Effects of a Face-to-face Self-management Program on Knowledge, Self-care Practice and Kidney Function in Patients with Chronic Kidney Disease before the Renal Replacement Therapy.
10.4040/jkan.2012.42.7.1070
- Author:
Eun Sung CHOI
1
;
Jia LEE
Author Information
1. Education Graduate School, Kyung Hee University, Seoul, Korea.
- Publication Type:Original Article ; Controlled Clinical Trial
- Keywords:
Self-management;
Education;
Chronic renal insufficiency
- MeSH:
Adult;
Aged;
Blood Urea Nitrogen;
Calcium/blood;
Creatinine/blood;
Female;
Glomerular Filtration Rate;
*Health Knowledge, Attitudes, Practice;
Hemoglobins/analysis;
Humans;
Kidney/*metabolism;
Male;
Middle Aged;
*Patient Education as Topic;
Phosphates/blood;
Potassium/urine;
Program Evaluation;
Renal Insufficiency, Chronic/*psychology;
Renal Replacement Therapy;
*Self Care;
Sodium/urine
- From:Journal of Korean Academy of Nursing
2012;42(7):1070-1078
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to examine the effects of a face-to-face self-management educational program on knowledge, self-care practice and kidney function in patients with chronic kidney disease (CKD) before kidney replacement therapy. METHODS: This study employed a nonequivalent control group, non-synchronized design. Data were collected from 61 patients with CKD visiting an outpatient department of nephrology in a university hospital in Seoul, South Korea. The experimental group (n=31) took the pre-test, then after 3 weeks, face-to-face education and individualized consultation (1st intervention), after a week of self-practice, the 1st post-test, followed by re-enforcement education and consultation (2nd intervention), and 4 weeks later, the 2nd post-test. The control group (n=30) took the pre-test and post-tests at 4 and 8 weeks. RESULTS: Scores for knowledge of CKD and self-care practice over time improved significantly in the experimental group compared to the control group. Kidney function did not improve significantly in the experimental group. CONCLUSION: Health care providers can identify various and individualized needs, and provide effective education and consultation through face to face self-management for patients with chronic irreversible illnesses. Nurses can coordinate for these program by designing and providing systematic and effective education.
