Incidence of stigma and its influencing factors in chronic kidney disease patients without dialysis_West China Medical Journal

Authors：

HUANG Xiaorong , LUO Yan , DUAN Difei , HE Xueqin , ZHANG E ,  MA Dengyan

Department of Nephrology, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

MA Dengyan, Email: mdy5104@163.com

Keywords：

Dialysis; chronic kidney disease; stigma; social support

DOI：

10.7507/1002-0179.202106020

Video：

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Objective To understand the incidence of stigma in non-dialysis chronic kidney disease (CKD) patients, and to explore its influencing factors, so as to provide a basis for scientific management of non-dialysis CKD patients. Methods Convenience sampling method was used to select non-dialysis CKD patients hospitalized in the Department of Nephrology, West China Hospital, Sichuan University between December 2019 and December 2020 as the research subjects. The general information questionnaire, Social Impact Scale and Social Support Rating Scale were used to investigate, and logistic regression analysis was used to explore the influencing factors of stigma in CKD patients without dialysis. Results A total of 300 questionnaires were distributed in this study, and 272 valid questionnaires were recovered, with an effective recovery rate of 90.67%. The age of the patients ranged from 15 to 83 years old, with an average of (38.34±13.64) years old. The disease course ranged from 1 month to 18 years, with a median of 3 years. The patients’ stigma score ranged from 23 to 86 points, with an average score of (40.14±1.67) points, of which 101 patients had a score of ≥48 (with stigma), accounting for 37.13%. Logistic regression analysis showed that gender [odds ratio (OR)=1.871, 95% confidence interval (CI) (1.018, 3.347), P=0.042], place of residence [OR=2.991, 95%CI (1.645, 5.824), P=0.001], personal monthly income [OR=0.575, 95%CI (0.260, 0.857), P=0.013], received CKD self-management education or not [OR=0.468, 95%CI (0.258, 0.843), P=0.011], and social support level [OR=0.418, 95%CI (0.230, 0.737), P=0.003] were influencing factors of stigma in CKD patients without dialysis. Conclusion The stigma of non-dialysis CKD patients is at a moderate level. Female, living in rural areas, personal monthly income ≤ 3000 yuan, not receiving CKD self-management education, and low social support level are risk factors for stigma in non-dialysis CKD patients.

Citation： HUANG Xiaorong, LUO Yan, DUAN Difei, HE Xueqin, ZHANG E, MA Dengyan. Incidence of stigma and its influencing factors in chronic kidney disease patients without dialysis. West China Medical Journal, 2022, 37(8): 1188-1192. doi: 10.7507/1002-0179.202106020 Copy

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2.	Zhang L, Wang F, Wang L, et al. Prevalence of chronic kidney disease in China: a cross-sectional survey. Lancet, 2012, 379(9818): 815-822.
3.	Rüsch N, Angermeyer MC, Corrigan PW. Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry, 2005, 20(8): 529-539.
4.	石穎, 孫皎, 王守琦, 等. 基于病恥感內涵視角探討患者病恥感量表的研究進展. 解放軍護理雜志, 2016, 33(24): 42-45, 49.
5.	王婷, 陸萍靜, 趙航笛, 等. 丙型肝炎患者病恥感的研究進展. 解放軍護理雜志, 2016, 33(16): 43-45.
6.	Harper KJ, Osborn CY, Mayberry LS. Patient-perceived family stigma of Type 2 diabetes and its consequences. Fam Syst Health, 2018, 36(1): 113-117.
7.	Sarfo FS, Nichols M, Qanungo S, et al. Stroke-related stigma among West Africans: patterns and predictors. J Neurol Sci, 2017, 375: 270-274.
8.	張娥, 何學勤, 黃肖容, 等. 尿毒癥患者病恥感現狀及其影響因素調查研究. 現代臨床護理, 2019, 18(6): 1-5.
9.	倪平, 陳京立, 劉娜. 護理研究中量性研究的樣本量估計. 中華護理雜志, 2010, 45(4): 378-380.
10.	李治成, 唐志剛, 鄭巧, 等. 非布司他聯合前列地爾治療慢性腎衰竭的療效及高尿酸血癥對血液流變學的影響. 河北醫學, 2019, 25(8): 1336-1339.
11.	Fife BL, Wright ER. The dimensionality of stigma: a comparison of its impact on the self of persons with HIV/AIDS and cancer. J Health Soc Behav, 2000, 41(1): 50-67.
12.	李榮, 李廣慶, 閆榮, 等. 宮頸癌患者病恥感現狀及其相關影響因素分析. 現代臨床護理, 2016, 15(4): 1-5.
13.	銀秀君. 120 例梅毒感染者病恥感現狀及影響因素分析. 護理學報, 2018, 25(22): 44-47.
14.	肖水源, 楊德森. 社會支持對身心健康的影響. 中國心理衛生雜志, 1987(4): 183-187.
15.	虞飛兒, 林晶晶, 姜玲燕. 述情障礙對維持性血液透析患者病恥感的影響. 護理與康復, 2019, 18(11): 24-26.
16.	王熙寧, 張鴻, 謝兆媛. 維持性血液透析患者自我隱瞞現狀及其與病恥感、社會支持的相關性和影響因素分析. 山東醫藥, 2020, 60(17): 84-86.
17.	楊婧, 郭洪花, 李敏香, 等. 糖尿病患者的病恥感現狀及其影響因素. 解放軍護理雜志, 2020, 37(7): 20-23, 28.
18.	葉子文, 甄莉, 朱木蘭, 等. 220 例預防性腸造口患者病恥感現狀及影響因素分析. 護理學報, 2019, 26(3): 40-45.
19.	楊榮, 閆榮, 袁芳, 等. 卵巢癌患者病恥感現狀及影響因素研究. 護士進修雜志, 2020, 35(23): 2128-2132.
20.	鄭春嬈, 王惠珍. 乳腺癌術后患者病恥感現狀及影響因素分析. 護理學報, 2018, 25(2): 7-9.
21.	高蘭英, 靳月麗, 王靜. 不同造口類型腸造口患者病恥感現狀及影響因素分析. 齊魯護理雜志, 2020, 26(20): 74-76.

