Received Self-Care Support and Psychosocial Health Among Older Adults with Non-Dialysis-Dependent Chronic Kidney Disease.
Nicole DePasquale, Jamie A Green, Patti L Ephraim and 6 others
PMID 39503454WHAT IT FOUND
Among older adults with non-dialysis chronic kidney disease, more self-care help from family or friends was linked to lower kidney disease self-efficacy and more depressive symptoms.
Support type was not linked to either.
Key findings
01Most older adults with non-dialysis CKD received self-care help from family or friends, with 88% receiving help at the first time point and a median of 4 assisted activities.
02A higher amount of received self-care support was associated with lower CKD management self-efficacy (model estimate -0.12, 95% CI -0.23 to -0.01) and higher depressive symptoms (model estimate 0.10, 95% CI 0.03 to 0.17).
03Type of support, grouped as self-maintenance, self-monitoring, or self-management, was not significantly associated with psychosocial health, and psychosocial health scores did not change within participants over time.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
This was a secondary analysis of data collected for a different trial, so the support questions were not originally designed for this purpose. The received support measure was investigator-developed and not tested for validity or reliability, and only patients reported it, not the supporters. The analysis cannot show cause and effect; people with lower self-efficacy or more depressive symptoms may have needed or accepted more help. The sample came from one health system, was mostly White, and had low to moderate education and income, so results may not apply to other older adults. General physical functioning or frailty was not measured, so support amount may be tied to unmeasured functional decline. The data did not capture why support was given, how it was provided, or the relationship between patients and supporters.
The easy way to misread this
Do not conclude that family or friend support causes lower self-efficacy or more depressive symptoms. The study is correlational, and poorer psychosocial health may have led older adults to need or accept more support.