|Promoting self-management improves the health status of patients having peritoneal dialysis|
|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|
|收录类别||SCI ; SSCI|
|WOS标题词||Science & Technology|
|关键词[WOS]||STAGE RENAL-DISEASE ; PRIMARY-CARE ; EFFICACY|
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.
|资助机构||Cheung Kong Scholar Programme ; Ministry of Education, China ; Doctors&prime ; Foundation of the Ministry of Education, China|
|作者单位||Peking Univ, Hosp 3, Div Nephrol, Beijing 100871, Peoples R China|
|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.|
|APA||Su, Chun-Yan,Lu, Xin-Hong,Chen, Wei,&Wang, Tao.(2009).Promoting self-management improves the health status of patients having peritoneal dialysis.JOURNAL OF ADVANCED NURSING,65(7),1381-1389.|
|MLA||Su, Chun-Yan,et al."Promoting self-management improves the health status of patients having peritoneal dialysis".JOURNAL OF ADVANCED NURSING 65.7(2009):1381-1389.|