Self-management programs in stage 1-4 chronic kidney disease : a literature review.


Autoria(s): Bonner, Ann; Havas, Kathryn; Douglas, Clint; Thepha, Thiwawan; Bennett, Paul; Clark, Robyn
Data(s)

2014

Resumo

Background Chronic kidney disease (CKD) is a complex health problem, which requires individuals to invest considerable time and energy in managing their health and adhering to multifaceted treatment regimens. Objectives To review studies delivering self-management interventions to people with CKD (Stages 1–4) and assess whether these interventions improve patient outcomes. Design: Systematic review. Methods Nine electronic databases (MedLine, CINAHL, EMBASE, ProQuest Health & Medical Complete, ProQuest Nursing & Allied Health, The Cochrane Library, The Joanna Briggs Institute EBP Database, Web of Science and PsycINFO) were searched using relevant terms for papers published between January 2003 and February 2013. Results The search strategy identified 2,051 papers, of which 34 were retrieved in full with only 5 studies involving 274 patients meeting the inclusion criteria. Three studies were randomised controlled trials, a variety of methods were used to measure outcomes, and four studies included a nurse on the self-management intervention team. There was little consistency in the delivery, intensity, duration and format of the self-management programmes. There is some evidence that knowledge- and health-related quality of life improved. Generally, small effects were observed for levels of adherence and progression of CKD according to physiologic measures. Conclusion The effectiveness of self-management programmes in CKD (Stages 1–4) cannot be conclusively ascertained, and further research is required. It is desirable that individuals with CKD are supported to effectively self-manage day-to-day aspects of their health.

Formato

application/pdf

Identificador

http://eprints.qut.edu.au/77766/

Publicador

John Wiley & Sons

Relação

http://eprints.qut.edu.au/77766/1/77766.pdf

DOI:10.1111/jorc.12058

Bonner, Ann, Havas, Kathryn, Douglas, Clint, Thepha, Thiwawan, Bennett, Paul, & Clark, Robyn (2014) Self-management programs in stage 1-4 chronic kidney disease : a literature review. Journal of Renal Care, 40(3), pp. 194-204.

Direitos

Copyright 2014 European Dialysis and Transplant Nurses Association/European Renal Care Association

Fonte

Faculty of Health; Institute of Health and Biomedical Innovation; School of Nursing

Palavras-Chave #111099 Nursing not elsewhere classified #Chronic kidney disease � #Education � #Self-care � #Self-management
Tipo

Journal Article