Self-management interventions in stages 1 to 4 chronic kidney disease: an integrative review.
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.
Palabras clave
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