DEVELOPMENT OF A SELF-MANAGEMENT PACKAGE FOR PEOPLE WITH DIABETES AT RISK OF CHRONIC KIDNEY DISEASE (CKD)

SUMMARY Kidney disease progression in diabetes can be slowed by strict blood pressure and blood sugar control, prescription of medicines that modify the renin‐angiotensin system and lifestyle changes, such as smoking cessation. This paper describes the development of a self‐management package for pe...

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Veröffentlicht in:Journal of renal care 2008-09, Vol.34 (3), p.151-158
Hauptverfasser: Thomas, Nicola, Bryar, Ros, Makanjuola, David
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container_title Journal of renal care
container_volume 34
creator Thomas, Nicola
Bryar, Ros
Makanjuola, David
description SUMMARY Kidney disease progression in diabetes can be slowed by strict blood pressure and blood sugar control, prescription of medicines that modify the renin‐angiotensin system and lifestyle changes, such as smoking cessation. This paper describes the development of a self‐management package for people with diabetes at risk of kidney damage. This multi‐method study entailed a literature review, case‐finding of all patients with diabetes and microalbuminuria in six family practitioner (FP) surgeries and interviews with 15 patients at high‐risk of progressive kidney disease. Results identified 23% of the study population (n = 1946) at risk of kidney damage, within a population with 3.14% incidence of diabetes. The most important finding from the interviews was that although most people had some understanding of the possible risk of kidney disease, they had little idea of exactly how they could control the condition themselves. This study highlights the importance of incorporating self‐management tools in the care and management of patients with diabetes in primary care.
doi_str_mv 10.1111/j.1755-6686.2008.00032.x
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This paper describes the development of a self‐management package for people with diabetes at risk of kidney damage. This multi‐method study entailed a literature review, case‐finding of all patients with diabetes and microalbuminuria in six family practitioner (FP) surgeries and interviews with 15 patients at high‐risk of progressive kidney disease. Results identified 23% of the study population (n = 1946) at risk of kidney damage, within a population with 3.14% incidence of diabetes. The most important finding from the interviews was that although most people had some understanding of the possible risk of kidney disease, they had little idea of exactly how they could control the condition themselves. This study highlights the importance of incorporating self‐management tools in the care and management of patients with diabetes in primary care.</description><subject>Aged</subject><subject>Attitude to Health</subject><subject>Chronic kidney failure</subject><subject>Curriculum</subject><subject>Diabetes Complications - complications</subject><subject>Diabetes Complications - epidemiology</subject><subject>Diabetes Complications - prevention &amp; control</subject><subject>Diabetes Complications - psychology</subject><subject>Diabetes mellitus</subject><subject>Disease Management</subject><subject>Disease Progression</subject><subject>Education</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - etiology</subject><subject>Kidney Failure, Chronic - prevention &amp; control</subject><subject>Life Style</subject><subject>London - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Needs Assessment - organization &amp; administration</subject><subject>Nursing</subject><subject>Nursing Methodology Research</subject><subject>Patient Education as Topic - methods</subject><subject>Primary Health Care - methods</subject><subject>Risk Factors</subject><subject>Risk Reduction Behavior</subject><subject>Self Care - methods</subject><subject>Self Care - psychology</subject><subject>Self-management</subject><subject>Smoking Cessation</subject><subject>Surveys and Questionnaires</subject><issn>1755-6678</issn><issn>1755-6686</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtP4zAUha0RaGCY-QvIK2AWyfgRP7JgEVKnDQ1J1QQQKyttHSmlpSWmmvLvJ2mrzm403vjK9zvXuucAADFycXt-zV0sGHM4l9wlCEkXIUSJu_0Czo-Nk2Mt5Bn4Zu0cIY49zr6CMyyF5EiSc1D31JNKstGDSguYRTCAuUoi5yFIg77aPY6CcNjWMMrGcKSyUaLgc1wMYC8O7lShchgUcBznw04dDsZZGodwGPdS9dIiuQpyBW_CYe_nd3BalQtrfhzuC_AYqSIcOEnWj8MgcaYeFcTBhFVcCEJo6RM2Q4Z7U8qknAlmPMMmQvqGiUr6DGNiiBBsMpG4rCTycUmkpBfgej933azeN8Z-6GVtp2axKN_MamO14B5t7aGkJa_-SXKfeZRy3oJyD06blbWNqfS6qZdl86kx0l0geq47r3Xnu-4C0btA9LaVXh7-2EyWZvZXeEigBW73wO96YT7_e7C-z8Yh2i3h7PW1_TDbo75sXjUXVDD9nPZ12keYiAHXEf0DaqKcWQ</recordid><startdate>200809</startdate><enddate>200809</enddate><creator>Thomas, Nicola</creator><creator>Bryar, Ros</creator><creator>Makanjuola, David</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><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>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200809</creationdate><title>DEVELOPMENT