Document Detail


An evaluation of a self-management package for people with diabetes at risk of chronic kidney disease.
MedLine Citation:
PMID:  23317539     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims and objectives The overall purpose was to develop, test and evaluate an educational package to help people with diabetes self-manage their risk of developing chronic kidney disease (CKD), one of the main complications of diabetes. BACKGROUND: Management of people in primary care who have both CKD and diabetes can be controlled by strict blood pressure (BP) and blood sugar control and advice on lifestyle changes, such as smoking cessation. However, there is little evidence to support the assertion that self-management can slow the rate of kidney disease progression. DESIGN: A mixed-method longitudinal study. Development of the self-management package was informed by the findings of a case study in six GP Practices and also through interviews with 15 patients. METHODS: Testing of the self-management package was undertaken in the same six Practices, with one additional control Practice. Patients with Type 1 or Type 2 diabetes at risk of kidney disease were included. Outcomes in patients in the participating surgeries who did receive a pack (n = 116) were compared with patients in the control group (n = 60) over 6 time points. RESULTS: At the end of the study (time point 6), the intervention group had a mean systolic BP of 4.1 mmHg lower and mean diastolic BP of 2.7 mmHg lower than in the control group. Conclusion Self-management techniques such as understanding of, and subsequent concordance with, prescribed BP medication may contribute to a reduction in BP, which in turn will reduce cardiovascular risk. Relevance to clinical practice: This study contributes to the evidence base for self-management of early kidney disease. Although the exact reason for reduced BP in the intervention group is unclear, the importance of practitioner understanding of kidney disease management and patient understanding of BP medication are likely to be the contributing factors.
Authors:
Nicola Thomas; Rosamund Bryar
Related Documents :
11318999 - Audit and summative assessment: a completed audit cycle.
24312469 - Production and robustness of a cacao agroecosystem: effects of two contrasting types of...
24323859 - Neonatal intracerebral hemorrhage: mechanisms, managements, and the outcomes.
23450159 - Physiotherapists' perceptions of their role in the rehabilitation management of individ...
24562509 - Catamenial pneumothorax. is it time to approach differently?
24504609 - An update on surgical and medical management strategies for intracerebral hemorrhage.
24283029 - Writing off copayments.
18765259 - The import and function of diatom and plant frataxins in the mitochondrion of trypanoso...
22464959 - An empirical research of awareness, behavior and barriers to enact carbon management of...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-15
Journal Detail:
Title:  Primary health care research & development     Volume:  -     ISSN:  1477-1128     ISO Abbreviation:  Prim Health Care Res Dev     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100897390     Medline TA:  Prim Health Care Res Dev     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-11     Citation Subset:  -    
Affiliation:
1Independent Renal Nursing Consultant, Renal Nurse Consulting, The Horseshoe, Coulsdon, Surrey, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Communicating intended routes in ECDIS: Evaluating technological change.
Next Document:  The correlation of hematopoietic stem cells with cancer stem cells through the regulation of stromal...