alexa
Reach Us +447480022765
Evaluating The Effects Of An Empowerment-based Self-management Program On T2DM Patients With Early Stage CKD | 54141
ISSN: 2167-1168

Journal of Nursing & Care
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Evaluating the effects of an empowerment-based self-management program on T2DM patients with early stage CKD

6th World Nursing and Healthcare Conference

Chiu-Chu Lin and Fu-Mian Tsai

Kaohsiung Medical University, Taiwan Chung Hwa University of Medical Technology, Taiwan

Posters & Accepted Abstracts: J Nurs Care

DOI: 10.4172/2167-1168.C1.020

Abstract
Introduction: Diabetes is the most common cause of chronic kidney disease (CKD) in Taiwan and also an increasing same cause worldwide. Studies show one third of patients with type 2 diabetes mellitus (DM) have concomitant early stage CKD. Self-management for patients with both of these chronic conditions is conflicting, complex and often inadequate. With proactive interventions, CKDrelated self-management behavior may be improved and the progression of the CKD may be delayed. Objectives: The purpose of this study was to evaluate the effectiveness of an empowerment-based self-management program (EBSM) on CKD self-efficacy, CKD self-management behavior and biomedical measures in T2DM patients with early stage CKD. Methodology: The study adopts a quasi-experimental design, 71 patients (52% men, mean age 54.97 years) were assigned to the group-based EBSM program or usual care group based on their availability to attend the intervention. The EBSM group which used the empowerment approach to help patients aware self-management problems, set goals and make evaluation to their CKD selfmanagement plans. All of the patients underwent testing at baseline (T0), 3 (T1) and 6 (T2) months after a 6 weeks intervention. A generalized estimating equation (GEE) models was conducted to determine the effectiveness of the intervention. Results: After adjusting for baseline and covariate, the EBSM intervention resulted in improvements in CKD self-efficacy scores (p<0.001 at 3 months; p<0.001 at 6 months), CKD self-management behavior scores (p<0.01 at 3 months; p<0.01 at 6 months); body weight (p<0.05 at 3 months); BMI (p<0.05 at 3 months), waist (p<0.001 at 3 months; p<0.001 at 6 months); systolic blood pressure (p<0.001 at 3 months; p<0.01 at 6 months), diastolic blood pressure (p<0.01 at 3 months; p<0.05 at 6 months), Haemoglobin A1c levels (, p<0.01 at 3 months; p<0.01 at 6 months); blood lipid levels (p<0.01 at 3 months) as compared to the usual group. No group differences but maintain in GFR and UCAR were observed. Conclusion: A EBSM program for T2DM patients with early stage CKD resulted in greater improvements in self-efficacy, selfmanagement behavior and positive effect in biomedical measures but no difference in GFR and UACR levels up to 6 months after intervenntion. Future studies testing empowerment-based interventions in larger samples with longer follow-up, and randomized controlled trial design were warranted.
Biography

Chiu-Chu Lin has completed her PhD degree from University of Michigan, Ann Arbor, USA. She is a Professor of School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. Her major is Adult Health Nursing and the specialty focus on the Nephrology Nursing. Her research interests include self-management of chronic illness, instrument development and testing, and intervention study. In recent years, she have been conducting theory-based intervention study. In the teaching area, she is responsible for the courses of adult health nursing and intervention study in the graduate institution and the course of medical-surgical nursing in the undergraduate program.

Email: [email protected]

Relevant Topics
Top