The Empowerment Experiences in the Transition of the Patients Newly Diagnosed with Chronic Kidney Disease: A Taiwan Perspective

Monday, 22 July 2013

Yu-Chi Chen, RN, PhD
department of Nursing, National Yang-Ming University, Taipei, Taiwan

Learning Objective 1: The learner will be able to know the process of applying the empowerment concept in case management for patients newly diagnosed with chronic kidney disease.

Learning Objective 2: The learner will be able to know the empowerment experience of adapting a new patient role with chronic kidney disease and learning the self-management behaviors.

Purpose: The aim of this study was to investigate the empowerment experience of patients in the transition of adapting a new role.

Methods: This study applied participatory action research design and used the concept of empowerment guiding the study to display the process, strategies, and outcomes in constructing case management care model for the patients newly diagnosed with chronic kidney disease. The qualitative data collected by individual interview and focus group to identify the experience of empowerment of learning self-management behaviors during the new role transition process.

Results: The results revealed the participants, improved subjects’ self-perceived health and severity of kidney disease, had actively and positive attitude in participating intervention activities. The empowerment experiences included the individual level: awareness of renal disease and ways of take care, alleviation of anxiety and fear to acceptance and live with renal disease, improvement of knowledge and skills of renal disease care, recognition of the importance of taking the self-care responsibility; the system level: building up the partnership-more satisfaction and trust, sincerity in caring and regards came at the right time, establishment of new friendship to ease the sense of loneliness, and reconstruction the family cohesion.

 Conclusion: It further underscored the importance of constructing supportive environment to provide patient-center care service. The positive atmosphere surrounded patients that intensified and gathered the social network. In the empowerment process, dealing with the psychological disturbance is a priority essential step for patients, which related to enable patients to learn knowledge and skills for CKD effectively and continually.