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Effectiveness of self-management support in maintenance haemodialysis patients with hypertension: A pilot cluster randomized controlled trial
- Source :
- Nephrology. 23:755-763
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- AIM Uncontrolled hypertension is an independent risk factor for cardiovascular disease and is the leading cause of mortality in haemodialysis patients. The aim of this study was to examine the effectiveness of self-management support (SMS) for blood pressure (BP) control and health behaviours. METHODS We conducted a cluster randomized controlled trial (RCT) in which 90 adult haemodialysis patients were assigned to either an SMS or common intervention (CI) group. The SMS group received an intervention consisting of self-management education and motivational interviewing. The CI group received standard care and routine health education. The primary outcome was the BP monitored before each haemodialysis. Secondary outcomes included salt intake (measured using a balance formula), home BP monitoring (HBPM) (assessed using two self-administered questions), and medication adherence (measured using the Medication-taking Behavior Scale). Data were collected at baseline and at 1, 3 and 6 months post-intervention. RESULTS The SMS group showed continuous reductions in systolic BP from baseline: -9.2, -8.7, and -8.4 mmHg at 1, 3 and 6 months after the intervention, respectively (P 0.05). SMS patients showed an improvement in health behaviours relative to baseline (less salt intake, more consistent HBPM, and greater medication adherence) (P < 0.05). CONCLUSIONS Self-management support obtained short-term success in improving salt restriction, regular performance of HBPM and medication adherence, which led to better BP control.
- Subjects :
- medicine.medical_specialty
Self-management
business.industry
030232 urology & nephrology
Motivational interviewing
General Medicine
030204 cardiovascular system & hematology
Disease cluster
law.invention
03 medical and health sciences
0302 clinical medicine
Blood pressure
Randomized controlled trial
Nephrology
law
Physical therapy
Medicine
Health education
Salt intake
Risk factor
business
Subjects
Details
- ISSN :
- 13205358
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Nephrology
- Accession number :
- edsair.doi...........412da2c29288bdbddcf2937830e4f30a