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Self-management program for adolescents with chronic kidney disease: A randomized controlled trial
Tufan Aslı Sezer1, Hicran Çavuşoğlu2, Ali Düzova3
1Nursing Department, Faculty of Nursing, Ankara University, Ankara, Turkey.
Journal of Renal Care
|December 29, 2020
Summary
A self-management training program significantly improved knowledge, behaviors, quality of life, and reduced anxiety in adolescents with chronic kidney disease. The program also led to a decrease in blood urea nitrogen levels.
Area of Science:
- Nephrology
- Adolescent Health
- Health Psychology
Background:
- Adolescents with chronic kidney disease (CKD) require self-management skills to prevent disease progression.
- Developing these behaviors is crucial for long-term health outcomes.
Purpose of the Study:
- To evaluate a self-management program for adolescents with CKD.
- The program was designed using Individual and Family Self-Management Theory.
- It aimed to enhance disease management competencies.
Main Methods:
- A randomized controlled trial was conducted with 40 adolescent patients (20 intervention, 20 control).
- The intervention included a three-session group training program on CKD self-management.
- Post-training, patients were monitored for three months with bi-weekly home visits.
Main Results:
- The intervention group showed statistically significant improvements in self-management knowledge and behaviors compared to the control group (p < .05).
- Quality of life and anxiety scores also improved significantly in the intervention group.
- A significant decrease in blood urea nitrogen was observed in the intervention group.
Conclusions:
- A self-management training program based on Individual and Family Self-Management Theory positively impacted cognitive and psychosocial aspects of self-management in adolescents with CKD.
- The findings support the use of tailored self-management programs to improve health outcomes in this population.
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