Psychological Needs Assessment of Disease Self-management in Chronic Kidney Disease—Symptom Medication focused

Chronic kidney disease (CKD) patients in varied stages, would need multiple pharmacotherapy. Comparing with other different chronic disease, they need more information about benefit and risk of pharmacotherapy and disease self-management. In the process of pharmacotherapy, there has been proved that patients and their caregiver, not only facing the physical influenced, also the psychological impact about confusion, struggle and emotional depressed. However, there’s no complete integrated research to understand that in the course of disease self-management of different stages in CKD, there would be what kind of psychological needs in the varied pharmacotherapy. This pilot study use mixed method, integrated the focus group, participate observation and data of life quality, to assess the psychological needs. The result is shown below: 1. There are relations about the result expected to disease control and belief and understand of drug using. The more they want to improve their condition, the more they bring out thoughts and discussion about their drugs. 2. The more positive attitude about understanding, arranging their drug, the better ability to achieve self-management and expression. However, the self-satisfaction in the different aspect to quality of life, is not related to the positive attitude. 3. The bigger emotional impact is, the worse of quality of life. There are also relations between the disease control, the emotional impact to drug, daily food, life style between self-satisfaction of quality of life. If there is more information and opportunity to understand about pharmacotherapy for patients and caregivers, the less psychological impact. It is a chance to improve quality of life and quality of medical care. In this research, peers group helps to give information fluently and relief patients pressure in the physical and psychological aspects. This is a method to build the good doctor-patient relationship and improve the quality of care. In the future, psychological health care strategy also need integrate into chronic disease care, peers group could be a way to go. It also promote the overall health and competitive strength of our country.