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Learning Objective 1: The learner will be able to understand the lifestyle modification counseling program from a longitudinal study.
Learning Objective 2: The learner will be able to understand the effect of lifestyle modification intervention on patients with chronic kidney disease at the early stage.
To examine the effectiveness of a lifestyle modification program to early stages of CKD patients by measuring physical indicators, renal protection knowledge and health promotion lifestyles.
Methods:
An experimental study design was applied to evaluate the effects of lifestyle modification intervention. Patients diagnosed by nephrologists as CKD stage 1, 2 or 3 using the National Kidney Foundation (NKF) criteria were eligible to participate in the study. Patients were randomly assigned to a control or an experimental group. All patients received routine education and care by the clinic case managers. The intervention group also received the Lifestyle Modification Program, which provided process of change behavioral strategies. The effects of the program was evaluated at baseline and 6 months.
Results:
A total of 127subjects participants in this study and 65 patients in control and 62 in experimental group, respective. The mean age of the participants was 60.13 years (SD = 13.6), and most participants were male (71.7%). There was no significant difference between the two groups for the baseline measures, except waist hip ratio and body weight. After 6-month lifestyle modification program, both the intervention and control groups had mild loss weight over time. The intervention group had a significant decline in systolic blood pressure (t = 2.370; p < .05).
Conclusion:
Patients with CKD joining lifestyle modification program may decrease systolic blood pressure. A longitudinal follow ups need to be performed to reflect the behavior changes in lifestyle.