The effects of a participatory structured group educational program on the development of CKD: a population-based study
| Autor: | Tadashi Sofue, Masahito Yamanaka, Yasushi Yamasaki, Hiroshi Fujioka, Masahiro Moritoki, Yoko Nishijima, Nao Matsushita, Akira Nishiyama, Tetsuo Minamino, Yuka Okano |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Nephrology Health Knowledge Attitudes Practice medicine.medical_specialty Time Factors Physiology Population 030232 urology & nephrology Renal function 030204 cardiovascular system & hematology Kidney urologic and male genital diseases 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Risk Factors Physiology (medical) Internal medicine medicine Humans Renal Insufficiency Chronic education Aged Retrospective Studies education.field_of_study Proteinuria business.industry Protective Factors medicine.disease Confidence interval Group Processes Treatment Outcome Disease Progression Female Patient Participation medicine.symptom business Risk Reduction Behavior Educational program Glomerular Filtration Rate Kidney disease Patient education |
| Zdroj: | Clinical and Experimental Nephrology. 23:1031-1038 |
| ISSN: | 1437-7799 1342-1751 |
| DOI: | 10.1007/s10157-019-01738-1 |
| Popis: | The type of lifestyle guidance that is effective for preventing development of chronic kidney disease (CKD) is unknown. Here, we aim to investigate the effects of a participatory structured group education (SGE) program on the development of CKD in a population-based study. We retrospectively analyzed 1060 adult special health check-up examinees with CKD. Examinees with an estimated glomerular filtration rate (eGFR) from 50 to 60 mL/min/1.73 m2 and/or proteinuria 1+ were encouraged to attend an SGE program. The SGE program included participatory small group discussions on the attendees’ remaining risk factors. The primary outcome of this study was the change in eGFR per year. The changes in eGFR in examinees who attended the SGE program (n = 209, + 2.9 mL/min/1.73 m2 [95% confidence interval (CI) + 1.9 to + 3.9]) significantly improved compared with control (n = 383, + 1.2 mL/min/1.73 m2 [95% CI + 0.5 to + 1.9], p = 0.006). Attending an SGE program was independently and positively related to the changes in eGFR at 1 year after attendance, after adjusting for classical covariates (β = 1.55 [95% CI 0.37–2.73], p = 0.01). Attending an SGE program was effective for the examinees with a lower eGFR compared with those with only proteinuria. Our SGE program showed the beneficial effects of preventing the development of CKD, independent of classical factors. The type of SGE program that is more effective for preventing development of CKD should be investigated in a long-term analysis. |
| Databáze: | OpenAIRE |
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