title: Effects of a face-to-face self-management program on knowledge, self-care practice and kidney function in patients with chronic kidney disease before the renal replacement therapy.
abstract: OBJECTIVE
  The purpose of this study was to examine the effects of a face-to-face self-management educational program on knowledge, self-care practice and kidney function in patients with chronic kidney disease (CKD) before kidney replacement therapy.
  
  
  METHODS
  This study employed a nonequivalent control group, non-synchronized design. Data were collected from 61 patients with CKD visiting an outpatient department of nephrology in a university hospital in Seoul, South Korea. The experimental group (n=31) took the pre-test, then after 3 weeks, face-to-face education and individualized consultation (1st intervention), after a week of self-practice, the 1st post-test, followed by re-enforcement education and consultation (2nd intervention), and 4 weeks later, the 2nd post-test. The control group (n=30) took the pre-test and post-tests at 4 and 8 weeks.
  
  
  RESULTS
  Scores for knowledge of CKD and self-care practice over time improved significantly in the experimental group compared to the control group. Kidney function did not improve significantly in the experimental group.
  
  
  CONCLUSIONS
  Health care providers can identify various and individualized needs, and provide effective education and consultation through face to face self-management for patients with chronic irreversible illnesses. Nurses can coordinate for these program by designing and providing systematic and effective education.
authors: Education Graduate School, Kyung Hee University, Seoul, Korea.
authors: Eun Sung
authors: ES
authors: Choi
authors: Jia
authors: J
authors: Lee
mesh_terms: D000328:Adult; D000368:Aged; D001806:Blood Urea Nitrogen; D002118:Calcium / Q000097:blood; D003404:Creatinine / Q000097:blood; D005260:Female; D005919:Glomerular Filtration Rate; D007722:Health Knowledge, Attitudes, Practice; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007668:Kidney / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010710:Phosphates / Q000097:blood; D011188:Potassium / Q000652:urine; D015397:Program Evaluation; D051436:Renal Insufficiency, Chronic / Q000523:psychology*; D017582:Renal Replacement Therapy; D012648:Self Care; D012964:Sodium / Q000652:urine
chemical_list: D006454:Hemoglobins; D010710:Phosphates; D012964:Sodium; D003404:Creatinine; D011188:Potassium; D002118:Calcium
keywords: Chronic renal insufficiency; Education; Self-management