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Patient-Centered Self-Management in Patients with Chronic Kidney Disease: Challenges and Implications
- Source :
- International Journal of Environmental Research and Public Health, Vol 17, Iss 9443, p 9443 (2020), International Journal of Environmental Research and Public Health
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
Abstract
- This review aims to identify attributes of patient-centered self-management (PCSM) in the current literature and explore its implementation in resolving patient obstacles in chronic kidney disease (CKD) treatment and management. A search of relevant articles and literature on PCSM, integrated care, and challenges of CKD management was conducted. Vital attributes of PCSM and current self-management interventions employed to resolve patient obstacles in CKD management were identified from inclusion studies. Findings affirm that PCSM strategies have positive effects on CKD management, but a lack of quality primary study, and long-term evidence presents the need for further development. Future research should focus on the development of a standardized and universal integrated PCSM model and a uniform system of data collection in the clinical setting. The difficulty of CKD management lies in how it is a comorbid and progressive disease. A pure biomedical approach is inadequate. Our review recommends that an integrated PCSM approach with health literacy and information technology intervention, which unifies and integrates patient education, can address the difficulties that are contributing to unsuccessful treatment outcomes. An integrated PCSM model should be implemented systematically and methodologically into future CKD management and health policies.
- Subjects :
- self-regulation
medicine.medical_specialty
self-management
Health, Toxicology and Mutagenesis
media_common.quotation_subject
030232 urology & nephrology
Psychological intervention
lcsh:Medicine
Health literacy
Review
03 medical and health sciences
0302 clinical medicine
Intervention (counseling)
Patient-Centered Care
medicine
Humans
030212 general & internal medicine
Renal Insufficiency, Chronic
Intensive care medicine
Empowerment
Qualitative Research
media_common
integrated care
Self-management
business.industry
Data Collection
lcsh:R
Public Health, Environmental and Occupational Health
patient-centered
medicine.disease
Integrated care
empowerment
health-literacy
business
chronic kidney disease
Kidney disease
Patient education
Subjects
Details
- Language :
- English
- ISSN :
- 16617827 and 16604601
- Volume :
- 17
- Issue :
- 9443
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....e70cba4e950ea96d0f819da55adba450