Concept Analysis of Self-management in Children with Chronic Kidney Diseases through Walker and Avant’s Method

Abstract

Purpose: The study aimed to identify the clear properties of the concept of self-management in children with chronic kidney diseases and provide a theoretical basis for understanding. Methods: The study was conducted based on the basic principle of concept analysis by Walker and Avant (2005). Results: Self-management in children with chronic kidney diseases can be divided into internal, environmental, and behavioral dimensions. The internal dimension includes a positive attitude toward life and overcoming a sense of unsafe self-control caused by chronic kidney disease. The environmental dimension includes support from peer groups and family, and the behavioral dimension includes controlling one’s own daily routine and self-directed chronic kidney disease management behavior. The definition of self-management in children with chronic kidney disease refers to “overcoming the unstable sense of self-control caused by chronic kidney disease through a positive attitude toward life, while receiving support from peers and family in their environment, and autonomously managing their chronic illness by taking control of their daily lives.” Conclusion: This study provides a framework for the development of interventions for increased self-management in children with chronic kidney diseases. The study employed a concept analysis of self-management in children with chronic kidney diseases and its understanding to establish this framework, as well as data for the development of tools that identify the educational demand of the target and evaluate the effect of intervention.