Integrated self‐management program effects on hemodialysis patients: A quasi‐experimental study

Park, Ok Lae; Kim, Sung Reul

doi:10.1111/jjns.12249

Cited by 15 publications

(43 citation statements)

References 22 publications

(37 reference statements)

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“…As haemodialysis patients need self‐care activities to cope with their health conditions, nursing interventions that can improve self‐efficacy must be provided. Previous studies on haemodialysis patients also improved patient self‐efficacy through various nursing interventions (Park & Kim, 2019; Ramezani et al, 2019; Yun & Choi, 2016). In the present study, haemodialysis patients could recognise the simulated levels of biochemical indicators in food using real‐time feedback from the application, identify real‐time issues in their eating habits and control their diet, thereby increasing self‐efficacy.…”

Section: Discussionmentioning

confidence: 87%

“…Most studies of haemodialysis self‐management have used lecture, individual education, video and booklet as education methods (Chan et al, 2019; Frih et al, 2017; Kim et al, 2013, 2015; Park & Kim, 2019; Ramezani et al, 2019), while there are several studies using smartphones for nursing students, nurses and general patients in Korea (Jeon, 2016; Kim & Park, 2019; Lee et al, 2011). As Korea ranks one in the world in smartphone usage rate (Pew Research Center, 2019) and as a smartphone can be used easily anytime and anywhere, it could be an appropriate medium for self‐care management of haemodialysis patients.…”

Section: Introductionmentioning

confidence: 99%

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Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

Pack

Lee

2021

Journal of Clinical Nursing

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Aims and objectives To develop a smartphone application‐based dietary self‐management program for haemodialysis patients and to examine its effects on biochemical indicators, self‐efficacy and quality of life. Background Lack of dietary management in haemodialysis patients can lead to serious complications such as oedema, hyponatremia, hyperkalaemia, hypertension, uraemia and eventually death; however, studies using smartphone applications for dietary self‐management in haemodialysis patients are rare. Design A prospective, single‐blind, randomised, controlled design with repeated measures was followed with 75 haemodialysis patients at a haemodialysis centre. Data were collected from 10 January 2017–6 May 2018. The study applied the Consolidated Standards of Reporting Trials statement. Methods The 8‐week smartphone application‐based dietary self‐management program was developed through collaboration with a haemodialysis equipment company. The experimental group took this program while the control group took an 8‐week general program. Study variables were serum phosphorus, potassium and albumin, self‐efficacy and quality of life. They were measured at pretest, and 8 weeks and 12 weeks after the programs, and analysed using two‐way repeated measures analysis of variance. Findings The smartphone application‐based program significantly improved serum phosphorus, potassium, self‐efficacy and quality of life over time compared with the general program. There was no significant difference in albumin level changes between the groups. Conclusions The smartphone application‐based dietary self‐management program is an opportune and effective nursing intervention to lower serum phosphorus and potassium levels in haemodialysis patients over time. Trial registration was performed on http://www.cris.nih.go.kr (KCT0005366). Relevance to clinical practice Haemodialysis patients can easily use the smartphone application to manage their diet anytime and anywhere. They can get real‐time feedback and solutions to prevent haemodialysis complications. Nurses can provide tailored high‐quality care based on an individual's lifelog data from the smartphone application.

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

Pack

Lee

2021

Journal of Clinical Nursing

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“…A total of 26 studies were included in this review: 20 (77%) RCTs [53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72], 4 (15%) pilot RCTs [73][74][75][76], and 2 (8%) quasi-experimental studies [77,78] published from 2010 to 2020 in English in 13 countries. Details of the included studies are described in Multimedia Appendix 3.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…The patient counseling environments described in the original publications included websites [53,[55][56][57]59,62,63,65,66,72,75,76], mobile apps [54,60,61,[67][68][69][70][71]73,74,77,78], or a combination of both [58,64]. Websites could be accessed with all devices, whereas the mobile apps were accessible with either a mobile phone or a tablet.…”

Section: Overviewmentioning

confidence: 99%

“…The input data were also used as a clinical decision support tool by doctors [74]. The presented apps promoted adherence to treatment through daily or weekly challenges [54,60,67], a diary feature [54,78], and homework exercises [69]. Of the apps, 100% (12/12) provided personalized content [54,60,61,[67][68][69][70][71]73,74,77,78], that is, counseling, recommendations, feedback, or notifications based on the participants' inputs and responses.…”

Section: Mobile Appsmentioning

confidence: 99%

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Effectiveness of Digital Counseling Environments on Anxiety, Depression, and Adherence to Treatment Among Patients Who Are Chronically Ill: Systematic Review

Paalimäki-Paakki¹,

Virtanen²,

Henner³

et al. 2022

J Med Internet Res

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Background Patients who are chronically ill need novel patient counseling methods to support their self-care at different stages of the disease. At present, knowledge of how effective digital counseling is at managing patients’ anxiety, depression, and adherence to treatment seems to be fragmented, and the development of digital counseling will require a more comprehensive view of this subset of interventions. Objective This study aims to identify and synthesize the best available evidence on the effectiveness of digital counseling environments at improving anxiety, depression, and adherence to treatment among patients who are chronically ill. Methods Systematic searches of the EBSCO (CINAHL), PubMed, Scopus, and Web of Science databases were conducted in May 2019 and complemented in October 2020. The review considered studies that included adult patients aged ≥18 years with chronic diseases; interventions evaluating digital (mobile, web-based, and ubiquitous) counseling interventions; and anxiety, depression, and adherence to treatment, including clinical indicators related to adherence to treatment, as outcomes. Methodological quality was assessed using the standardized Joanna Briggs Institute critical appraisal tool for randomized controlled trials or quasi-experimental studies. As a meta-analysis could not be conducted because of considerable heterogeneity in the reported outcomes, narrative synthesis was used to synthesize the results. Results Of the 2056 records screened, 20 (0.97%) randomized controlled trials, 4 (0.19%) pilot randomized controlled trials, and 2 (0.09%) quasi-experimental studies were included. Among the 26 included studies, 10 (38%) digital, web-based interventions yielded significantly positive effects on anxiety, depression, adherence to treatment, and the clinical indicators related to adherence to treatment, and another 18 (69%) studies reported positive, albeit statistically nonsignificant, changes among patients who were chronically ill. The results indicate that an effective digital counseling environment comprises high-quality educational materials that are enriched with multimedia elements and activities that engage the participant in self-care. Because of the methodological heterogeneity of the included studies, it is impossible to determine which type of digital intervention is the most effective for managing anxiety, depression, and adherence to treatment. Conclusions This study provides compelling evidence that digital, web-based counseling environments for patients who are chronically ill are more effective than, or at least comparable to, standard counseling methods; this suggests that digital environments could complement standard counseling.

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Remote patient monitoring and management in nephrology: A systematic review

Mata-Lima,

Paquete,

Serrano-Olmedo

2024

Nefrología

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Integrated self‐management program effects on hemodialysis patients: A quasi‐experimental study

Cited by 15 publications

References 22 publications

Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

Effectiveness of Digital Counseling Environments on Anxiety, Depression, and Adherence to Treatment Among Patients Who Are Chronically Ill: Systematic Review

Remote patient monitoring and management in nephrology: A systematic review

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