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Improving self-management in chronic kidney disease: a pilot study.
- Source :
- Renal Society of Australasia Journal; Nov2013, Vol. 9 Issue 3, p116-125, 10p, 3 Charts, 4 Graphs
- Publication Year :
- 2013
-
Abstract
- The burden of diabetic kidney disease continues to escalate at significant cost to the patient and health care system. Health literacy and self-management are critical to improving the outcomes of chronic conditions such as chronic kidney disease (CKD).This paper describes a community-based CKD pilot study implemented in New Zealand (NZ) based on a self- management and educational model of care. The aim of the pilot study was to implement a collaborative, community-based intervention using specialist nephrology nursing support in a primary care setting, targeting people at increased risk of developing end-stage kidney disease. We have previously reported this pilot study to be effective in clinical terms by reducing proteinuria, improving blood pressure control, and reducing five-year absolute cardiovascular risk and to improve some patient-centred outcomes, (patients' knowledge of their health condition and medications/treatments, medication compliance, and adherence to a healthy lifestyle). In this article, we report the effect of the pilot on a more extensive range of self-management and patient-centred outcomes, such as patient perceptions around shared decision making, care that is appropriate to their cultural beliefs and values, their propensity to monitor and act upon medical early warning signs, and the impact of their condition upon daily physical activities, feelings, and social and family life. All but two of the domains showed significant improvement during this study, indicating the potential benefits of self-management models of care for patient-centred outcomes in CKD patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of chronic kidney failure
PREVENTION of disease progression
POVERTY areas
ALBUMINURIA
ANALYSIS of variance
BLOOD pressure
DIABETES
DIABETIC nephropathies
ETHNIC groups
FISHER exact test
GLOMERULAR filtration rate
HEMODIALYSIS patients
INTERPROFESSIONAL relations
MEDICAL protocols
METABOLIC regulation
NEPHROLOGY
NURSE practitioners
NURSING
NURSING specialties
HEALTH outcome assessment
PATIENT compliance
PATIENT education
PRIMARY health care
REGRESSION analysis
SCALE analysis (Psychology)
HEALTH self-care
STATISTICS
TEACHING aids
TIME series analysis
COMORBIDITY
PILOT projects
SECONDARY analysis
TREATMENT effectiveness
REPEATED measures design
CROSS-sectional method
DESCRIPTIVE statistics
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 18323804
- Volume :
- 9
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Renal Society of Australasia Journal
- Publication Type :
- Academic Journal
- Accession number :
- 92519479