dc.contributor.author | Nguyet, Thi Nguyen | |
dc.contributor.author | Douglas, Clint | |
dc.contributor.author | Bonner, Ann | |
dc.date.accessioned | 2020-12-08T23:47:36Z | |
dc.date.available | 2020-12-08T23:47:36Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 0309-2402 | |
dc.identifier.doi | 10.1111/jan.13924 | |
dc.identifier.uri | http://hdl.handle.net/10072/400096 | |
dc.description.abstract | Aims: 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.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Wiley | |
dc.relation.ispartofpagefrom | 652 | |
dc.relation.ispartofpageto | 664 | |
dc.relation.ispartofissue | 3 | |
dc.relation.ispartofjournal | Journal of Advanced Nursing | |
dc.relation.ispartofvolume | 75 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.keywords | Science & Technology | |
dc.subject.keywords | Life Sciences & Biomedicine | |
dc.subject.keywords | blood pressure | |
dc.subject.keywords | chronic kidney disease | |
dc.title | Effectiveness 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.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Nguyet, 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.dateAccepted | 2018-10-22 | |
dc.date.updated | 2020-12-08T23:46:22Z | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Bonner, Ann J. | |