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The effect of a self‐management program on renal function control in patients with hemodialysis in Taiwan: A longitudinal randomized controlled trial
Author(s) -
Lee MeiChen,
Wu ShuFang V.,
Lu KuoCheng,
Liu ChiefYu,
Liu WenI,
Liu JuHan
Publication year - 2020
Publication title -
japan journal of nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.363
H-Index - 17
eISSN - 1742-7924
pISSN - 1742-7932
DOI - 10.1111/jjns.12345
Subject(s) - hemodialysis , medicine , randomized controlled trial , dialysis , weight gain , phosphorus , longitudinal study , potassium , renal function , urology , body weight , chemistry , materials science , organic chemistry , pathology , metallurgy
Abstract Aim This study was designed to investigate the longitudinal effect of participating in a self‐management program (SMP) on renal function control in patients receiving hemodialysis. Methods This randomized controlled trial enrolled a total of 58 patients at the hemodialysis center of a teaching hospital in Taiwan. The control group ( n = 30) received the usual care and the experimental group ( n = 28) received a 4‐week SMP intervention. The results of the follow‐up on the longitudinal data at 3, 6, and 9 months showed that the renal function indices, potassium and phosphorus levels, and interdialytic weight gain were significantly better than at the pre‐test for the experimental group. Results In terms of the interaction between group and time, the potassium level dropped significantly below the pre‐test value only after 3 months ( B = −0.31, SE = 0.15, p = .044), suggesting that the post‐test potassium level had significantly decreased after 3 months. In terms of the interaction between group and time, the phosphorus level dropped significantly below the pre‐test value only after 6 months ( B = −0.53, SE = 0.28, p = .050), suggesting that the post‐test phosphorus level significantly decreased after 6 months. Finally, the intervention could effectively control the weight change between dialysis sessions for up to 9 months ( B = −1.34, SE = 0.30, p < .001). Conclusions The SMP intervention decreased potassium and phosphorus levels and helped control interdialytic weight gain in patients undergoing hemodialysis.