Integrated self-management program effects on hemodialysis patients: A quasi-experimental study

Area of Science:

• Nephrology
• Digital Health
• Patient Self-Management

Background:

• Hemodialysis patients require effective self-management strategies to improve outcomes.
• Integrated approaches combining technology and education may enhance patient adherence and well-being.

Purpose of the Study:

• To assess the impact of a combined mobile app, SMS, and counseling program on hemodialysis patient self-management.
• To evaluate changes in self-efficacy, treatment compliance, interdialytic weight gain, and serum electrolyte levels.

Main Methods:

• A quasi-experimental design with 84 hemodialysis patients (42 intervention, 42 control).
• The intervention group received an 8-week integrated self-management program.
• Data analyzed using independent t-test and Mann-Whitney U test.

Main Results:

• Significantly higher self-efficacy and treatment compliance in the intervention group.
• Significant reduction in interdialytic weight gain ratio in the intervention group.
• No significant difference in serum potassium and phosphorus levels between groups.

Conclusions:

• The integrated self-management program shows promise for improving hemodialysis patient self-management.
• Mobile applications and nursing interventions can play a key role in enhancing patient care.
• Further research into diverse nursing intervention programs is recommended.