Effects of self-management on chronic kidney disease: A meta-analysis
Self-management programs may facilitate the improvement of outcomes in medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. Studies on the effect of three self-management tasks have reported conflicting findings. In addition, systematic...
Gespeichert in:
| Veröffentlicht in: | International journal of nursing studies 2017-09, Vol.74, p.128-137 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 137 |
|---|---|
| container_issue | |
| container_start_page | 128 |
| container_title | International journal of nursing studies |
| container_volume | 74 |
| creator | Lin, Mei-Yu Liu, Megan F. Hsu, Lan-Fang Tsai, Pei-Shan |
| description | Self-management programs may facilitate the improvement of outcomes in medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. Studies on the effect of three self-management tasks have reported conflicting findings. In addition, systematic reviews are unavailable.
This study evaluated the effects of self-management programs on medical, role, and emotional management and health-related quality of life in chronic kidney disease.
Meta-analysis of randomized controlled studies.
The meta-analysis involved an online search of the English literature from PubMed, Cochrane, Web of Science, and CINAHL and the Chinese literature from the Airiti Library that were published from the inception of the websites until January 1, 2017.
The meta-analysis was conducted to evaluate the effects of self-management on chronic kidney disease outcomes. Electronic databases were searched by using keywords: chronic kidney disease, end-stage renal disease, renal failure, dialysis, self-management, self-efficacy, empowerment, cognitive behavioral, and educational. The methodological quality of randomized controlled trials was assessed using the Cochrane Handbook. Data were analyzed using Comprehensive Meta-Analysis software 2.0.
Eighteen randomized controlled trials met our inclusion criteria. The results revealed that the self-management program significantly enhanced the effects of self-management on outcomes of medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. The following Hedges’ g (effect size) values were obtained: (1) interdialytic weight gain, −0.36 (95% confidence interval, −0.60 to −0.12, p |
| doi_str_mv | 10.1016/j.ijnurstu.2017.06.008 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1917664869</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0020748917301335</els_id><sourcerecordid>1917664869</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-83f503c8d88dee926ae349be5dfa33470461fcd5aad275db002cbc864a993fe33</originalsourceid><addsrcrecordid>eNqFkE1L7DAUhoMoOn78BSm4cdPek6ZNE1eKjN4Lwt0ouAuZ5ERT-6FJK8y_N8OoCzeuzuZ53_PyEHJKoaBA-Z-28O0whzjNRQm0KYAXAGKHLKhoWF5J-rhLFgAl5E0l5AE5jLEFACpA7JODUnAhKYcFWS6dQzPFbHRZxM7lvR70E_Y4TNk4ZOY5jIM32Yu3A64z6yPqiBfZVdbjpPPEduvo4zHZc7qLePJ5j8jDzfL--m9-9__23_XVXW4qXk65YK4GZoQVwiLKkmtklVxhbZ1mrGqg4tQZW2tty6a2q7TfrIzglZaSOWTsiJxve1_D-DZjnFTvo8Gu0wOOc1RU0obzSnCZ0LMfaDvOIe3dUAK4lKWsE8W3lAljjAGdeg2-12GtKKiNaNWqL9FqI1oBV0l0Cp5-1s-rHu137MtsAi63ACYf7x6DisbjYND6kIQrO_rffnwAYqOSSg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1980699295</pqid></control><display><type>article</type><title>Effects of self-management on chronic kidney disease: A meta-analysis</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Access via ScienceDirect (Elsevier)</source><creator>Lin, Mei-Yu ; Liu, Megan F. ; Hsu, Lan-Fang ; Tsai, Pei-Shan</creator><creatorcontrib>Lin, Mei-Yu ; Liu, Megan F. ; Hsu, Lan-Fang ; Tsai, Pei-Shan</creatorcontrib><description><![CDATA[Self-management programs may facilitate the improvement of outcomes in medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. Studies on the effect of three self-management tasks have reported conflicting findings. In addition, systematic reviews are unavailable.
This study evaluated the effects of self-management programs on medical, role, and emotional management and health-related quality of life in chronic kidney disease.
Meta-analysis of randomized controlled studies.
The meta-analysis involved an online search of the English literature from PubMed, Cochrane, Web of Science, and CINAHL and the Chinese literature from the Airiti Library that were published from the inception of the websites until January 1, 2017.
