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dc.contributor.authorNguyet, Thi Nguyen
dc.contributor.authorDouglas, Clint
dc.contributor.authorBonner, Ann
dc.date.accessioned2020-12-08T23:47:36Z
dc.date.available2020-12-08T23:47:36Z
dc.date.issued2019
dc.identifier.issn0309-2402
dc.identifier.doi10.1111/jan.13924
dc.identifier.urihttp://hdl.handle.net/10072/400096
dc.description.abstractAims: To examine the effectiveness of a self-management intervention compared with usual care in adults with chronic kidney disease (CKD) on self-management, knowledge, self-efficacy, health-related quality of life, and blood pressure. Design: A parallel group randomized controlled trial. Methods: Patients aged ≥ 18 years with CKD stages 3–5 were recruited between November 2015 and June 2016. Participants were randomly allocated into either the intervention (N = 68) or control group (N = 67). The control group received usual care, while the intervention group received usual care plus a self-management programme from a nurse. The intervention was guided by social cognitive theory (SCT) and included a face-to-face educational session followed by telephone support. Both groups were followed for 16 weeks. Results: There were no significant differences in self-management, knowledge, self-efficacy, health-related quality of life, and blood pressure between the two groups at baseline. At week 16, compared with the control group, large effect sizes for improved self-management, knowledge, and self-efficacy were detected. For health-related quality of life, the physical and mental health components significantly improved. However, no significant differences in either systolic or diastolic blood pressures were found. Conclusion: In earlier stages of CKD, a simple self-management education benefits patients. Impact: Effective self-management in the earlier stages of CKD contributes to slowing its progression, improving health outcomes and lowering the burden on healthcare systems. This study demonstrated that SCT increases CKD self-management by strengthening knowledge and self-efficacy. Nurses can give this education. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12616000038493.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofpagefrom652
dc.relation.ispartofpageto664
dc.relation.ispartofissue3
dc.relation.ispartofjournalJournal of Advanced Nursing
dc.relation.ispartofvolume75
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4205
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsblood pressure
dc.subject.keywordschronic kidney disease
dc.titleEffectiveness of self-management programme in people with chronic kidney disease: A pragmatic randomized controlled trial
dc.title.alternative慢性肾病患者自我管理方案的有效性:一项实效随机对照试验
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationNguyet, TN; Douglas, C; Bonner, A, Effectiveness of self-management programme in people with chronic kidney disease: A pragmatic randomized controlled trial, Journal of Advanced Nursing, 2019, 75 (3), pp. 652-664
dcterms.dateAccepted2018-10-22
dc.date.updated2020-12-08T23:46:22Z
gro.hasfulltextNo Full Text
gro.griffith.authorBonner, Ann J.


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