Effectiveness of Implementation of a Patient-centered Self-management Program in Patients With Hypertensive Nephropathy
Hypertensive Nephropathy, Self-management, Self-efficacy
About this trial
This is an interventional treatment trial for Hypertensive Nephropathy focused on measuring hypertension, hypertensive nephropathy, chronic kidney disease, end-stage kidney disease,, patient-centered,, self-management program
Eligibility Criteria
Inclusion Criteria:
- Clinical diagnosis of hypertensive nephropathy and chronic kidney disease stage 3b to 5.
- Clear consciousness and could communicate in Chinese and Taiwanese
- Age 20 years old the above.
Exclusion Criteria:
- End-stage kidney disease who have undergone dialysis treatment (hemodialysis, peritoneal dialysis)
- Clinical diagnosis of diabetic nephropathy
- Diagnosed as mental illness (severe depression, schizophrenia) and cognitive dysfunction
Sites / Locations
- Cardinal Tien Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
PCSMP
Usual Care
Patient-centered self-management program for patients with hypertensive nephropathy into 4 units, including: Unit 1: hypertensive nephropathy brief introduction and complications. Unit 2: dietary precautions for patients with hypertensive nephropathy. Unit 3: medication treatments for patients with hypertensive nephropathy. Unit 4: the content included stress management (emotional control, spiritual support). This program was implemented in small groups with 5-10 patients. This study used patient-centered self-management group activity manual as the tool. The group activities with 4 units lasting for 400 minutes were expected to be designed. The group activities were expected to last for 4 weeks and be implemented once per week and 100 minutes per time (including: 90 minutes of group discussion and 5-10 minutes of video-waring).
Routine care.