Opportunities to acquire new skills and knowledge

Environmental Domain

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ENVIRONMENTAL

In the Environmental Domain, the sociodemographics that were moderately correlated were marital status (V = .362) and occupational status (rpb = .321). These two factors had a stronger relationship to environmental quality of life (QoL) compared to the other variables, which showed only weak correlations.

Marital status affected the Environmental Domain because having a spouse often provided emotional, financial, and practical support—such as assistance with transportation to dialysis, navigating the healthcare system, and maintaining a safe, stable home environment. Married patients tended to have better access to resources that improve environmental QoL, while single, divorced, or widowed individuals sometimes struggled with these supports, impacting their living conditions and access to care. Occupational status also influenced the Environmental Domain significantly. Employed patients benefited from better financial stability, allowing them to afford safer housing, better transportation, and necessary healthcare services. On the other hand, unemployed patients often faced financial hardships, limiting their environmental supports and worsening their ability to maintain a healthy and stable living situation.

Thus, marital and employment statuses moderately affected how CKD patients experienced their environment, while other factors like age, sex, education, income, and comorbidities had only weak effects.

Opportunities to Acquire New Skills and Knowledges

Refers to situations and avenues that enable individuals to expand their understanding, abilities, and expertise (WHO, 2022). It is the access to learning that helps in managing health.

General Interventions

(For age, sex, marital status, household income, comorbidities)

1. Take free or low-cost online courses to strengthen skills in finance, health, or hobbies.

Learning new skills boosts self-esteem and coping. (NANDA International, 2021).

2. Attend community workshops to improve CKD management, healthy cooking, and mental wellness.

Workshops provide knowledge and social support. (NANDA International, 2021).

3. Join hospital education programs to stay updated on hemodialysis advancements

Staying informed promotes active care involvement. (NANDA International, 2021).

Marital Status-Based: Married

1. Join couples’ wellness classes that cover disease management.

Joint learning enhances family support and health behaviors. (Korzun, 2025).

2. Attend virtual skill-building classes with your spouse.

Shared activities improve relationships and patient engagement. (Korzun, 2025).

3. Learn basic caregiving skills together to support each other during recovery.

Mutual caregiving promotes independence and reduces caregiver strain. (Korzun, 2025).

Marital Status-Based: Widowed

1. Encourage enrollment in grief management programs with life skills training.

Grief support with life skills training aids recovery. (Korzun, 2025).

2. Promote learning basic technology skills (e.g., smartphones, health apps) to stay informed and connected.

Tech skills reduce isolation and improve care access. (Korzun, 2025).

3. Support participation in basic nutrition classes to aid independent diet management after bereavement.

Proper nutrition supports physical recovery and mental health. (Korzun, 2025).

Marital Status-Based: Separated

1. Encourage enrollment in stress management or mental health courses to enhance emotional well-being.

Emotional health education helps adjust to life transitions. (Wiedermann et al., 2023).

2. Promote participation in online or barangay information sessions to learn about patient rights and available social services.

Awareness boosts empowerment and resource utilization. (Wiedermann et al., 2023).

3. Support development of communication skills to rebuild social support networks after separation.

Strong communication supports social integration and mental health. (Wiedermann et al., 2023).

Marital Status-Based: Single

1. Promote development of solo skills such as independent health monitoring and home-based therapeutic activities.

Independent living skills boost confidence and quality of life. (Gupta, 2024).

2. Encourage participation in online forums or e-learning groups offering individual skill-building classes.

Peer-to-peer learning enhances knowledge retention and support. (Gupta, 2024).

3. Support pursuit of self-paced certifications in home care or wellness programs.

Certified programs improve employability and self-sufficiency. (Gupta, 2024).

Occupational Status-Based: Unemployed

1. Promote participation in barangay skill-building programs for unemployed individuals, such as handicrafts or online work.

Skill programs boost job prospects and mental health. (Fresenius Medical Care Asia-Pacific Ltd., 2023).

2. Encourage enrollment in free livelihood training programs suited for CKD patients, including work-from-home skills.

Livelihood training strengthens independence despite illness. (Fresenius Medical Care Asia-Pacific Ltd., 2023).

3. Support involvement in online support groups that offer health education and skill-building webinars.

Integrated support enhances health and employability. (Fresenius Medical Care Asia-Pacific Ltd., 2023).

Occupational Status-Based: Employed

1. Encourage requesting workplace-sponsored upskilling programs available online or in-person.

Employers often offer continuous education benefits. (Wiedermann et al., 2023).

2. Promote enrollment in time management and productivity courses to help balance work and dialysis schedules.

Time management reduces stress and prevents burnout (Wiedermann et al., 2023).

3. Support participation in advanced health literacy classes to improve understanding of dialysis-related information.

Better health literacy improves self-care practices. (Wiedermann et al., 2023).

Religion

A system of beliefs and practices tied to spiritual well-being. (WHO, 2021)