Received Self-Care Support and Psychosocial Health Among Older Adults with Non-Dialysis-Dependent Chronic Kidney Disease

Nephrol Nurs J. 2024 Sep-Oct;51(5):463-478.

Abstract

Older age is linked with poorer self-care in the chronic kidney disease (CKD) setting. Informal health supporters (family members and friends) are critical sources of self-care support, but much remains unclear about the characteristics and implications of received support among this patient population. We examined how received self-care support (amount and type) related to positive (CKD management self-efficacy) and negative (depressive symptoms) psychosocial health correlates of self-care in 536 adults aged 65 years and older with non-dialysis-dependent CKD. Participants who received a greater amount of support reported less CKD management self-efficacy and more depressive symptoms. We did not observe associations between self-care support type and psychosocial health. Further research is needed to clarify our findings, especially studies that investigate causality and contextual influences.

Keywords: depressive symptoms; family; friends; pre-dialysis; self-management self-efficacy.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Depression
  • Female
  • Humans
  • Male
  • Renal Insufficiency, Chronic* / psychology
  • Renal Insufficiency, Chronic* / therapy
  • Self Care*
  • Self Efficacy*
  • Social Support