Reproductive concerns and associated factors among female chronic kidney diseases patients: a Multi-Center Cross-Sectional Study

Nurs Open. 2021 Sep;8(5):2743-2749. doi: 10.1002/nop2.850. Epub 2021 Mar 10.

Abstract

Aim: The study aimed to investigate the current status of reproductive concerns and explore the associated factors among young female chronic kidney disease (CKD) patients.

Design: A multi-center cross-sectional study was designed.

Methods: The study was conducted in six representative tertiary hospitals across southwest China. A total of 295 female Chronic kidney disease patients between 18-45 years of age completed a 20 min, web-based survey, which included demographics and disease-related information questionnaire, Reproductive Concerns Scale, Generalized Anxiety Disorder 7 (GAD-7) instrument and Patient Health Questionnaire 9 (PHQ-9) instrument.

Result: The survey total collected 270 valid questionnaires. The mean reproductive concern score was 54.39 ± 10.90 (out of a maximum of 90), with the mean scores for sub-scales ranging from 7.80 ± 1.69 to 10.44 ± 1.85. Multiple regression analysis showed that those with higher reproductive concerns were more likely to have pregnancy intentions, to be in Chronic kidney disease stages 1-3, and to have a higher GAD-7 score. This study offered further evidence of the need for improved education and emotional support surrounding reproductive concerns among young Chinese women with Chronic kidney disease.

Keywords: Chronic kidney disease; factors; fertility intention; reproductive concerns.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anxiety Disorders*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Pregnancy
  • Renal Insufficiency, Chronic* / epidemiology
  • Reproduction
  • Surveys and Questionnaires