Self-Management Programs on eGFR, Depression, and Quality of Life among Patients with Chronic Kidney Disease: A Meta-Analysis

Abstract

Self-management programs of patients with chronic kidney disease can improve the depression and mental quality of life. Aside from providing more objective evidence-based results, this study provides a reference for clinical health care personnel who tend to patients with CKD.

Self-Management Program for People with Chronic Kidney Disease in Vietnam: A Pragmatic Randomised Controlled Trial

“…Both systematic reviews identified similar studies of which five were randomised controlled trials (RCTs) (Byrne et al, 2011;Campbell et al, 2008;Chen et al, 2011;Flesher et al, 2011;Williams et al, 2012). The other three systematic reviews (Lee et al, 2016;Lin et al, 2017;Lopez-Vargas et al, 2016) included only RCTs of CKD self-management interventions in either pre-dialysis patients or in those already receiving dialysis. Lee et al (2016) included two RCTs involving pre-dialysis patients (Campbell et al, 2008;Chen et al, 2011), both of which were also reported by and Welch et al (2014) in their systematic reviews.…”

“…Thus, improving people's kidney disease-related knowledge is important for early symptoms, taking prescribed medications, and adhering to other management strategies. Patient education has been shown to be extremely important in improving CKD knowledge in five recent systematic reviews in CKD self-management Lee et al, 2016;Lin et al, 2017;Lopez-Vargas et al, 2016;Welch et al, 2014). A more detailed examination of these systematic reviews occurs in section 2.5.…”

“…The search found five recent systematic reviews of quantitative studies Lee et al, 2016;Lin et al, 2017;Lopez-Vargas et al, 2016;Welch et al, 2014). Table 2.1 summarises the key findings of the systematic reviews.…”

“…The other three systematic reviews (Lee et al, 2016;Lin et al, 2017;Lopez-Vargas et al, 2016) included only RCTs of CKD self-management interventions in either pre-dialysis patients or in those already receiving dialysis. Lee et al (2016) included two RCTs involving pre-dialysis patients (Campbell et al, 2008;Chen et al, 2011), both of which were also reported by and Welch et al (2014) in their systematic reviews. Lopez-Vargas et al (2016) included 11 RCTs, although only six were relevant to this thesis (Campbell et al, 2008;Chen et al, 2011;Flesher et al, 2011;Paes-Barreto et al, 2013;Teng et al, 2013;Williams et al, 2012).…”

“…For individuals, managing CKD is a complex task that requires day-to-day self-management through adherence to medication, blood pressure (BP) management, healthy eating, and exercise. Improved CKD self-management is known to slow the progression of the disease and to improve health outcomes Lee, Wu, Hsieh, & Tsai, 2016;Lin, Liu, Hsu, & Tsai, 2017;Lopez-Vargas, Tong, Howell, & Craig, 2016;Welch et al, 2014). However, in developing countries such as Vietnam, where health resources are stretched and almost non-existent primary healthcare service provided by general practitioners care available, effective strategies are needed to better support people to engage in CKD self-management.…”