Effects of a Self-management Program on Patients with Early Stage Chronic Kidney Disease: A Pilot Study

Monday, 30 July 2012

Chiu-Chu Lin, PhD
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
Fu-Mian Tsai, RN, MS
Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan

Learning Objective 1: The learner could utility the self-regulation theory to design an intervention for people with early stage CKD.

Learning Objective 2: The learners working in the nephrology department can utilize the protocol designed in this study to instruct people with CKD implementing lifestyle modification.

Purpose:

The aim of this pilot study was to test the feasibility and effectiveness of a CKD self-management program based on self-regulation theory among patients with stage 1 to 3a CKD.

Methods:

This was a one-group, pretest-posttest repeated measures research design conducted in patients with early stage CKD recruited from four hospitals in southern Taiwan. In addition to learning from a visual computed disc (VCD) regarding CKD self-management made by the researchers, the participants received a five-week, group sessions self-management program based on self- regulation theory. Data were analyzed using generalized estimating equations (GEE) to test for change over time in outcome variables (i.e., self-efficacy, self-management behaviors, and CKD progression in glomerular filtration rate and serum creatinine).

Results:

Study participants ( n=33) showed significant differences in self-efficacy and serum creatinine at four time points. On the 3rd, 6th and 12th month after the self-management intervention program, Self-management behavior measures and GFR remained stable throughout the 12 months of follow-up.

Conclusion:

Empirical data from this pilot study supports that this theory-based intervention is feasible and effective to implement in the patients with early stage CKD. However, there still needs to evaluate the efficacy of the self-management protocol designed in this study through a testing of a large- scale randomized control trial.