Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic

BackgroundFamily function plays a pivotal role in self-management among patients with early chronic kidney disease (CKD), which has been especially important during the COVID-19 pandemic. Previous studies have investigated the relationships between family function and self-management using total sco...

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Main Authors: Yi Cui, Tianqi Yang, Rong Li, Hua Wang, Shasha Jin, Na Liu, Xufeng Liu, Hongbao Liu, Yinling Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1073409/full
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author Yi Cui
Tianqi Yang
Rong Li
Hua Wang
Shasha Jin
Na Liu
Xufeng Liu
Hongbao Liu
Yinling Zhang
author_facet Yi Cui
Tianqi Yang
Rong Li
Hua Wang
Shasha Jin
Na Liu
Xufeng Liu
Hongbao Liu
Yinling Zhang
author_sort Yi Cui
collection DOAJ
description BackgroundFamily function plays a pivotal role in self-management among patients with early chronic kidney disease (CKD), which has been especially important during the COVID-19 pandemic. Previous studies have investigated the relationships between family function and self-management using total scores through self-report questionnaires while ignoring the different components in both family function and self-management. The specific objective of this study was to explore the network structure of family function and self-management at the component level.MethodsA total of 360 patients with early CKD from three tertiary hospitals were enrolled in our cross-sectional survey from September to December 2021 in China. Components of family function were measured by the Family Adaptation Partnership Growth and Resolve Index, and components of self-management were measured by the Chronic Kidney Disease Self-management Instrument. Network analysis was used to establish the network structure.ResultsEdges across the community of family function and self-management were mainly positive. Edges between F3 “Growth” and M1 “Self-integration”, F2 “Partnership” and M3 “Seeking social support,” F5 “Resolve” and M3 “Seeking social support” were the strongest. F3 “Growth” had the greatest positive bridge expected influence of family function community (0.12), and M3 “Seeking social support” had the greatest positive bridge expected influence of self-management community (0.16).ConclusionWe explored the potential pathways between different components of family function and self-management among patients with early CKD during the COVID-19 pandemic and found fine-grained relationships between them. The two nodes F3 “Growth” and M3 “Seeking social support” may provide a new idea from the perspective of family function for interventions to improve self-management.
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spelling doaj.art-f8b414f7592042d1936fe0cf71db88d52023-01-10T19:32:00ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011010.3389/fpubh.2022.10734091073409Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemicYi Cui0Tianqi Yang1Rong Li2Hua Wang3Shasha Jin4Na Liu5Xufeng Liu6Hongbao Liu7Yinling Zhang8Department of Nursing, Air Force Medical University, Xi'an, ChinaDepartment of Military Medical Psychology, Air Force Medical University, Xi'an, ChinaDepartment of Nephrology, The First Affiliated Hospital of Air Force Medical University, Xi'an, ChinaDepartment of Nephrology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, ChinaDepartment of Nephrology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, ChinaDepartment of Nursing, Air Force Medical University, Xi'an, ChinaDepartment of Military Medical Psychology, Air Force Medical University, Xi'an, ChinaDepartment of Nephrology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, ChinaDepartment of Nursing, Air Force Medical University, Xi'an, ChinaBackgroundFamily function plays a pivotal role in self-management among patients with early chronic kidney disease (CKD), which has been especially important during the COVID-19 pandemic. Previous studies have investigated the relationships between family function and self-management using total scores through self-report questionnaires while ignoring the different components in both family function and self-management. The specific objective of this study was to explore the network structure of family function and self-management at the component level.MethodsA total of 360 patients with early CKD from three tertiary hospitals were enrolled in our cross-sectional survey from September to December 2021 in China. Components of family function were measured by the Family Adaptation Partnership Growth and Resolve Index, and components of self-management were measured by the Chronic Kidney Disease Self-management Instrument. Network analysis was used to establish the network structure.ResultsEdges across the community of family function and self-management were mainly positive. Edges between F3 “Growth” and M1 “Self-integration”, F2 “Partnership” and M3 “Seeking social support,” F5 “Resolve” and M3 “Seeking social support” were the strongest. F3 “Growth” had the greatest positive bridge expected influence of family function community (0.12), and M3 “Seeking social support” had the greatest positive bridge expected influence of self-management community (0.16).ConclusionWe explored the potential pathways between different components of family function and self-management among patients with early CKD during the COVID-19 pandemic and found fine-grained relationships between them. The two nodes F3 “Growth” and M3 “Seeking social support” may provide a new idea from the perspective of family function for interventions to improve self-management.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1073409/fullfamily functionself-managementnetwork structurechronic kidney diseaseCOVID-19
spellingShingle Yi Cui
Tianqi Yang
Rong Li
Hua Wang
Shasha Jin
Na Liu
Xufeng Liu
Hongbao Liu
Yinling Zhang
Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic
Frontiers in Public Health
family function
self-management
network structure
chronic kidney disease
COVID-19
title Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic
title_full Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic
title_fullStr Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic
title_full_unstemmed Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic
title_short Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic
title_sort network structure of family function and self management in patients with early chronic kidney disease amid the covid 19 pandemic
topic family function
self-management
network structure
chronic kidney disease
COVID-19
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1073409/full
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