J Korean Acad Nurs.  2012 Dec;42(7):1070-1078. 10.4040/jkan.2012.42.7.1070.

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

• Choi ES
• Lee J

• KMID: 1739545
• DOI: http://doi.org/10.4040/jkan.2012.42.7.1070

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.

Keyword

Self-management; Education; Chronic renal insufficiency

MeSH Terms

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
Hemoglobins
Phosphates
Creatinine
Potassium
Sodium
Calcium

Figure

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  Figure 1 Research process.

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  Figure 2 Changes of knowledge and self-care practice overtime.

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