The meta-analysis was conducted to evaluate the effects of self-management on chronic kidney disease outcomes. Electronic databases were searched by using keywords: chronic kidney disease, end-stage renal disease, renal failure, dialysis, self-management, self-efficacy, empowerment, cognitive behavioral, and educational. The methodological quality of randomized controlled trials was assessed using the Cochrane Handbook. Data were analyzed using Comprehensive Meta-Analysis software 2.0.
Eighteen randomized controlled trials met our inclusion criteria. The results revealed that the self-management program significantly enhanced the effects of self-management on outcomes of medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. The following Hedges’ g (effect size) values were obtained: (1) interdialytic weight gain, −0.36 (95% confidence interval, −0.60 to −0.12, p<0.01); (2) self-efficacy, 0.57 (95% confidence interval, 0.18–0.96, p<0.01); (3) anxiety, −0.95 (95% confidence interval, −1.65 to −0.25, p=0.01); (4) depression, −0.63 (95% confidence interval, −0.85 to −0.41, p<0.01) (5) health-related quality of life for the mental component of the SF-36, 0.71 (95% confidence interval, 0.45–0.97, p<0.01); (6) the physical component of the SF-36, 0.61 (95% confidence interval, 0.35–0.86, p<0.01); and (7) the Kidney Disease Quality of Life, 0.41 (95% confidence interval, 0.17–0.65, p<0.01).
This study revealed a small effect of self-management on interdialytic weight gain; medium effects on self-efficacy, depression, and health-related quality of life; and a large effect on anxiety. However, high-quality randomized controlled trial designs are required to confirm these results, although the existing evidence can guide clinical practitioners and health policy makers.]]></description><identifier>ISSN: 0020-7489</identifier><identifier>EISSN: 1873-491X</identifier><identifier>DOI: 10.1016/j.ijnurstu.2017.06.008</identifier><identifier>PMID: 28689160</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Anxiety ; Chronic kidney disease ; Clinical outcomes ; Clinical trials ; Cognitive-behavioral factors ; Dialysis ; Disease management ; Emotions ; Empowerment ; Evidence-based nursing ; Health behavior ; Health status ; Health-related quality of life ; Humans ; Interdialytic weight gain ; Kidney diseases ; Kidney Failure, Chronic - psychology ; Kidney Failure, Chronic - therapy ; Mental depression ; Meta-analysis ; Nursing ; Policy making ; Quality of Life ; Self Care ; Self-efficacy ; Self-management ; Selfmanagement ; Systematic review ; Weight gain</subject><ispartof>International journal of nursing studies, 2017-09, Vol.74, p.128-137</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Sep 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-83f503c8d88dee926ae349be5dfa33470461fcd5aad275db002cbc864a993fe33</citedby><cites>FETCH-LOGICAL-c462t-83f503c8d88dee926ae349be5dfa33470461fcd5aad275db002cbc864a993fe33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijnurstu.2017.06.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28689160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Mei-Yu</creatorcontrib><creatorcontrib>Liu, Megan F.</creatorcontrib><creatorcontrib>Hsu, Lan-Fang</creatorcontrib><creatorcontrib>Tsai, Pei-Shan</creatorcontrib><title>Effects of self-management on chronic kidney disease: A meta-analysis</title><title>International journal of nursing studies</title><addtitle>Int J Nurs Stud</addtitle><description><![CDATA[Self-management programs may facilitate the improvement of outcomes in medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. Studies on the effect of three self-management tasks have reported conflicting findings. In addition, systematic reviews are unavailable.
This study evaluated the effects of self-management programs on medical, role, and emotional management and health-related quality of life in chronic kidney disease.
Meta-analysis of randomized controlled studies.
The meta-analysis involved an online search of the English literature from PubMed, Cochrane, Web of Science, and CINAHL and the Chinese literature from the Airiti Library that were published from the inception of the websites until January 1, 2017.
The meta-analysis was conducted to evaluate the effects of self-management on chronic kidney disease outcomes. Electronic databases were searched by using keywords: chronic kidney disease, end-stage renal disease, renal failure, dialysis, self-management, self-efficacy, empowerment, cognitive behavioral, and educational. The methodological quality of randomized controlled trials was assessed using the Cochrane Handbook. Data were analyzed using Comprehensive Meta-Analysis software 2.0.
