A MULTI-DIMENSIONAL SUPPORT PROGRAMME FOR PATIENTS WITH DIABETIC KIDNEY DISEASE

Journal of Renal Care
Agneta A PagelsMichael Alvarsson

Abstract

Diabetes is currently the most common cause of kidney disease among patients receiving renal replacement therapy. Pedagogical interventions to promote self-management and secondary prevention have been shown to be effective in delaying disease progression. A non-randomised, quasi-experimental design ('uncontrolled before and after') to evaluate the effects of a group-based, multidisciplinary and multidimensional support programme in patients with diabetic kidney disease. The programme comprised 1) Disease-related knowledge, 2) Skills training and increased self-care agency 3) A motivational approach, with group discussions, participant questions and narratives, setting and follow-up of individual health goals. Fifty-eight patients with diabetic kidney disease. Glycated haemoglobin (HbA1c), urine albumin/creatinine ratio, blood pressure, body mass index, waist, physical activity and participant experiences from the programme. The evaluation indicated positive effects on HbA1c, albuminuria and physical activity at follow-up after four months. The proportion of patients achieving blood pressure targets increased. The participants reported improved understanding of their health condition and treatment regime. The multidimensional s...Continue Reading

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Citations

Mar 30, 2016·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Pamela A Lopez-VargasJonathan C Craig
Nov 28, 2017·PloS One·Stephanie Anna LenzenAnna Beurskens
Nov 6, 2015·Clinical Journal of the American Society of Nephrology : CJASN·Andrew S NarvaL Ebony Boulware
Feb 20, 2018·Current Diabetes Reports·O Kenrik DuruKeith Norris
Aug 15, 2019·Journal of Clinical Nursing·Patricia O'ReganJosephine Hegarty

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