Impaired Kidney Function and Associated Factors Among Rural Adults With Disabilities in Taiwan

Chu-Yeh Chen; Wen-Nan Chiu; Yu-Chen Lin; Sui-Hwi Jane; Hsin-Hung Chiang; Mei-Yen Chen

doi:10.1097/jnr.0000000000000141

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P120 - 130

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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Impaired Kidney Function and Associated Factors Among Rural Adults With Disabilities in Taiwan

偏乡身心障碍居民肾功能不全及其影响因素之探讨

陈秋月(Chu-Yeh Chen) ；邱文南(Wen-Nan Chiu) ；林裕珍(Yu-Chen Lin) ；简淑慧(Sui-Hwi Jane) ；江欣虹(Hsin-Hung Chiang) ；陈美燕(Mei-Yen Chen)

The Journal of Nursing Research ； 25 卷 2 期 (2017 / 04 / 01) ， P120 - 130

英文 DOI： 10.1097/jnr.0000000000000141

disabilities ； impaired kidney function ； estimated glomerular filtration rate ； chronic kidney disease ；身心障碍；肾功能不全；肾丝球过滤率；慢性肾脏病

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摘要 │ 参考文献 (28) │ 国际计量

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Background: The results of numerous studies indicate that people with disabilities seek more healthcare than those who are not disabled, particularly for conditions such as chronic kidney disease, cardiovascular disease, and obesity. However, little is known about the incidence of impaired kidney function and its associated factors among adults with disabilities in Taiwan. Purpose: The aim of this study was to explore the prevalence and factors associated with impaired kidney function among adults with disabilities. Methods: This descriptive study was nurse led and was conducted as part of a health promotion program for disadvantaged rural adults with disabilities in Chiayi County, Taiwan. Health screening and a health needs survey were conducted between July and December 2013. Kidney function, physiological biomarkers, health-related behaviors, and demographic characteristics were examined. Results: Eight hundred ten rural adults with disabilities were enrolled. The most common disabilities included physical-related disability (33.1%), intellectual-related disability (26.7%), and hearing and vision impairment (18.6%). The prevalence of impaired kidney function in this population was 85%. According to classification for chronic kidney disease, 68.6%were in Stages 1-2, and 16.8%were in Stages 3-4. Univariate analysis showed that impaired kidney function was significantly associated with lower educational level (p ＜ .001), hearing or vision impairment (p ＜ .001), being overweight or obese (p ＜ .05), high systolic blood pressure (p ＜ .01), fasting blood glucose (p ＜ .001), total cholesterol (p ＜ .001), total triglyceride (p ＜ .05), older age (p ＜ .001), smoking (p ＜ .05), chewing betel nuts (p = .001), and low levels of participation in social activities (p ＜ .05). The final logistic regression model showed that residents with disabilities who were older or had less education, high fasting blood glucose, and high total cholesterol tended to have impaired kidney function after adjustment for other potential confounding variables. Conclusions/Implications for Practice: Most participants showed impaired kidney function. The factors that were found to relate significantly to this impairment include being overweight, having hyperlipidemia, having hypertension, having high fasting blood glucose, and having an unhealthy lifestyle. Because of the lack of symptoms during the early stages of chronic kidney disease, a community-based health promotion program for these factors is an important element in health advocacy for this vulnerable population.

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参考文献 ( 28 ) 〈TOP〉

Ministry of Health and Welfare, Taiwan, ROC. (2013). Nutrition and health survey in Taiwan 2005-2010. Retrieved from http://www.fda.gov.tw/TC/index.aspx. (Original work published in Chinese)
World Health Organization. (2014). Disability and health. Retrieved from http://www.who.int/mediacentre/factsheets/fs352/en/index.html
Laws & Regulation Database of the Republic of China. (2014). People with disabilities rights protection act. Retrieved from http://law.moj.gov.tw/News/news_detail.aspx?SearchRange=G&id=94256&k1 (Original work published in Chinese)
Ministry of Health and Welfare, National Health Insurance Administration, Taiwan, ROC. (2014). Statistical annual reports. Retrieved from http://www.nhi.gov.tw/webdata/webdata.aspx?menu=17&menu_id=1027&webdata_id=4565&WD_ID=1076
Ministry of Health andWelfare, Health Promotion Administration, ROC, Taiwan. (2014). Chronic diseases: Kidney disease. Retrieved from http://www.hpa.gov.tw/BHPNet/Web/HealthTopic/Topic.aspx?id=200712250019. (Original work published in Chinese)

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