Eighteen randomized controlled trials met our inclusion criteria. The results revealed that the self-management program significantly enhanced the effects of self-management on outcomes of medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. The following Hedges’ g (effect size) values were obtained: (1) interdialytic weight gain, −0.36 (95% confidence interval, −0.60 to −0.12, p<0.01); (2) self-efficacy, 0.57 (95% confidence interval, 0.18–0.96, p<0.01); (3) anxiety, −0.95 (95% confidence interval, −1.65 to −0.25, p=0.01); (4) depression, −0.63 (95% confidence interval, −0.85 to −0.41, p<0.01) (5) health-related quality of life for the mental component of the SF-36, 0.71 (95% confidence interval, 0.45–0.97, p<0.01); (6) the physical component of the SF-36, 0.61 (95% confidence interval, 0.35–0.86, p<0.01); and (7) the Kidney Disease Quality of Life, 0.41 (95% confidence interval, 0.17–0.65, p<0.01).
This study revealed a small effect of self-management on interdialytic weight gain; medium effects on self-efficacy, depression, and health-related quality of life; and a large effect on anxiety. However, high-quality randomized controlled trial designs are required to confirm these results, although the existing evidence can guide clinical practitioners and health policy makers.]]></description><subject>Anxiety</subject><subject>Chronic kidney disease</subject><subject>Clinical outcomes</subject><subject>Clinical trials</subject><subject>Cognitive-behavioral factors</subject><subject>Dialysis</subject><subject>Disease management</subject><subject>Emotions</subject><subject>Empowerment</subject><subject>Evidence-based nursing</subject><subject>Health behavior</subject><subject>Health status</subject><subject>Health-related quality of life</subject><subject>Humans</subject><subject>Interdialytic weight gain</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - psychology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Mental depression</subject><subject>Meta-analysis</subject><subject>Nursing</subject><subject>Policy making</subject><subject>Quality of Life</subject><subject>Self Care</subject><subject>Self-efficacy</subject><subject>Self-management</subject><subject>Selfmanagement</subject><subject>Systematic review</subject><subject>Weight gain</subject><issn>0020-7489</issn><issn>1873-491X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkE1L7DAUhoMoOn78BSm4cdPek6ZNE1eKjN4Lwt0ouAuZ5ERT-6FJK8y_N8OoCzeuzuZ53_PyEHJKoaBA-Z-28O0whzjNRQm0KYAXAGKHLKhoWF5J-rhLFgAl5E0l5AE5jLEFACpA7JODUnAhKYcFWS6dQzPFbHRZxM7lvR70E_Y4TNk4ZOY5jIM32Yu3A64z6yPqiBfZVdbjpPPEduvo4zHZc7qLePJ5j8jDzfL--m9-9__23_XVXW4qXk65YK4GZoQVwiLKkmtklVxhbZ1mrGqg4tQZW2tty6a2q7TfrIzglZaSOWTsiJxve1_D-DZjnFTvo8Gu0wOOc1RU0obzSnCZ0LMfaDvOIe3dUAK4lKWsE8W3lAljjAGdeg2-12GtKKiNaNWqL9FqI1oBV0l0Cp5-1s-rHu137MtsAi63ACYf7x6DisbjYND6kIQrO_rffnwAYqOSSg</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Lin, Mei-Yu</creator><creator>Liu, Megan F.</creator><creator>Hsu, Lan-Fang</creator><creator>Tsai, Pei-Shan</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201709</creationdate><title>Effects of self-management on chronic kidney disease: A meta-analysis</title><author>Lin, Mei-Yu ; Liu, Megan F. ; Hsu, Lan-Fang ; Tsai, Pei-Shan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-83f503c8d88dee926ae349be5dfa33470461fcd5aad275db002cbc864a993fe33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Anxiety</topic><topic>Chronic kidney disease</topic><topic>Clinical outcomes</topic><topic>Clinical trials</topic><topic>Cognitive-behavioral factors</topic><topic>Dialysis</topic><topic>Disease management</topic><topic>Emotions</topic><topic>Empowerment</topic><topic>Evidence-based nursing</topic><topic>Health behavior</topic><topic>Health status</topic><topic>Health-related quality of life</topic><topic>Humans</topic><topic>Interdialytic weight gain</topic><topic>Kidney diseases</topic><topic>Kidney Failure, Chronic - psychology</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Mental depression</topic><topic>Meta-analysis</topic><topic>Nursing</topic><topic>Policy making</topic><topic>Quality of Life</topic><topic>Self Care</topic><topic>Self-efficacy</topic><topic>Self-management</topic><topic>Selfmanagement</topic><topic>Systematic review</topic><topic>Weight gain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Mei-Yu</creatorcontrib><creatorcontrib>Liu, Megan F.</creatorcontrib><creatorcontrib>Hsu, Lan-Fang</creatorcontrib><creatorcontrib>Tsai, Pei-Shan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Mei-Yu</au><au>Liu, Megan F.</au><au>Hsu, Lan-Fang</au><au>Tsai, Pei-Shan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of self-management on chronic kidney disease: A meta-analysis</atitle><jtitle>International journal of nursing studies</jtitle><addtitle>Int J Nurs Stud</addtitle><date>2017-09</date><risdate>2017</risdate><volume>74</volume><spage>128</spage><epage>137</epage><pages>128-137</pages><issn>0020-7489</issn><eissn>1873-491X</eissn><abstract><![CDATA[Self-management programs may facilitate the improvement of outcomes in medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. Studies on the effect of three self-management tasks have reported conflicting findings. In addition, systematic reviews are unavailable.
