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学科主题: 临床医学
题名:
Promoting self-management improves the health status of patients having peritoneal dialysis
作者: Su, Chun-Yan; Lu, Xin-Hong; Chen, Wei; Wang, Tao
关键词: health status ; peritoneal dialysis ; quality of life ; rehabilitation ; renal nursing ; self-efficacy ; self-management
刊名: JOURNAL OF ADVANCED NURSING
发表日期: 2009-07-01
DOI: 10.1111/j.1365-2648.2009.04993.x
卷: 65, 期:7, 页:1381-1389
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Nursing
研究领域[WOS]: Nursing
关键词[WOS]: STAGE RENAL-DISEASE ; PRIMARY-CARE ; EFFICACY
英文摘要:

Promoting self-management improves the health status of patients having peritoneal dialysis.

This paper is a report of a study conducted to explore the effects of promoting self-management on the well-being of patients having peritoneal dialysis.

Peritoneal dialysis is a home-based treatment for end-stage renal disease. Promoting self-management has been shown to improve the health status of people with diabetes mellitus and other chronic diseases. However, little is known about the effects of self-management support for patients having peritoneal dialysis.

Thirty patients who had received peritoneal dialysis for at least 6 months and were clinically stable were enrolled in the study in 2006. A multidisciplinary team was built to support the patients′ self-management. Various forms of education such as group discussion and individual consultation were used to improve patients′ self-efficacy and all were followed up for 6 months. We compared the volume status, adequacy of dialysis, nutritional status, quality of life, rehabilitation status, self-management capacity and self-efficacy levels at baseline, 3 and 6 months after enrolment.

During follow-up, patients′ urine volume and residual renal function decreased, while the adequacy of dialysis (Kt/v and Ccr) did not change. Volume status, quality of life and rehabilitation status all improved, whereas nutritional status did not deteriorate. Both self-management capacity and self-efficacy level increased statistically significantly.

A team approach needs to be taken to achieve successful self-management in patients having peritoneal dialysis, as with other chronic disease treatments. Nurses should use multiple strategies based on self-efficacy theory to improve patients′ self-efficacy levels and self-management capacities.

语种: 英语
所属项目编号: 36-1
项目资助者: Cheung Kong Scholar Programme ; Ministry of Education, China ; Doctors&prime ; Foundation of the Ministry of Education, China
WOS记录号: WOS:000266598900004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52548
Appears in Collections:北京大学第三临床医学院_肾内科_期刊论文

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作者单位: Peking Univ, Hosp 3, Div Nephrol, Beijing 100871, Peoples R China

Recommended Citation:
Su, Chun-Yan,Lu, Xin-Hong,Chen, Wei,et al. Promoting self-management improves the health status of patients having peritoneal dialysis[J]. JOURNAL OF ADVANCED NURSING,2009,65(7):1381-1389.
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