School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Division of Nephrology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.
Semin Dial. 2021 Jul;34(4):292-299. doi: 10.1111/sdi.12957. Epub 2021 Feb 2.
Taiwan has the world's highest prevalence of end-stage kidney disease, as well as the world's third highest incidence. The study investigated the effectiveness of a self-management program for enhancing health-related quality of life, self-care behaviors, and self-efficacy in patients with end-stage kidney disease undergoing hemodialysis.
This was a quasi-experimental design with convenient sampling, and allocated 32 participants in the control group (conventional program) and 32 participants in the experimental group (self-management program). The self-management program intervention lasted 4 weeks, and a posttest was administered 3 months later. The questionnaire included the 36-Item Short Form Health Survey, a Chronic Kidney Disease Self-Care Instrument, and a Chronic Kidney Disease Self-Efficacy Instrument.
Three months after the intervention, the self-management program had improved patients' health-related quality of life in the mental health components (p < .001), but not in the physical health components. The program also promoted patients' self-care behaviors (p < .001) and self-efficacy (p < .05).
This study's findings confirmed that self-management programs should be promoted in clinical practice where they will provide clinical care personnel with an alternative to conventional health education.
台湾地区拥有全球最高的末期肾脏病盛行率，以及全球第三高的发生率。本研究旨在探讨自我管理方案对改善接受血液透析治疗的末期肾脏病患者之健康相关生活品质、自我照护行为及自我效能的成效。
本研究采用类实验设计，以方便取样，将 32 名参与者分配至对照组（常规方案）和实验组（自我管理方案）。自我管理方案的干预时间为 4 周，3 个月后进行测试。问卷包括 36 项简短健康调查问卷、慢性肾脏病自我照护量表和慢性肾脏病自我效能量表。
干预 3 个月后，自我管理方案显著改善了患者的心理健康成分的健康相关生活品质（p <.001），但对生理健康成分无显著影响。该方案还促进了患者的自我照护行为（p <.001）和自我效能（p <.05）。
本研究结果证实，应在临床实践中推广自我管理方案，为临床照护人员提供传统健康教育的替代方案。
