An Empowerment Program to Improve Self-Management in Patients with Chronic Kidney Disease

Lee, Suk Jeong

doi:10.7475/kjan.2018.30.4.426

Cited by 9 publications

(26 citation statements)

References 26 publications

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“…We can use a reference book to be helpful for better weight reduction. 24 There are some limitations in this report. Indeed, we have treated many obese patients in the program, but the managements and advises were different according to the situation of each subject.…”

Section: Discussionmentioning

confidence: 86%

Weight reduction program with continuous psychological support in obese patients

Bando¹,

Nakamura²,

Kawashima³

et al. 2019

AOWMC

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Background: Obese subjects have been increasing worldwide. Authors have continued clinical research about Low Carbohydrate Diet (LCD) and Calorie Restriction (CR) for long, and developed LCD medically and socially through the activity of Japan LCD Promoting Association (JLCDPA). Study protocol: Enrolled subjects enrolled were 2807 patients with obesity whom we gave advices in weight reduction program. Nutritional treatment on LCD was started by super-LCD with 12% of carbohydrate. After that, the carbohydrate limitation has been relieved according to the each situation of the subjects. Furthermore, subjects have received psychological supports with Empowerment, Motivation, and Medical Adherence (EMMA) and with the relationship among recognition of self-regulation; self-determination; conscientization and struggle were provided for 6-12 months. Results and discussion: The weight changes of 2807 cases were studied with the following results: weight reduction rate of 10%

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Section: Discussionmentioning

confidence: 86%

Weight reduction program with continuous psychological support in obese patients

Bando¹,

Nakamura²,

Kawashima³

et al. 2019

AOWMC

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“…Table 3 summarizes the main characteristics of the included studies (Bayoumy et al, 2017; Doyle et al, 2019; Kordshooli et al, 2018; Lee, 2018; Rakhshan et al, 2015). This section presents the integration of findings resulting from the review of CKD and HF patient empowerment.…”

Section: Resultsmentioning

confidence: 99%

Interventions to empower cardiorenal patients: A systematic review

Ania-González

Olano‐Lizarraga

Vázquez‐Calatayud

2021

Journal of Advanced Nursing

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Aims To identify the most effective interventions to empower cardiorenal patients. Design A systematic review of the literature has been carried out. Data sources The PubMed, CINAHL, PsycINFO and Cochrane databases were reviewed, and journals in the field were manually searched between January and February 2020. Review methods Five randomized clinical trials and quasi‐experimental studies that met the selection and CONSORT & TREND methodological quality criteria were selected. Results The evidence supports that there are no existing interventions aimed at empowering cardiorenal patients. However, the interventions to empower people with chronic kidney disease and heart failure suggest that their integration should address seven domains: patient education, sense of self‐management, constructive coping, peer sharing, enablement, self‐efficacy and quality of life. Conclusion A gap has been revealed in the literature regarding the empowerment of cardiorenal patients. This review provides relevant information to help design, implement and evaluate interventions to empower these patients by describing the strategies used to empower people experiencing both chronic conditions and the tools used for their assessment. Impact There is a need for further research to design, implement and evaluate a multidimensional intervention that favours the empowerment of cardiorenal patients by using valid and reliable instruments that measure the domains that constitute it in an integrated manner. Interventions aimed at empowering the cardiorenal patient should include seven domains: patient education, sense of self‐management, constructive coping, peer sharing, enablement, self‐efficacy and quality of life.

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“…Then, the effectiveness of the Empowerment Program has not been clear. There is a comparative report of the empowerment program for chronic kidney disease (CKD), where differences in overall self-management and selfefficacy are investigated [18].…”

Section: Resultsmentioning

confidence: 99%

Effective Nutritional Guidance for Obesity by Low Carbohydrate Diet (LCD)

Nakamura¹,

Kawashima²,

Dobashi³

et al. 2019

Asp Biomed Clin Case Rep

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Background: Authors have continued treating patients with obesity and metabolic syndrome by application of Low Carbohydrate Diet (LCD). Furthermore, we have continued presenting various reports about nutrition and educational guidance and developing LCD medically and socially through the activity of Japan LCD Promoting Association (JLCDPA). Study Protocol: Subjects enrolled were 2773 patients with obesity who received nutritional guidance in our clinic. Methods include i) weight reduction program on the intervention of LCD and guidance by registered dietitian nutritionist (RDN), ii) LCD with 33% of carbohydrate, and iii) Practice of guidance including self-monitoring, lifestyle, motivation, determination for the goal, evaluation. Results and Discussion: Nutritional guidance has been carried out on a regular basis by three RDNs. Weight reduction was: 10% or more was observed in 666 (24.0%), and 5.0 – 9.9% was in 863 (31.2%). In other words, the reduction of 5.0% or more was 55.2%, and 3.0% or more was 71.4%. Our nutritional guidance has been made as a manual for weight reduction program. It includes various factors, such as Self-Regulation Empowerment, cognitive behavioral therapy and motivational interviewing. These results would become basal and reference data for future research in the field of weight reduction.

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An Empowerment Program to Improve Self-Management in Patients with Chronic Kidney Disease

Cited by 9 publications

References 26 publications

Weight reduction program with continuous psychological support in obese patients

Weight reduction program with continuous psychological support in obese patients

Interventions to empower cardiorenal patients: A systematic review

Effective Nutritional Guidance for Obesity by Low Carbohydrate Diet (LCD)

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