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Effects of a self-management program on patients with early-stage chronic kidney disease: a pilot study
Chiu-Chu Lin1, Fu-Mian Tsai, Huey-Shyan Lin
1Kaohsiung Medical University, Chung Hwa University of Medical Technology, Fooyin University, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. chiuchu@kmu.edu.tw
Background:
Without intervention, renal function deteriorates in patients with chronic kidney disease (CKD).
Aim:
This pilot study aimed to develop a self-management education program based on self-regulation theory and to evaluate its effects on self-efficacy, self-management behavior, and CKD progression among patients with early-stage CKD.
Methods:
In this single-group, pretest-posttest, repeated-measures, longitudinal study, participants underwent baseline pretesting (T0) and posttesting at 3 (T1), 6 (T2), and 12 (T3) months after a 5-week group-session self-management program.
Results:
Self-efficacy increased significantly at T2 (χ(2)=8.97, p=.02) and T3 (χ(2)=10.71, p=.01) compared with T0, but self-management behavior did not. A marginally significant decrease in serum creatinine levels was observed from T0 to T3 (χ(2)=6.29, p=.07) but estimated glomerular filtration rates remained stable throughout the 12-month period.
Conclusions:
The results of this empirical study suggest that the theory-based intervention is feasible and has potential efficacy in retarding CKD progression.
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