Korean J Adult Nurs.  2018 Aug;30(4):426-436. 10.7475/kjan.2018.30.4.426.

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

• Lee SJ

• KMID: 2418985
• DOI: http://doi.org/10.7475/kjan.2018.30.4.426

Abstract

PURPOSE
This study aimed to determine the impact of an empowerment program on the self-management, self-efficacy, and quality of life on patients in stages 2~4 of chronic kidney disease that exhibited poor self-management.
METHODS
This study utilized a quasi-experimental design and was carried out from March to September 2014. Participants were assigned conveniently to the experimental (n=26) and the control group (n=27). The empowerment program for the experimental group included two sessions of disease management education, four small group discussions, and four telephone counseling sessions over a three-month period. It was conducted in the context of a self-regulatory process and designed to promote self-management and problem-solving skills. The control group received usual care. The outcome variables were obtained using questionnaires before and after the intervention in both groups. The self-management score of the experimental group was lower than that of the control group at the baseline, so it was set as covariate and analyzed by analysis of covariance.
RESULTS
There was a significant improvement in the experimental group compared to the control group in terms of their pre-to post-intervention changes in overall self-management (F=9.21, p=.004), self-efficacy (F=5.81, p=.020), and quality of life.
CONCLUSION
The present empowerment program was found to be appropriate for patients with poor self-management. It led to an improvement in the study outcomes in the short-term. The empowerment of patients with renal insufficiency should be considered to prevent the aggravation of their health-related problems and quality of life.

MeSH Terms

Counseling
Disease Management
Education
Humans
Patient Compliance
Patient Participation
Power (Psychology)*
Quality of Life
Renal Insufficiency
Renal Insufficiency, Chronic*
Self Care*
Telephone

Figure

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  Figure 1 Flowchart of participant progress through the study.

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  Figure 2 Logical framework of the empowerment program based on self-regulation process.

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