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Self-management interventions in stages 1 to 4 chronic kidney disease: an integrative review.
Welch, Janet L; Johnson, Michelle; Zimmerman, Lani; Russell, Cynthia L; Perkins, Susan M; Decker, Brian S.
Afiliación
  • Welch JL; Indiana University, Indianapolis, USA jwelch@iupui.edu.
  • Johnson M; University of Nebraska Medical Center, Lincoln, USA.
  • Zimmerman L; University of Nebraska Medical Center, Lincoln, USA.
  • Russell CL; University of Missouri-Kansas City, Kansas City, USA.
  • Perkins SM; Indiana University, Indianapolis, USA.
  • Decker BS; Indiana University, Indianapolis, USA.
West J Nurs Res ; 37(5): 652-78, 2015 May.
Article en En | MEDLINE | ID: mdl-25239136
ABSTRACT
The prevalence, effect on health outcomes, and economic impact of chronic kidney disease (CKD) have created interest in self-management interventions to help slow disease progression to kidney failure. Seven studies were reviewed to identify knowledge gaps and future directions for research. All studies were published between 2010 and 2013; no investigations were conducted in the United States. Knowledge gaps included the focus on medical self-management tasks with no attention to role or emotional tasks, lack of family involvement during intervention delivery, and an inability to form conclusions about the efficacy of interventions because methodological rigor was insufficient. Educational content varied across studies. Strategies to improve self-management skills and enhance self-efficacy varied and were limited in scope. Further development and testing of theory-based interventions are warranted. There is a critical need for future research using well-designed trials with appropriately powered sample sizes, well-tested instruments, and clear and consistent reporting of results.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Autocuidado / Manejo de la Enfermedad / Insuficiencia Renal / Insuficiencia Renal Crónica Tipo de estudio: Risk_factors_studies / Systematic_reviews Límite: Humans País/Región como asunto: America do norte Idioma: En Año: 2015 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Autocuidado / Manejo de la Enfermedad / Insuficiencia Renal / Insuficiencia Renal Crónica Tipo de estudio: Risk_factors_studies / Systematic_reviews Límite: Humans País/Región como asunto: America do norte Idioma: En Año: 2015 Tipo del documento: Article