Self‐management program for adolescents with chronic kidney disease: A randomized controlled trial

Abstract

Background It is important to develop self‐management behaviours in adolescents to prevent chronic kidney disease progression. Objectives This study evaluates the effect of a self‐management program that was developed based on individual and family self‐management theory to aid adolescents with chronic kidney disease in the acquisition of competencies in the management of their disease. Design This is a randomized controlled study. Participants The study was conducted with 20 intervention and 20 control patients, who were treated at two hospitals in Ankara between December 2018 and May 2019. Measurements Self‐Management Assessment Form, Paediatric Quality of Life Inventory‐Adolescent Form and clinical parameters. A training program, specific to chronic kidney disease, was administered over three sessions in a group training setting when the patients came to the clinic for follow‐up. After the training program was completed, the patients were monitored for three months through home visits once every two weeks, totalling six visits. Results Following the application of self‐management training, a statistically significant difference was found self‐management knowledge and behaviours, quality of life and anxiety mean scores of intervention and control group (p <.05), a significant decrease in only blood urea nitrogen among the clinical parameters when compared to the control group. Conclusions In this study, a self‐management training program was developed based on Individual and Family Self‐Management Theory, aiming to have a positive effect on the self‐management behaviours of adolescents in the cognitive and psychosocial domains.

Self‐management training in patients with chronic kidney disease undergoing hemodialysis: A systematic review

“…Individuals who can manage their self‐efficacy and care can reduce the incidence of complications associated with hemodialysis by exhibiting better adherence to their dietary regimen, regular medication, and fluid restriction 10,11 . One study that examined the effect of self‐efficacy on blood pressure, salt restriction, and compliance with hemodialysis in patients found that the patients reduced their salt intake, had a low interdialytic weight gain, took anti‐hypertensives more regularly, and had better compliance with hemodialysis after a 12‐week follow‐up 12 …”

“…10,11 One study that examined the effect of self-efficacy on blood pressure, salt restriction, and compliance with hemodialysis in patients found that the patients reduced their salt intake, had a low interdialytic weight gain, took anti-hypertensives more regularly, and had better compliance with hemodialysis after a 12-week follow-up. 12 Individuals with self-efficacy will be able to accomplish their daily activities without being dependent on others. The Chronic Disease Self-Management Program (CDSMP) was applied to patients undergoing hemodialysis twice a week, and its effectiveness was investigated.…”