An education and counseling program for chronic kidney disease: strategies to improve patient knowledge

Danguilan, Romina; Cabanayan-Casasola, C.B.; Evangelista, Nemma N.; Pelobello, Ma Lourdes F.; Equipado, Clarissa D.; Lucio-Tong, Ma Lorelei; Ona, E.T.

doi:10.1038/kisup.2013.17

Cited by 12 publications

(17 citation statements)

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“…A study carried out in a clinic for chronic kidney patients aimed to determine the knowledge perceived by patients in dialysis therapy and revealed that patients younger than 50 years presented better scores in relation to knowledge about kidney disease. (14) Another study also pointed out that older patients were little aware of CKD. (15) This reinforces the importance of knowledge about signs and symptoms of complications of CKD and about the precautions to prevent them.…”

Section: Discussionmentioning

confidence: 99%

Knowledge: disease process in patients undergoing hemodialysis

Ferreira

Pessoa

Pôrto³

et al. 2018

Invest Educ Enferm

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Section: Discussionmentioning

confidence: 99%

Knowledge: disease process in patients undergoing hemodialysis

Ferreira

Pessoa

Pôrto³

et al. 2018

Invest Educ Enferm

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“…Noncompliance with CKD educational modules is one of the challenges faced in establishing the efficacy of education programs. A study has reported that only 28% completed the modules, and financial constraints among patients, the severity of illness, lack of understanding, and low healthcare priority were the main drivers of poor compliance [ 12 ]. There was no conflict of interest.…”

Section: Discussionmentioning

confidence: 99%

“…This trend can be partly explained by the increase in the aging population and the increasing prevalence of risk factors such as type II diabetes mellitus [ 7 - 11 ]. Patient education and early referral are the two clinically endorsed methods of slowing the progression, and the prevention and detection of ESRD [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Considering the complexities involved in the progression and management of the disease, a shared decision-making process that involves empowering the patients and their families is necessary for the management of chronic kidney disease (CKD) patients [ 9 ]. Patient education interventions have been reported to be effective not only in enhancing disease-related knowledge but also in curtailing the overall progression of the disease, selection of renal replacement modality (RRM), and enhancing overall outcome and survival rates and the quality of life [ 7 - 9 , 12 , 13 ]. Hence, the predialysis education program (PDEP) is an integral part of the management and treatment of patients with ESRD.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Predialysis Patient Education Counseling on Relative Frequencies of Renal Replacement Modalities

Mirza

Sheikh

Muzaffar

et al. 2020

Cureus

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Background and objective The predialysis education program (PDEP) is an integral part of the management of patients with end-stage renal disease (ESRD). Hence, the aim of this study was to assess the distribution of renal replacement therapy (RRT) among patients with ESRD who received PDEP counseling at a single tertiary care center in Khamis Mushait, Kingdom of Saudi Arabia (KSA). Methodology In this study, we included 177 patients with ESRD who received a series of structured PDEP counseling sessions between March 2018 and February 2019 at the Armed Forces Hospital, Southern Region, Khamis Mushait, KSA. All patients were offered available RRT options, which included hemodialysis (HD), continuous ambulatory peritoneal dialysis (CAPD), or renal transplantation. Patients' opted RRT modality was recorded and managed as per the international guidelines and institutional protocols. Results Out of 177 patients, 58.8% (104) were males, with a mean age of 59 ± 13.7 years. The most common comorbid condition as the primary diagnosis was diabetic nephropathy in 49.7% (88), followed by hypertension in 30.5% (54), bilateral small kidney in 15.3% (27), and renal stone in 5.1% (nine) of the patients. Among the available RRTs, 51.4% (91) chose HD, 5.1% (nine) decided on CAPD, four patients (2.3%) opted for renal transplantation, while the remaining 41.2% (73) had yet to choose one, out of which 83.6% (61/73) had stage-IV chronic kidney disease (CKD) while the remaining 16.4% (12/73) had stage-V CKD. Conclusions In conclusion, a series of structured PDEP sessions for the patients progressing to ESRD can facilitate their selection of RRT. In a resource-limited setting, such as ours, where the number of patients who seek treatment for ESRD is rising, PDEP can provide patients with adequate information and knowledge to equip them with the ability regarding the selection of a self-care RRT modality.

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“…Based on the results of the survey, several associated risk factors are likely to contribute to CKDu, and patients with CKDu might be asymptomatic despite the fact that a high proportion of them are in late stages (6, 13, 16). Therefore, the detection of risk factors is vitally important to help us implement effective interventions to slow down the progression of CKD and avoid secondary complications (6, 7, 26–30).…”

Section: Discussionmentioning

confidence: 99%