1. Ene-Iordache B, Perico N, Bikbov B, et al. Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): a cross-sectional study. Lancet Glob Health, 2016, 4(5): e307-e319.
2. Zhang L, Wang F, Wang L, et al. Prevalence of chronic kidney disease in China: a cross-sectional survey. Lancet, 2012, 379(9818): 815-822.
3. Rüsch N, Angermeyer MC, Corrigan PW. Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry, 2005, 20(8): 529-539.
4. 石穎, 孫皎, 王守琦, 等. 基于病恥感內涵視角探討患者病恥感量表的研究進展. 解放軍護理雜志, 2016, 33(24): 42-45, 49.
5. 王婷, 陸萍靜, 趙航笛, 等. 丙型肝炎患者病恥感的研究進展. 解放軍護理雜志, 2016, 33(16): 43-45.
6. Harper KJ, Osborn CY, Mayberry LS. Patient-perceived family stigma of Type 2 diabetes and its consequences. Fam Syst Health, 2018, 36(1): 113-117.
7. Sarfo FS, Nichols M, Qanungo S, et al. Stroke-related stigma among West Africans: patterns and predictors. J Neurol Sci, 2017, 375: 270-274.
8. 張娥, 何學勤, 黃肖容, 等. 尿毒癥患者病恥感現狀及其影響因素調查研究. 現代臨床護理, 2019, 18(6): 1-5.
9. 倪平, 陳京立, 劉娜. 護理研究中量性研究的樣本量估計. 中華護理雜志, 2010, 45(4): 378-380.
10. 李治成, 唐志剛, 鄭巧, 等. 非布司他聯合前列地爾治療慢性腎衰竭的療效及高尿酸血癥對血液流變學的影響. 河北醫學, 2019, 25(8): 1336-1339.
11. Fife BL, Wright ER. The dimensionality of stigma: a comparison of its impact on the self of persons with HIV/AIDS and cancer. J Health Soc Behav, 2000, 41(1): 50-67.
12. 李榮, 李廣慶, 閆榮, 等. 宮頸癌患者病恥感現狀及其相關影響因素分析. 現代臨床護理, 2016, 15(4): 1-5.
13. 銀秀君. 120 例梅毒感染者病恥感現狀及影響因素分析. 護理學報, 2018, 25(22): 44-47.
14. 肖水源, 楊德森. 社會支持對身心健康的影響. 中國心理衛生雜志, 1987(4): 183-187.
15. 虞飛兒, 林晶晶, 姜玲燕. 述情障礙對維持性血液透析患者病恥感的影響. 護理與康復, 2019, 18(11): 24-26.
16. 王熙寧, 張鴻, 謝兆媛. 維持性血液透析患者自我隱瞞現狀及其與病恥感、社會支持的相關性和影響因素分析. 山東醫藥, 2020, 60(17): 84-86.
17. 楊婧, 郭洪花, 李敏香, 等. 糖尿病患者的病恥感現狀及其影響因素. 解放軍護理雜志, 2020, 37(7): 20-23, 28.
18. 葉子文, 甄莉, 朱木蘭, 等. 220 例預防性腸造口患者病恥感現狀及影響因素分析. 護理學報, 2019, 26(3): 40-45.
19. 楊榮, 閆榮, 袁芳, 等. 卵巢癌患者病恥感現狀及影響因素研究. 護士進修雜志, 2020, 35(23): 2128-2132.
20. 鄭春嬈, 王惠珍. 乳腺癌術后患者病恥感現狀及影響因素分析. 護理學報, 2018, 25(2): 7-9.
21. 高蘭英, 靳月麗, 王靜. 不同造口類型腸造口患者病恥感現狀及影響因素分析. 齊魯護理雜志, 2020, 26(20): 74-76.

West China Medical Journal

Incidence of stigma and its influencing factors in chronic kidney disease patients without dialysis

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