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Published on: April 12, 2021
[The use of systematic review to develop a self-management program for CKD]
Yu-Chin Lee1, Shu-Fang Vivienne Wu2, Mei-Chen Lee3
1Department of Nursing, Hemodialysis Room, National Yang-Ming University Hospital, Taiwan, ROC.
A new self-management program for chronic kidney disease (CKD) was developed using a systematic review and expert validation. This program provides guidelines for clinical caregivers to improve patient care and outcomes in CKD management.
Area of Science:
- Nephrology
- Public Health
- Health Services Research
Background:
- Chronic kidney disease (CKD) is a significant global public health concern with high prevalence.
- Self-management programs are increasingly used for chronic diseases, including CKD interventions.
- A comprehensive clinical application program for CKD self-management is currently lacking.
Purpose of the Study:
- To develop a structured self-management program for chronic kidney disease (CKD) through a systematic review.
- To create evidence-based guidelines for the clinical application of CKD self-management.
Main Methods:
- A systematic literature search was conducted across multiple databases (CEPS, PubMed, CINAHL, etc.).
- 22 relevant studies (4 systematic reviews, 10 randomized, 8 non-randomized experimental) were analyzed.
- Empirical evidence was synthesized to draft guidelines, which were then validated by expert panels.
Main Results:
- A comprehensive self-management program for CKD was designed, detailing principles, categories, elements, and interventions.
- The program's content validity was assessed using the Content Validity Index (CVI).
- The developed self-management program achieved a high content validity score of 0.98.
Conclusions:
- A practical self-management program for CKD has been successfully developed.
- The program guidelines offer a valuable reference for clinical caregivers to enhance CKD healthcare practices.
- This initiative aims to improve the delivery of care for patients with chronic kidney disease.
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