This study evaluated the effects of self-management programs on medical, role, and emotional management and health-related quality of life in chronic kidney disease.
Meta-analysis of randomized controlled studies.
The meta-analysis involved an online search of the English literature from PubMed, Cochrane, Web of Science, and CINAHL and the Chinese literature from the Airiti Library that were published from the inception of the websites until January 1, 2017.
The meta-analysis was conducted to evaluate the effects of self-management on chronic kidney disease outcomes. Electronic databases were searched by using keywords: chronic kidney disease, end-stage renal disease, renal failure, dialysis, self-management, self-efficacy, empowerment, cognitive behavioral, and educational. The methodological quality of randomized controlled trials was assessed using the Cochrane Handbook. Data were analyzed using Comprehensive Meta-Analysis software 2.0.
Eighteen randomized controlled trials met our inclusion criteria. The results revealed that the self-management program significantly enhanced the effects of self-management on outcomes of medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. The following Hedges’ g (effect size) values were obtained: (1) interdialytic weight gain, −0.36 (95% confidence interval, −0.60 to −0.12, p<0.01); (2) self-efficacy, 0.57 (95% confidence interval, 0.18–0.96, p<0.01); (3) anxiety, −0.95 (95% confidence interval, −1.65 to −0.25, p=0.01); (4) depression, −0.63 (95% confidence interval, −0.85 to −0.41, p<0.01) (5) health-related quality of life for the mental component of the SF-36, 0.71 (95% confidence interval, 0.45–0.97, p<0.01); (6) the physical component of the SF-36, 0.61 (95% confidence interval, 0.35–0.86, p<0.01); and (7) the Kidney Disease Quality of Life, 0.41 (95% confidence interval, 0.17–0.65, p<0.01).
This study revealed a small effect of self-management on interdialytic weight gain; medium effects on self-efficacy, depression, and health-related quality of life; and a large effect on anxiety. However, high-quality randomized controlled trial designs are required to confirm these results, although the existing evidence can guide clinical practitioners and health policy makers.]]></abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28689160</pmid><doi>10.1016/j.ijnurstu.2017.06.008</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0020-7489 |
| ispartof | International journal of nursing studies, 2017-09, Vol.74, p.128-137 |
| issn | 0020-7489 1873-491X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1917664869 |
| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Access via ScienceDirect (Elsevier) |
| subjects | Anxiety Chronic kidney disease Clinical outcomes Clinical trials Cognitive-behavioral factors Dialysis Disease management Emotions Empowerment Evidence-based nursing Health behavior Health status Health-related quality of life Humans Interdialytic weight gain Kidney diseases Kidney Failure, Chronic - psychology Kidney Failure, Chronic - therapy Mental depression Meta-analysis Nursing Policy making Quality of Life Self Care Self-efficacy Self-management Selfmanagement Systematic review Weight gain |
| title | Effects of self-management on chronic kidney disease: A meta-analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T02%3A13%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effects%20of%20self-management%20on%20chronic%20kidney%20disease:%20A%20meta-analysis&rft.jtitle=International%20journal%20of%20nursing%20studies&rft.au=Lin,%20Mei-Yu&rft.date=2017-09&rft.volume=74&rft.spage=128&rft.epage=137&rft.pages=128-137&rft.issn=0020-7489&rft.eissn=1873-491X&rft_id=info:doi/10.1016/j.ijnurstu.2017.06.008&rft_dat=%3Cproquest_cross%3E1917664869%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1980699295&rft_id=info:pmid/28689160&rft_els_id=S0020748917301335&rfr_iscdi=true |