i-KS: Composition of chronic kidney disease (CKD) online informational self-care tool

Chronic Kidney Disease merupakan gangguan fungsi ginjal yang progresif dan ireversibel, salah satu penanganannya dengan hemodialisa, keluhan yang sering pada pasien hemodialisa adalah kelelahan. Tujuan penelitian ini melihat pengaruh edukasi berbasis self care terhadap perubahan tingkat kelelahan pada pasien hemodialisa, merupakan penelitian kuantitatif dengan metode kuasi eksperimen pre post test design di RSUD A. Wahab Sjahranie periode Mei-Juni 2017, pengambilan sampel dilakukan dengan cara purposive sampling melibatkan 111 responden yang dibagi menjadi 2 kelompok intervensi edukasi berbasis self care 83 orang dan kelompok kontrol 28 orang. Hasil penelitian ini didapatkan setelah dilakukan intervensi selama 6 minggu, Uji Beda Berpasangan Non Parametrik Independent menunjukan bahwa nilai Asymp Sig (2 tailed) = 0,000 atau p-value < 0,05 ada pebedaan tingkat kelelahan antara kelompok intervensi terhadap kelompok kontrol, nilai OR menunjukkan kelompok intervensi edukasi berbasis self care memiliki kecenderungan mengalami perubahan tingkat kelelahan 1,22 kali lebih besar dibandingkan dengan kelompok kontrol. Pada analisis uji logistik ordinal hasil menunjukkan nilai p = 0,00 atau p-value <0,05 ada pengaruh yang signifikan intervensi edukasi berbasis self care yang diberikan terhadap perubahan tingkat kelelahan. Simpulan penelitian edukasi berbasis self care mempunyai pengaruh terhadap perubahan tingkat kelelahan dan direkomendasikan intervensi ini dapat diaplikasikan sebagai salah satu edukasi yang diberikan pada pasien menjalani hemodialisa

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Differences in self‐care knowledge, self‐efficacy, psychological distress and self‐management between patients with early‐ and end‐stage chronic kidney disease

Journal of Clinical Nursing ◽

10.1111/jocn.16046 ◽

2021 ◽

Author(s):

Shu‐Fang Vivienne Wu ◽

Tsae‐Jyy Wang ◽

Shu‐Yuan Liang ◽

Li‐Ju Lin ◽

Yu‐Yin Lu ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Psychological Distress ◽

Kidney Disease ◽

Self Efficacy ◽

Self Care ◽

Self Management ◽

End Stage

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Association between health literacy and self-care behaviors among patients with chronic kidney disease

BMC Nephrology ◽

10.1186/s12882-018-0988-0 ◽

2018 ◽

Vol 19 (1) ◽

Cited By ~ 7

Author(s):

Karen K. Wong ◽

Alexandra Velasquez ◽

Neil R. Powe ◽

Delphine S. Tuot

Keyword(s):

Chronic Kidney Disease ◽

Health Literacy ◽

Kidney Disease ◽

Self Care

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The association between patient activation and self-care practices: A cross-sectional study of an Australian population with comorbid diabetes and chronic kidney disease

Health Expectations ◽

10.1111/hex.12577 ◽

2017 ◽

Vol 20 (6) ◽

pp. 1375-1384 ◽

Cited By ~ 14

Author(s):

Edward Zimbudzi ◽

Clement Lo ◽

Sanjeeva Ranasinha ◽

Peter G Kerr ◽

Kevan R Polkinghorne ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Patient Activation ◽

Self Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Australian Population ◽

Cross Sectional ◽

Care Practices

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Envolvimento da pessoa com doença renal crônica em seus cuidados: revisão integrativa

Ciência & Saúde Coletiva ◽

10.1590/1413-81232018245.04332019 ◽

2019 ◽

Vol 24 (5) ◽

pp. 1689-1698 ◽

Cited By ~ 1

Author(s):

Onislene Alves Evangelista de Almeida ◽

Walterlânia Silva Santos ◽

Tânia Cristina Morais Santa Barbara Rehem ◽

Marcelo Medeiros

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Patient Participation ◽

Self Care

Resumo A doença renal crônica (DRC) acarreta ao indivíduo uma sobrecarga de cuidados indispensáveis ao alcance das metas terapêuticas e qualidade de vida. O controle nutricional, o regime medicamentoso e as terapias de substituição renal são exemplos que requerem participação ativa. Assim, foi realizada revisão integrativa de artigos científicos para identificar os que versam sobre envolvimento e participação do paciente em seus cuidados na DRC. Os descritores “Chronic kidney disease”; “Self-Care” and “Patient Participation” foram aplicados nas bases CINHAL, Bireme e Medline. Selecionamos 21 publicações entre 2012 e 2016. A entrevista semiestruturada destacou-se como método de coleta de dados, com a aplicação da análise temática fenomenológica. Conforme a predominância do assunto tratado, os manuscritos foram alocados em quatro eixos temáticos: Manejo da doença renal e seu tratamento; Envolvimento na tomada de decisão; Plano avançado de cuidados; e, Diálise peritoneal domiciliar. Verificamos que abordagens envolvendo pessoas transplantadas ou nos primeiros estágios da doença são pouco explorados com a aplicação do método qualitativo e, ainda, consideramos que pessoas com DRC devem ser instigadas no envolvimento ativo de seus próprios cuidados, necessitando de conhecimento, motivação e suporte dos profissionais de saúde.

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Delay Early CKD with Lifestyle Intervention in African Americans with Diabetic Kidney Disease: A Pre-Post Pilot Study (Preprint)

10.2196/preprints.34029 ◽

2021 ◽

Author(s):

Mukoso Ozieh ◽

Leonard E. Egede

Keyword(s):

Chronic Kidney Disease ◽

South Carolina ◽

African Americans ◽

Kidney Disease ◽

Lifestyle Intervention ◽

Self Care ◽

Post Intervention ◽

Culturally Tailored ◽

Behavior Outcomes ◽

Mean Differences

BACKGROUND Behavioral factors such as lifestyle have been shown to explain approximately 24% of the excess risk of chronic kidney disease among African Americans. OBJECTIVE The main objective of this study was to examine the feasibility and preliminary efficacy of a culturally tailored lifestyle intervention in African Americans with type 2 diabetes mellitus and chronic kidney disease (CKD). METHODS A pre-post design was used to test the feasibility of a lifestyle intervention in African American adults recruited from Medical University of South Carolina. Clinical outcomes (hemoglobin A1c, blood pressure and estimated glomerular filtration rate (eGFR)) were measured at baseline and post-intervention. Disease knowledge, self-care and behavior outcomes were also measured using validated structured questionnaires at baseline and post-intervention. Descriptive statistics and effect sizes were calculated to determine clinically important changes from baseline. RESULTS Significant pre-post mean differences and decreases were observed for HbA1c (mean 0.75, p=0.01), total cholesterol (mean 16.38, p<0.01), low density lipoprotein (mean 13.73, p<0.01) and eGFR (mean 6.73, p=0.02). Significant pre-post mean differences and increases were observed for CKD self-efficacy (mean -11.15, p=0.03), CKD knowledge (mean -2.62, p<0.01), exercise behavior (mean -1.21, p<0.01) and blood sugar testing (mean -2.15, p<0.01). CONCLUSIONS This study provides preliminary data for a large-scale appropriately powered, randomized control trial to examine a culturally tailored lifestyle intervention in African Americans to improve clinical, knowledge and self-care behavior outcomes in this population.

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