Effect of an In-Hospital Chronic Kidney Disease Education Program among Patients with Unplanned Urgent-Start Dialysis

Rioux, Julien; Cheema, Harpaul; Bargman, Joanne M.; Watson, Diane; Chan, Christopher T.

doi:10.2215/cjn.07090810

Cited by 67 publications

(89 citation statements)

References 16 publications

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“…Although Kim and Kim (2008) also found that serum potassium and phosphate were significantly improved in 4 weeks after education in early hemodialysis patients, it should be considered all of participants in their study were taking hemodialysis therapy already. A study of in-hospital CKD education program suggested prospective evaluation of clinical outcomes to continue the effects of education (Rioux, Cheema, Bargman, Watson, & Chan, 2011). Therefore, continuous re-enforcement consultation more than a month with monitoring of physiological indicators is needed to improve kidney function.…”

Section: Discussionmentioning

confidence: 99%

Effects of a Face-to-face Self-management Program on Knowledge, Self-care Practice and Kidney Function in Patients with Chronic Kidney Disease before the Renal Replacement Therapy

Choi

Jia

2012

J Korean Acad Nurs

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Purpose: The purpose of this study was to examine the effects of a face-to-face self-management educational program on knowledge, self-care practice and kidney function in patients with chronic kidney disease (CKD) before kidney replacement therapy. Methods: This study employed a nonequivalent control group, non-synchronized design. Data were collected from 61 patients with CKD visiting an outpatient department of nephrology in a university hospital in Seoul, South Korea. The experimental group (n= 31) took the pre-test, then after 3 weeks, face-to-face education and individualized consultation (1st intervention), after a week of self-practice, the 1st post-test, followed by re-enforcement education and consultation (2nd intervention), and 4 weeks later, the 2nd post-test. The control group (n= 30) took the pre-test and post-tests at 4 and 8 weeks. Results: Scores for knowledge of CKD and self-care practice over time improved significantly in the experimental group compared to the control group. Kidney function did not improve significantly in the experimental group. Conclusion: Health care providers can identify various and individualized needs, and provide effective education and consultation through face to face self-management for patients with chronic irreversible illnesses. Nurses can coordinate for these program by designing and providing systematic and effective education.

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Section: Discussionmentioning

confidence: 99%

Effects of a Face-to-face Self-management Program on Knowledge, Self-care Practice and Kidney Function in Patients with Chronic Kidney Disease before the Renal Replacement Therapy

Choi

Jia

2012

J Korean Acad Nurs

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“…As mentioned earlier, when patients are informed of the various modalities, 50% of them will choose a home based therapy. The proportion is only slightly lower (35%) in the case of unplanned urgent start (Rioux et al, 2011). Pre-dialysis education, if performed in an unbiased way, should lead to a large increase in the use of home modalities.…”

Section: Pillar 2 -Organization Of Renal Servicesmentioning

confidence: 95%

A Renal Policy and Financing Framework to Understand Which Factors Favour Home Treatments Such as Peritoneal Dialysis

Vanovertveld¹

2011

Progress in Peritoneal Dialysis

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“…We and others have used a nurse navigator who meets with the patient with an urgent start and the family after the patient is stabilized to discuss options, including transitioning to home-based dialysis or starting the process for renal transplant. Of 228 patients with acute-start hemodialysis, the institution of the nurse educator program led to 49 patients transitioning to PD and 22 patients transitioning to home hemodialysis, a dramatic change from before the start of the program, where essentially all patients with acute starts remained on in-center hemodialysis (31).…”

Section: Subsequent Coursementioning

confidence: 99%

Timing of Initiation of RRT and Modality Selection

Bargman¹

2015

Clinical Journal of the American Society of Nephrology

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There is no shortage of studies and registry data examining outcomes of patients on dialysis and those with a renal transplant. However, recently, there has been a greater focus on the events leading up to the institution of kidney replacement therapy. Associative data suggest that early and consistent predialysis care leads to better outcomes, including greater take-on to home-based therapy, diminished use of tunneled venous hemodialysis catheters, and improved early and even late survival. What transpires during predialysis visits is also important. Simple dissemination of facts to the unprepared patient is unlikely to be effective in moving the patient and family along in the process of the series of choices that have to be made around therapy. A more flexible and circumspect approach is needed, including recognizing when the patient is or is not ready for change. There seems to be no optimal timing of dialysis start that can be applied to the ESRD population as a whole, although the pendulum seems to be swinging back toward symptom-based rather than eGFR-based starts.

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Effect of an In-Hospital Chronic Kidney Disease Education Program among Patients with Unplanned Urgent-Start Dialysis

Cited by 67 publications

References 16 publications

Effects of a Face-to-face Self-management Program on Knowledge, Self-care Practice and Kidney Function in Patients with Chronic Kidney Disease before the Renal Replacement Therapy

Effects of a Face-to-face Self-management Program on Knowledge, Self-care Practice and Kidney Function in Patients with Chronic Kidney Disease before the Renal Replacement Therapy

A Renal Policy and Financing Framework to Understand Which Factors Favour Home Treatments Such as Peritoneal Dialysis

Timing of Initiation of RRT and Modality Selection

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