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慢性肾病患者自我管理方案的有效性:一项实效随机对照试验
Author(s) -
Nguyen Nguyet Thi,
Douglas Clint,
Bonner Ann
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13924
Subject(s) - randomized controlled trial , kidney disease , medicine , physical therapy , chronic disease , intensive care medicine
Abstract Aims To examine the effectiveness of a self‐management intervention compared with usual care in adults with chronic kidney disease (CKD) on self‐management, knowledge, self‐efficacy, health‐related quality of life, and blood pressure. Design A parallel group randomized controlled trial. Methods Patients aged ≥ 18 years with CKD stages 3–5 were recruited between November 2015 and June 2016. Participants were randomly allocated into either the intervention ( N = 68) or control group ( N = 67). The control group received usual care, while the intervention group received usual care plus a self‐management programme from a nurse. The intervention was guided by social cognitive theory (SCT) and included a face‐to‐face educational session followed by telephone support. Both groups were followed for 16 weeks. Results There were no significant differences in self‐management, knowledge, self‐efficacy, health‐related quality of life, and blood pressure between the two groups at baseline. At week 16, compared with the control group, large effect sizes for improved self‐management, knowledge, and self‐efficacy were detected. For health‐related quality of life, the physical and mental health components significantly improved. However, no significant differences in either systolic or diastolic blood pressures were found. Conclusion In earlier stages of CKD, a simple self‐management education benefits patients. Impact Effective self‐management in the earlier stages of CKD contributes to slowing its progression, improving health outcomes and lowering the burden on healthcare systems. This study demonstrated that SCT increases CKD self‐management by strengthening knowledge and self‐efficacy. Nurses can give this education. Trial registration Australian New Zealand Clinical Trials Registry ACTRN 12616000038493.