Effect of Behavior Modification Program Led By Advanced Practice Nurse on Clinical Outcomes in Patients with Pre-dialysis Chronic Kidney Disease.
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Published:
Jun 29, 2018
Keywords:
behavior modification program chronic kidney disease (CKD) advanced practice nurse (APN) clinical outcomes
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Abstract
This quasi experimental research aimed to examine the effect of behavior modification program which integrated Orem’s theory of self-care, motivational interviewing and roles of advanced practice nurse, on outcomes of patients with pre-dialysis chronic kidney disease. The samples were 75 patients with chronic kidney disease (CKD) and were recruited based on selective criteria from kidney disease clinic of a tertiary care hospital in Bangkok during September 2016 to June 2017. The program comprised of 5 activities in 6 months including: 1) providing CKD knowledge 2) self-awareness 3) building motivation 4) self-care teaching and 5) continuing self-care support. Research instruments included: demographic and health history form, CKD knowledge assessment, readiness to behavior change form, self-care behavior form, and records of patients’ outcomes and advices. Results showed that CKD knowledge of the sample were increased at immediate after the teaching and at 6th month period. Self-care behaviors were also increased significantly at 3rd month and at 6th month (p =.000). Percentages of patients with glomerular filtration rate, blood pressure, and HbA1c within the standard criteria were also increased. The behavior modification program led by advanced practice could enhance patients’ motivation, self-care abilities, and tend to slow the progression of CKD.
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สิงห์ประเสริฐ ร., กนกสุนทรรัตน์ น., & ชัยลิมปมนตรี ว. (2018). Effect of Behavior Modification Program Led By Advanced Practice Nurse on Clinical Outcomes in Patients with Pre-dialysis Chronic Kidney Disease. Thai Journal of Nursing and Midwifery Practice, 5(1), 57–74. Retrieved from https://he02.tci-thaijo.org/index.php/apnj/article/view/131494
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Research Article
References
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2. Ingsathit A, Thakkinstian A, Chaiprasert A, Sangthawan P, Gojaseni P, Kiattisunthorn K, et al. Prevalence and risk factors of chronic kidney disease in the Thai adult population: Thai SEEK study. Nephrol Dial Transplant 2010;25(5):1567-75. (In Thai)
3. Murphy F, Byrne G. Chronic kidney disease stages 4–5: Patient management. Br J Cardiac Nurs 2009; 4(2):59-66.
4. Sarafidis PA, Li S, Chen SC, Collins AJ, Brown WW, Klag MJ, et al. Hypertension awareness, treatment, and control in chronic kidney disease. Am J Med 2008;121(4):332-40.
5. Walker RC, Marshall MR, Polaschek NR. A prospective clinical trial of specialist renal nursing in the primary care setting to prevent progression of chronic kidney: a quality improvement report. BMC Fam Pract 2014;15:155.
6. Levin A, Stevens P, Bilous R. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl 2013;3:1-150.
7. Welch JL, Johnson M, Zimmerman L, Russell CL, Perkins SM, Decker BS. Self-management interventions in stages 1 to 4 chronic kidney disease: an integrative review. West J Nurs Res 2015;37(5):652-78.
8. Plantinga LC, Boulware LE, Coresh J, Stevens LA, Miller ER, 3rd, Saran R, et al. Patient awareness of chronic kidney disease: trends and predictors. Arch Intern Med 2008;168(20):2268-75.
9. Garcia-Llana H, Remor E, del Peso G, Celadilla O, Selgas R. Motivational interviewing promotes adherence and improves wellbeing in pre-dialysis patients with advanced chronic kidney disease. J Clin Psychol Med Settings 2014;21(1):103-15.
10. Stevens PE, Levin A. Evaluation and management of chronic kidney disease: synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline. Ann Intern Med 2013;158(11):825-30.
11. McCarley P. Patient empowerment and motivational interviewing: engaging patients to self-manage their own care. Nephrol Nurs J 2009;36(4):409-13.
12. Chen SH, Tsai YF, Sun CY, Wu IW, Lee CC, Wu MS. The impact of self-management support on the progression of chronic kidney disease-a prospective randomized controlled trial. Nephrol Dial Transplant. 2011;26(11):3560-6.
13. Sangalee M. The effect of education program for diet modification on knowledge of self care, percieved self care abilities and clinical paraeters in patients undergoing hemodialysis. [dissertation].Bangkok: Mahidol University;2007. (In Thai)
14. Rollnick S, Heather N, Bell A. Negotiating behaviour change in medical settings: The development of brief motivational interviewing. J Ment Health 1992;1(1):25-37.
15. Prajanket On. The effect of councelling using motivational interveiwing on adherence to antiretroviral therapy. [dissertation]. Bangkok:Mahidol University; 2008. (In Thai)
16. Prasomphol B. The effect of a counseling program using brief motivational interviewing on knowledge about tuberculosis and medication adherence among patients with pulmonary tuberculosis.[dissertation]. Bangkok: Mahidol University; 2010. (In Thai)
17. Orem D. Nursing concepts of practice. 4th ed. St. Louis: Mosby-Year Book ; 1991.
18. Intarasombat P, Sirapo-ngam Y, Chansirikarn S, Yamvong C, Mahakayanun S. Effect of patients and families participation in health care on functional outcomes, well-being, complications, length of stay in elderly patients, and patients and families satisfaction with care. Rama Nurs J 1996;2(3):4-15. (In Thai)
19. Choi ES, Lee J. Effects of a face-to-face selfmanagement program on knowledge, self-care practice and kidney function in patients with chronic kidney disease before the renal replacement therapy. J Korean Acad Nurs 2012;42(7):1070-8.
20. Saengcharnchai P, Phukao D, Sombatmai S, Noknoi S, Uthis P, editors. Motivational Interviewing and Motivational Enhancement Therapy : MI & MET. 1st ed. Chaingmai: Wanida ; 2010. (In Thai)
21. Seephom S. The effect of self management program for slow chronic kidney dtsease progression on knowledge, health behavior and blood pressure level.
[dissertation]. Bangkok:Mahidol University; 2013. (In Thai)
22. Chuasuwan A. ea. Thailand renal replacement theraphy. 2014. Bangkok: The Nephrology Society of Thailand; 2014. (In Thai)
23. Sakan B. Therapeutic exercise : Efficiency competency improvement of practitioner in NCDs and chronic kidney disease clinic. 2017 [cited 2017 23/10/2017].
Available from: https://www.rajavithi.go.th/rj/?p=4300.
24. Bortolon CB, Moreira TC, Signor L, Guahyba BL, Figueiro LR, Ferigolo M, et al. Six-Month Outcomes of a Randomized, Motivational Tele-intervention for Change in the Codependent Behavior of Family Members of Drug Users. Subst Use Misuse 2017;52(2): 164-74.
25. Bolignano D, Mattace-Raso F, Sijbrands EJG, Zoccali C. The aging kidney revisited: A systematic review. Ageing Research Reviews 2014;14(Supplement C): 65-80.