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KMID : 1012120230110010025
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Evidence and Nursing
2023 Volume.11 No. 1 p.25 ~ p.33
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Development and Evaluation of Self-Management Program in Patients with Chronic Kidney Failure Undergoing Hemodialysis
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Jung Su-Jin ·
Lee Su-Jin
Seol Eun-Hwa
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Abstract
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Purpose: This study was performed to develop and evaluate self-management program for enhancing hemodialysis-related knowledge, self-efficacy, self-management behavior, physiological markers in patients with chronic kidney failure undergoing hemodialysis.
Methods: The research used a quasi-experimental design with a non-equivalent control group pretest-posttest design with convenience sampling. The participants were 34 patients (17 in the experimental group and 17 in the control group). A pretest and posttest were conducted to measure the main variables. The self-management program consisted of individual education and a self-efficacy enhancement program. For the experimental group, six sessions of individual training and a four week self-efficacy enhancement program were applied. Data were analyzed using the repeated measures ANOVA, independent samples t-test, and paired samples t-test with the SPSS 21 statistics program.
Results: Statistically significant increases were found in hemodialysis-related knowledge (p<.05), self-efficacy (p<.05), but not in self-management behavior, physiological markers in the experimental group compared to the control group.
Conclusion: The results of this study indicated that self-management program was effective in increasing hemodialysis-related knowledge, self-efficacy. It can be applied as self-management program for hemodialysis patient.
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KEYWORD
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Chronic kidney failure, Hemodialysis, Self-management, Program development, Program evaluation
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