Effect of patient-centred self-management programme on mental health, self-efficacy and self-management of patients with hypertensive nephropathy: A randomised controlled trial

Autor:	Hui-Mei Chen, Shu-Fang Vivienne Wu, Wen-Hug Wang, Mei-Chen Lee, Kuo-Cheng Lu, Yen-Yen Chen
Rok vydání:	2021
Předmět:	medicine.medical_specialty Hypertension Renal Renal function law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Hypertensive Nephropathy Medicine Humans Single-Blind Method 030212 general & internal medicine General Nursing Self-efficacy Self-management Nephritis 030504 nursing business.industry Self-Management Consolidated Standards of Reporting Trials General Medicine Mental health Self Efficacy Mental Health Physical therapy 0305 other medical science business
Zdroj:	Journal of clinical nursingREFERENCES. 30(21-22)
ISSN:	1365-2702
Popis:	Aim and objectives To evaluate the effect of patient-centred self-management programme on mental health, self-efficacy and self-management of patients with hypertensive nephropathy. Background If the symptoms of hypertension are not well-controlled, deterioration of renal function will accelerate and evolve into hypertensive nephropathy. Design A randomised single-blind trial. This article follows the requirements of CONSORT statement. Methods The experimental group (n = 35) after pre-test used patient-centred self-management programme once a week for a total of 4 weeks and the intervention effect was measured after 3 months for post-test. Contrarily, the traditional care was employed for the control group (n = 35). The measuring outcomes included mental health, self-efficacy and self-management. Trial registry is listed under https://clinicaltrials.gov/ with Identifier No. NCT04633993. Results After the intervention, the average score of mental health for the experimental group was 20.79 (SD = 0.82) which was higher than the 19.27 points for the control group (SD = 0.77) and showed a significant difference (F = 8.31, p = .005, partial eta2 = 0.133). In terms of self-efficacy, the average score for the experimental group was 214.13 (SD = 6.40), which was higher than the 189.58 points for the control group (SD = 6.03) and exhibited a significant difference (F = 11.82, p = .001, partial eta2 = 0.197). Regarding self-management, the average score of the experimental group was 75.12 (SD = 2.29) which was significantly higher than the 68.80 points of the control group (SD = 2.43) (F = 11.17, p = .001, partial eta2 = 0.190). Conclusions In addition to promoting mental health of individual cases, this intervention also increases their self-confidence in disease control and improves their self-management on diseases. Relevance to clinical practice The intervention provides an effective option for clinical care workers as a replacement for or supplement to the traditional care.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0db6b3da1c6af6c4164a870c836b5bfa https://pubmed.ncbi.nlm.nih.gov/33942419 Zobrazit plný text záznamu Plný text