Diabetic Kidney Disease (DKD), Type 2 Diabetes
Conditions
Keywords
Diabetic kidney disease, Type 2 diabetes, Psychological Well-being, Social Support, Disease Self-management
Brief summary
This study will look at the psychological well-being and social support of people with diabetic kidney disease and how these factors are related to how well they manage their condition. Participants will complete questionnaires about their emotional well-being, the support they receive from others, and how they care for their disease. The results may help healthcare professionals better understand patients' needs and develop ways to improve disease self-management and overall health. The findings may also provide useful information for future research on diabetic kidney disease.
Detailed description
This study investigates the current status of psychological well-being and social support among patients with diabetic kidney disease and examines their associations with disease self-management. It is anticipated that the findings will increase healthcare professionals' awareness of the importance of assessing patients' psychological well-being and social support, thereby facilitating improvements in disease self-management. Furthermore, the findings are expected to provide empirical evidence and serve as a reference for future studies related to diabetic kidney disease, psychological well-being, social support, and disease self-management.
Interventions
None listed
Sponsors
National Taiwan University Hospital
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 18 years or older. * Diagnosed with type 2 diabetes mellitus and diabetic kidney disease. * Chronic kidney disease (CKD) stages 1-5, classified by estimated glomerular filtration rate (eGFR), without receiving dialysis. * Mentally competent and without diagnosed psychiatric disorders. * Able to communicate in Mandarin or Taiwanese and understand the questionnaire * Willing to participate in the study and provide written informed consent
Exclusion criteria
* Diagnosed with type 1 diabetes mellitus. * End-stage kidney disease requiring dialysis. * Severe cognitive impairment or inability to complete the questionnaire independently. * History of major psychiatric disorders documented in the medical records.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease self-management | As this is a cross-sectional study, all outcome measures, including psychological well-being, social support, and disease self-management, will be assessed once at baseline at the time of study enrollment. | Disease self-management assessed using the Diabetic Nephropathy Self-Management Scale (DN-SM).The 29-item instrument evaluates self-management behaviors across four domains: self-integration, problem solving, seeking social support, and adherence to the recommended regimen. Each item is rated on a 4-point Likert scale (1 = never, 2 = sometimes, 3 = often, 4 = always). Higher total scores indicate better disease self-management ability. |
| Psychological well-being | As this is a cross-sectional study, all outcome measures, including psychological well-being, social support, and disease self-management, will be assessed once at baseline at the time of study enrollment. | Psychological well-being will be assessed using the World Health Organization-Five Well-Being Index (WHO-5), a self-administered instrument developed by the World Health Organization. The WHO-5 evaluates psychological well-being during the previous 14 days and consists of five items rated on a 6-point Likert scale from 0 ("at no time") to 5 ("all of the time"). Total scores range from 0 to 25, with higher scores indicating better psychological well-being. |
| Social support | As this is a cross-sectional study, all outcome measures, including psychological well-being, social support, and disease self-management, will be assessed once at baseline at the time of study enrollment. | Social support will be assessed using the Interpersonal Support Evaluation List, ISEL-SF16. The instrument evaluates four domains: appraisal support, tangible support, self-esteem support, and belonging support. Each item is rated on a 4-point Likert scale ranging from 0 ("strongly disagree") to 3 ("strongly agree"). Total scores range from 0 to 48, with higher scores indicating greater perceived social support. |
Countries
Taiwan
Contacts
CONTACTKaichi Chen
Outcome results
None listed