再培训
连续不卧床腹膜透析
腹膜透析
自我管理
回廊的
医学
生活质量(医疗保健)
随机对照试验
自我效能感
物理疗法
护理部
心理学
内科学
业务
国际贸易
机器学习
心理治疗师
计算机科学
作者
Wanicha Pungchompoo,Saowaros Parinyajittha,Sirirat Pungchompoo,Paweena Kumtan
摘要
People receiving continuous ambulatory peritoneal dialysis (CAPD) are often faced with technical difficulties while performing self-dialysis, which can compromise outcomes and health-related quality of life. This mixed-methods exploratory sequential study aims to implement a repeated-measures experimental design to assess the effectiveness of a self-management retraining program. The sample consisted of 41 participants living with chronic kidney disease aged 20 to 80 years who were receiving CAPD. Participants were purposively selected and randomized into experimental and control groups. The experimental group received the self-management retraining program. The control group received standard care. We compared health-related quality of life, self-management behavior, and perceived self-management self-efficacy levels at baseline and 3 and 6 months after enrollment. Participants demonstrated statistically significant increases in self-management behavior (medical adherence) and mental health status. Perceived self-efficacy in self-management was improved; however, this change did not reach statistical significance. We conclude that an self-management retraining program can improve self-management, self-efficacy behaviors, and health-related quality of life in persons receiving CAPD.
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