2022 Volume 42 Pages 446-455
Purpose: This study aimed to classify types of disease perceptions of patients with non-diabetic chronic kidney disease (CKD) in the conservative phase—based on the characteristics of the patient disease perceptions.
Methods: An interview survey was conducted for non-diabetic CKD patients in the conservative phase to understand the characteristics of the patient disease perceptions. The interview data were deductively analyzed by summarizing the characteristics in a case-code matrix based on the components of the Health Belief Model.
Results and Conclusions: Patient health behaviors were classified into groups with or without the patient “perceived benefits” of adherence to behavioral advice. Further, focusing on “perceived barriers” and “behaviors”, the group “perceived benefits” were classified into three types (A to C), and those without such feelings into two types (D and E). Type A patients “consistently adopt and practice self-management in their life,” type B “adopt and practice self-management in their life with unstable feelings,” type C “follow instructions despite unwillingness to self-manage,” type D “practiced self-management although they cannot accept their illness and have a sense of emptiness,” and type E “have no awareness of illness and cannot fully practice self-management.” The findings suggest the necessity to consider the contents and methods of educational support depending on the patient type.
