J Korean Acad Fundam Nurs.  2022 Nov;29(4):531-542. 10.7739/jkafn.2022.29.4.531.

Development and Evaluation of an Online Self-Management Program in Patients with Chronic Kidney Failure Undergoing Hemodialysis

• Yang J

• KMID: 2536567
• DOI: http://doi.org/10.7739/jkafn.2022.29.4.531

Abstract

Purpose
This study was performed to develop and evaluate an online self-management program for enhancing hemodialysis-related knowledge, self-efficacy, ways of coping, self-management behavior, physical and mental health-related quality of life in patients with chronic kidney failure undergoing hemodialysis.
Methods
The research used a quasi-experimental design with a non-equivalent control group pre-post test design with convenience sampling. The participants were 53 patients (27 in the experimental group and 26 in the control group). A pretest and posttest were conducted to measure the main variables. For the experimental group, the online self-management program, consisting of counseling-centered activities in small groups, was administered for 8 weeks. Data were analyzed using the x² test, t-test and independent/paired t-test with the SPSS 27 statistics program.
Results
Statistically significant increases were found in hemodialysis-related knowledge, self-efficacy, active ways of coping, self-management behavior, physical and mental health-related quality of life but not in passive ways of coping in the experimental group compared to the control group.
Conclusion
The results of this study indicate that the online self-management program was effective in increasing hemodialysis-related knowledge, self-efficacy, active ways of coping, self-management behavior, physical and mental health-related quality of life among patients with hemodialysis. Therefore, it can be safely utilized as a nursing intervention for patients with chronic kidney failure undergoing hemodialysis in pandemic situations with high risk of infection.

Keyword

Chronic kidney failure; Hemodialysis; Self-management; Program development; Program evaluation; 만성신부전; 혈액투석; 자가관리; 프로그램 개발; 프로그램 평가