The effect of a self‐management program on renal function control in patients with hemodialysis in Taiwan: A longitudinal randomized controlled trial

Aim This study was designed to investigate the longitudinal effect of participating in a self‐management program (SMP) on renal function control in patients receiving hemodialysis. Methods This randomized controlled trial enrolled a total of 58 patients at the hemodialysis center of a teaching hospi...

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Published in:Japan journal of nursing science : JJNS Vol. 17; no. 4; pp. e12345 - n/a
Main Authors: Lee, Mei‐Chen, Wu, Shu‐Fang V., Lu, Kuo‐Cheng, Liu, Chief‐Yu, Liu, Wen‐I, Liu, Ju‐Han
Format: Journal Article
Language:English
Published: Melbourne John Wiley & Sons Australia, Ltd 01.10.2020
Wiley Subscription Services, Inc
Subjects:
Clinical trials
Disease management
Hemodialysis
Humans
Longitudinal studies
longitudinal study
Patient education
Phosphorus
Phosphorus, Dietary - administration & dosage
Phosphorus, Dietary - metabolism
randomized controlled trial
Renal Dialysis
renal function
Self-Management
self‐management program
Taiwan
Treatment Outcome
Water-Electrolyte Balance
Taiwan
hemodialysis
renal function
longitudinal study
self-management program
randomized controlled trial
ISSN:1742-7932, 1742-7924, 1742-7924
Online Access:Get full text
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Summary:Aim This study was designed to investigate the longitudinal effect of participating in a self‐management program (SMP) on renal function control in patients receiving hemodialysis. Methods This randomized controlled trial enrolled a total of 58 patients at the hemodialysis center of a teaching hospital in Taiwan. The control group (n = 30) received the usual care and the experimental group (n = 28) received a 4‐week SMP intervention. The results of the follow‐up on the longitudinal data at 3, 6, and 9 months showed that the renal function indices, potassium and phosphorus levels, and interdialytic weight gain were significantly better than at the pre‐test for the experimental group. Results In terms of the interaction between group and time, the potassium level dropped significantly below the pre‐test value only after 3 months (B = −0.31, SE = 0.15, p = .044), suggesting that the post‐test potassium level had significantly decreased after 3 months. In terms of the interaction between group and time, the phosphorus level dropped significantly below the pre‐test value only after 6 months (B = −0.53, SE = 0.28, p = .050), suggesting that the post‐test phosphorus level significantly decreased after 6 months. Finally, the intervention could effectively control the weight change between dialysis sessions for up to 9 months (B = −1.34, SE = 0.30, p < .001). Conclusions The SMP intervention decreased potassium and phosphorus levels and helped control interdialytic weight gain in patients undergoing hemodialysis.
Bibliography:Funding information
Cardinal Tien Hospital
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ObjectType-Evidence Based Healthcare-3
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ISSN:1742-7932
1742-7924
1742-7924
DOI:10.1111/jjns.12345