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KMID : 0388320220290040531
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Journal of Korean Academy of Fundamental Nursing
2022 Volume.29 No. 4 p.531 ~ p.542
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Development and Evaluation of an Online Self-Management Program in Patients with Chronic Kidney Failure Undergoing Hemodialysis
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Yang Jin-Hyang
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Abstract
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Purpose: This study was performed to develop and evaluate an online self-management program for enhancinghemodialysis-related knowledge, self-efficacy, ways of coping, self-management behavior, physical and mentalhealth-related quality of life in patients with chronic kidney failure undergoing hemodialysis.
Methods: The researchused a quasi-experimental design with a non-equivalent control group pre-post test design with conveniencesampling. The participants were 53 patients (27 in the experimental group and 26 in the control group). A pretestand posttest were conducted to measure the main variables. For the experimental group, the online self-management program, consisting of counseling-centered activities in small groups, was administered for 8 weeks.
Data were analyzed using the x2 test, t-test and independent/paired t-test with the SPSS 27 statistics program.
Results: Statistically significant increases were found in hemodialysis-related knowledge, self-efficacy, activeways of coping, self-management behavior, physical and mental health-related quality of life but not in passiveways of coping in the experimental group compared to the control group.
Conclusion: The results of this studyindicate that the online self-management program was effective in increasing hemodialysis-related knowledge,self-efficacy, active ways of coping, self-management behavior, physical and mental health-related quality of lifeamong patients with hemodialysis. Therefore, it can be safely utilized as a nursing intervention for patients withchronic kidney failure undergoing hemodialysis in pandemic situations with high risk of infection.
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KEYWORD
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Chronic kidney failure, Hemodialysis, Self-management, Program development, Program evaluation
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