OF A SELF-MANAGEMENT PACKAGE FOR PEOPLE WITH DIABETES AT RISK OF CHRONIC KIDNEY DISEASE (CKD)</title><author>Thomas, Nicola ; Bryar, Ros ; Makanjuola, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4372-125f677223a925d0e64c3588d75e4e5b789e57f895112e2775bb81af8091a2883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Attitude to Health</topic><topic>Chronic kidney failure</topic><topic>Curriculum</topic><topic>Diabetes Complications - complications</topic><topic>Diabetes Complications - epidemiology</topic><topic>Diabetes Complications - prevention &amp; control</topic><topic>Diabetes Complications - psychology</topic><topic>Diabetes mellitus</topic><topic>Disease Management</topic><topic>Disease Progression</topic><topic>Education</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Failure, Chronic - etiology</topic><topic>Kidney Failure, Chronic - prevention &amp; control</topic><topic>Life Style</topic><topic>London - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Needs Assessment - organization &amp; administration</topic><topic>Nursing</topic><topic>Nursing Methodology Research</topic><topic>Patient Education as Topic - methods</topic><topic>Primary Health Care - methods</topic><topic>Risk Factors</topic><topic>Risk Reduction Behavior</topic><topic>Self Care - methods</topic><topic>Self Care - psychology</topic><topic>Self-management</topic><topic>Smoking Cessation</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thomas, Nicola</creatorcontrib><creatorcontrib>Bryar, Ros</creatorcontrib><creatorcontrib>Makanjuola, David</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of renal care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thomas, Nicola</au><au>Bryar, Ros</au><au>Makanjuola, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>DEVELOPMENT OF A SELF-MANAGEMENT PACKAGE FOR PEOPLE WITH DIABETES AT RISK OF CHRONIC KIDNEY DISEASE (CKD)</atitle><jtitle>Journal of renal care</jtitle><addtitle>J Ren Care</addtitle><date>2008-09</date><risdate>2008</risdate><volume>34</volume><issue>3</issue><spage>151</spage><epage>158</epage><pages>151-158</pages><issn>1755-6678</issn><eissn>1755-6686</eissn><abstract>SUMMARY Kidney disease progression in diabetes can be slowed by strict blood pressure and blood sugar control, prescription of medicines that modify the renin‐angiotensin system and lifestyle changes, such as smoking cessation. This paper describes the development of a self‐management package for people with diabetes at risk of kidney damage. This multi‐method study entailed a literature review, case‐finding of all patients with diabetes and microalbuminuria in six family practitioner (FP) surgeries and interviews with 15 patients at high‐risk of progressive kidney disease. Results identified 23% of the study population (n = 1946) at risk of kidney damage, within a population with 3.14% incidence of diabetes. The most important finding from the interviews was that although most people had some understanding of the possible risk of kidney disease, they had little idea of exactly how they could control the condition themselves. This study highlights the importance of incorporating self‐management tools in the care and management of patients with diabetes in primary care.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18786082</pmid><doi>10.1111/j.1755-6686.2008.00032.x</doi><tpages>8</tpages></addata></record>
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subjects Aged
Attitude to Health
Chronic kidney failure
Curriculum
Diabetes Complications - complications
Diabetes Complications - epidemiology
Diabetes Complications - prevention & control
Diabetes Complications - psychology
Diabetes mellitus
Disease Management
Disease Progression
Education
Female
Humans
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - prevention & control
Life Style
London - epidemiology
Male
Middle Aged
Needs Assessment - organization & administration
Nursing
Nursing Methodology Research
Patient Education as Topic - methods
Primary Health Care - methods
Risk Factors
Risk Reduction Behavior
Self Care - methods
Self Care - psychology
Self-management
Smoking Cessation
Surveys and Questionnaires
title DEVELOPMENT OF A SELF-MANAGEMENT PACKAGE FOR PEOPLE WITH DIABETES AT RISK OF CHRONIC KIDNEY DISEASE (CKD)
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