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首页> 外文期刊>Applied nursing research: ANR >Effects of a self-management program on patients with early-stage chronic kidney disease: A pilot study
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Effects of a self-management program on patients with early-stage chronic kidney disease: A pilot study

机译：自我管理计划对早期慢性肾脏病患者的影响：一项初步研究

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Background: Without intervention, renal function deteriorates in patients with chronic kidney disease (CKD). Aim: This pilot study aimed to develop a self-management education program based on self-regulation theory and to evaluate its effects on self-efficacy, self-management behavior, and CKD progression among patients with early-stage CKD. Methods: In this single-group, pretest-posttest, repeated-measures, longitudinal study, participants underwent baseline pretesting (T0) and posttesting at 3 (T1), 6 (T2), and 12 (T3) months after a 5-week group-session self-management program. Results: Self-efficacy increased significantly at T2 (χ2=8.97, p=02) and T3 (χ2=10.71, p=01) compared with T0, but self-management behavior did not. A marginally significant decrease in serum creatinine levels was observed from T0 to T3 (χ2=6.29, p=07) but estimated glomerular filtration rates remained stable throughout the 12-month period. Conclusions: The results of this empirical study suggest that the theory-based intervention is feasible and has potential efficacy in retarding CKD progression.
机译：背景：如果没有干预，患有慢性肾脏病（CKD）的患者的肾功能会恶化。目的：该试点研究旨在开发基于自我调节理论的自我管理教育计划，并评估其对早期CKD患者的自我效能，自我管理行为和CKD进展的影响。方法：在此单组，前测后测，重复测量，纵向研究中，参与者在5周后的3（T1），6（T2）和12（T3）个月接受基线预测试（T0）和后测试小组会议自我管理计划。结果：与T0相比，在T2（χ2= 8.97，p = 02）和T3（χ2= 10.71，p = 01）的自我效能显着提高，但自我管理行为却没有。从T0到T3，血清肌酐水平略有下降（χ2= 6.29，p = 07），但估计的肾小球滤过率在整个12个月期间保持稳定。结论：这项实证研究的结果表明，基于理论的干预是可行的，并且在延缓CKD进展方面具有潜在的疗效。

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