis and its impact on the social dimension. Escola Anna Nery, 23(1), Article e20180265. https://doi.org/10.1590/2177-9465-EAN-2018-0265

Dey, V., Jones, A., & Spalding, E. M. (2016). Telehealth: Acceptability, clinical interventions and quality of life in peritoneal dialysis. SAGE Open Medicin, 4, https://doi.org/10.1177/2050312116670188

Hsu, C.-C., Huang, C.-C., Chang, Y.-C., Chen, J.-S., Tsai, W.-C., & Wang, K.-Y. (2020). A comparison of quality of life between patients treated with different dialysis modalities in Taiwan. PLoS ONE, 15(1), Article e0227297. https://doi.org/10.1371/journal.pone.0227297

Li, J., Wang, H., Xie, H., Mei, G., Cai, W., Ye, J., Zhang, J., Ye, G., & Zhai, H. (2014). Effects of post-discharge nurse-led telephone supportive care for patients with chronic kidney disease undergoing peritoneal dialysis in China: A randomized controlled trial. Peritoneal Dialysis International, 34(3), 278–288. https://doi.org/10.3747/pdi.2012.00268

Luo, Y.-J., & Wang, T. (2011). What is the upper limitation of volume in Chinese peritoneal dialysis patients? Blood Purification, 31(4), 289–295. https://doi.org/10.1159/000322615

Maxwell, S. E. (2000). Sample size and multiple regression analysis. Psychological Methods, 5(4), 434–458. https://doi.org/10.1037/1082-989X.5.4.434

Ören, B., & Enç, N. (2013). Quality of life in chronic haemodialysis and peritoneal dialysis patients in Turkey and related factors. International Journal of Nursing Practice, 19(6), 547–556. https://doi.org/10.1111/ijn.12098

Pungchompoo, W., Parinyajittha, S., Pungchompoo, S., & Kumtan, P. (2020). Effectiveness of a self-management retraining program improving the quality of life of people receiving continuous ambulatory peritoneal dialysis. Nursing & Health Sciences, 22(2), 406–415. https://doi.org/10.1111/nhs.12672

Raoofi, S., Pashazadeh Kan, F., Rafiei, S., Hoseinipalangi, Z., Rezaei, S., Ahmadi, S., Masoumi, M., Noorani Mejareh, Z., Roohravan Benis, M., Sharifi, A., Shabaninejad, H., Kiaee, Z. M., & Ghashghaee, A. (2023). Hemodialysis and peritoneal dialysis—health-related quality of life: Systematic review plus meta-analysis. BMJ Supportive & Palliative Care, 13(4), 365–373. https://doi.org/10.1136/bmjspcare-2021-003182

Sakulkoo, S., Wisitchainont, W., & Kankran, W. (2020). Factors influencing quality of life in end-stage renal disease patients receiving continuous ambulatory peritoneal dialysis. Journal of Nursing and Health Care, 38(1), 117–126. https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/224155/163786 [in Thai]

Sittisongkram, S., Sarakwan, J., Poysungnoen, P., & Meepaen, M. (2019). Comparison of personal characteristic factors relating to quality of life in patients with end-stage renal disease. Asian Journal for Public Opinion Research, 7(2), 94–112. https://doi.org/10.15206/ajpor.2019.7.2.94

Sriyuktasuth, A., Chuengsaman, P., Kusakunniran, W., Khurat, A., & Rattana-umpa, N. (2023). Telehealth service for patients receiving continuous ambulatory peritoneal dialysis: A pilot study. Siriraj Medical Journal, 75(1), 46–54. https://doi.org/10.33192/smj.v75i1.260529

Sriyuktasuth, A., Vongsirimas, N., Praha, N., & Prapaiwong, P. (2017). Quality of life and related factors in women receiving hemodialysis and continuous ambulatory peritoneal dialysis: A comparative study. Journal of Nursing Science, 35(1), 72–84. https://he02.tci-thaijo.org/index.php/ns/article/view/90183 [in Thai]

Tannor, E. K., Archer, E., Kapembwa, K., van Schalkwyk, S. C., & Davids, M. R. (2017). Quality of life in patients on chronic dialysis in South Africa: A comparative mixed methods study. BMC Nephrology, 18, Article 4. https://doi.org/10.1186/s12882-016-0425-1

Thaweethamcharoen, T., Sritippayawan, S., Noparatayaporn, P., & Aiyasanon, N. (2020). Cost-utility analysis of continuous ambulatory peritoneal dialysis and automated peritoneal dialysis for Thai patients with end-stage renal disease. Value in Health Regional Issues, 21, 181–187. https://doi.org/10.1016/j.vhri.2019.10.004

Varitsakul, R., Sindhu, S., Sriyuktasuth, A., Viwatwongkasem, C., & Dennison Himmelfarb, C. R. (2013). The relationships between clinical, socio-demographic, and self-management: Factors and complications in Thai peritoneal dialysis patients. Renal Society of Australasia Journal, 9(2), 85–92.

Wichaisak, W., Lueboonthavatchai, P., & Avihingsanon, Y. (2018). Comparative study of quality of life between end- stage renal disease patients treated with dialysis and those treated with kidney transplantation at King Chulalongkorn Memorial Hospital. Chulalongkorn Medical Journal, 62(1), 91–105. https://he05.tci-thaijo.org/index.php/CMJ/article/view/321 [in Thai]

Wu, A. W., Fink, N. E., Cagney, K. A., Bass, E. B., Rubin, H. R., Meyer, K. B., Sadler, J. H., & Powe, N. R. (2001). Developing a health-related quality-of-life measure for end-stage renal disease: The CHOICE health experience questionnaire. American Journal of Kidney Diseases, 37(1), 11–21. https://doi.org/10.1053/ajkd.2001.20631