Efficacy of a disease management program focused on acquisition of self-management skills in pre-dialysis patients with diabetic nephropathy: 24 months follow-up

Kazawa, Kana; Takeshita, Yae; Yorioka, Noriaki; Moriyama, Michiko

doi:10.1007/s40620-014-0144-2

Cited by 28 publications

(39 citation statements)

References 16 publications

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“…Based on the finding, the difference of physical health status was not significant before and after self-management counseling in the intervention and the control group. This is in accordance with a previous study by Kazawa, Takeshita, Yorioka, and Moriyama (2015) which reported that disease management programs during 12 months are unable to improve the health status of diabetic nephropathy patients. However, there were several previous studies showing different results.…”

Section: Discussionsupporting

confidence: 93%

Self-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, Indonesia

Jauhar¹,

Nursasi²,

Wiarsih³

2018

Nurs. Med. J. Nursing

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Background: Patients with pulmonary TB experience physical, psychological, social, and spiritual changes, affecting their physical health status. Self-management counseling is an intervention which enhances the physical health status of patients with pulmonary TB.Purpose: This study aimed to identify the effects of self-management counseling on physical health status in patients with pulmonary TB.Methods: This study used a pre and post-test quasi-experimental design with a control group and took place in a hospital in Bogor. The total respondents were 60 patients who were assigned into two groups and recruited using purposive sampling. The counseling was given for four sessions in two weeks for about 60-90 minutes each session. The data were collected using the functional assessment of chronic illness therapy-tuberculosis (FACIT-TB) and analyzed using paired t-test and independent t-test.Results: The result showed that the physical health status in the intervention group increased significantly (MD=8.0, p=0.000) compared to the control group. However, there was no influence of self-management counseling on the improvement of physical health status (MD=3.24, p=0.314).Conclusion: Self-management counseling did not significantly increase the physical health status of pulmonary TB patients. More rigorous studies are needed to investigate the effect of self-management counseling delivered at early treatment on the improvement of physical health status. It is expected that patients can manage their TB symptoms and able to improve their physical health status.

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Section: Discussionsupporting

confidence: 93%

Self-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, Indonesia

Jauhar¹,

Nursasi²,

Wiarsih³

2018

Nurs. Med. J. Nursing

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“…Evidence concerning the beneficial effects of greater empowerment through education programs is inconclusive. While a Cochrane systematic review studying the effects of education programs in diabetes and CKD concluded that the evidence was poor [ 25 ], more recent studies have reported that education programs improve self-management, glycaemic control, and prevent kidney function decline [ 26 , 27 ]. Nevertheless, given studies showing the importance of patient empowerment and self-management in diabetes [ 28 , 29 ] or in CKD [ 30 , 31 ] and the emphasis that patients and their carers placed on the patient self-management and empowerment in our study, both factors should be considered central in a person-centred health system for co-morbid diabetes and CKD.…”

Section: Discussionmentioning

confidence: 99%

The Perspectives of Patients on Health-Care for Co-Morbid Diabetes and Chronic Kidney Disease: A Qualitative Study

et al. 2016

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BackgroundMulti-morbidity due to diabetes and chronic kidney disease (CKD) remains challenging for current health-systems, which focus on single diseases. As a first step toward health-care improvement, we explored the perspectives of patients and their carers on factors influencing the health-care of those with co-morbid diabetes and CKD.MethodsIn this qualitative study participants with co-morbid diabetes and CKD were purposively recruited using maximal variation sampling from 4 major tertiary health-services from 2 of Australia’s largest cities. Separate focus groups were conducted for patients with CKD stages 3, 4 and 5. Findings were triangulated with semi-structured interviews of carers of patients. Discussions were transcribed verbatim and thematically analysed.ResultsTwelve focus groups with 58 participants and 8 semi-structured interviews of carers were conducted. Factors influencing health-care of co-morbid diabetes and CKD grouped into patient and health service level factors. Key patient level factors identified were patient self-management, socio-economic situation, and adverse experiences related to co-morbid diabetes and CKD and its treatment. Key health service level factors were prevention and awareness of co-morbid diabetes and CKD, poor continuity and coordination of care, patient and carer empowerment, access and poor recognition of psychological co-morbidity. Health-service level factors varied according to CKD stage with poor continuity and coordination of care and patient and carer empowerment emphasized by participants with CKD stage 4 and 5, and access and poor recognition of psychological co-morbidity emphasised by participants with CKD stage 5 and carers.ConclusionsAccording to patients and their carers the health-care of co-morbid diabetes and CKD may be improved via a preventive, patient-centred health-care model which promotes self-management and that has good access, continuity and coordination of care and identifies and manages psychological morbidity.

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“…Studies on the multidisciplinary management of DKD were conducted in different sociocultural environments. They reported diverse sex percentage and an age range of 44-74.6% [25][26][27][28][29]. One report showed >50% higher diabetes prevalence in men [30,31].…”

Section: Discussionmentioning

confidence: 99%

A Multidisciplinary Approach for Improving Quality of Life and Self-Management in Diabetic Kidney Disease: A Crossover Study

Helou

Talhouedec

Zumstein‐Shaha

et al. 2020

JCM

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Individuals with diabetic kidney disease are at high risk of complications and challenged to self-manage. Previous research suggested that multidisciplinary approaches would improve health outcomes. This study investigated the effect of a multidisciplinary self-management approach of diabetic kidney disease on quality of life, and self-management, glycemic control, and renal function. A uniform balanced crossover design was used because it attains a high level of statistical power with a lower sample size. A total of 32 participants (aged 67.8 ± 10.8) were randomized into four study arms. In differing sequences, each participant was treated twice with three months of usual care alternated with three months of multidisciplinary management. The intervention improved the present dimension of quality of life demonstrating higher mean rank as compared to usual care (52.49 vs. 41.01; p = 0.026, 95% CI) and three self-care activities, general diet habits, diabetes diet habits, and blood sugar testing (respectively: 55.43 vs. 38.31; p = 0.002, 56.84 vs. 37.02; p = 0.000, 53.84 vs. 39.77; p = 0.008; 95% CI). Antihypertensive medication engagement was high across the study period (Mean = 95.38%, Min = 69%, Max = 100%). Glycemic control and renal function indicators were similar for the intervention and the usual care. Studies are needed to determine how the new recommended therapies for diabetic kidney disease such as SGLT2 inhibitors and GLP-1 receptor agonists impact on self-management and quality of life.

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Efficacy of a disease management program focused on acquisition of self-management skills in pre-dialysis patients with diabetic nephropathy: 24 months follow-up

Abstract: A well-designed disease management program might be useful for maintaining renal function and improving HbA1c in patients with diabetic nephropathy. It is considered that modification of patient behavior contributed to these results.

Cited by 28 publications

References 16 publications

Self-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, Indonesia

Self-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, Indonesia

The Perspectives of Patients on Health-Care for Co-Morbid Diabetes and Chronic Kidney Disease: A Qualitative Study

A Multidisciplinary Approach for Improving Quality of Life and Self-Management in Diabetic Kidney Disease: A Crossover Study

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