Chunyan Zhang, Na Li, Guanghui Jiang, Mengqiu Zhao, Huimin Zhang, Zhifa Lun, Ying Liu
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引用次数: 0
Abstract
Objective: To evaluate the effectiveness of a new media-based stratified health education program in patients with chronic kidney disease (CKD).
Methods: This single-center, prospective, non-randomized, quasi-experimental controlled intervention study screened 312 patients and enrolled 276 eligible patients (observation group, n=134; control group, n=142). After 1:1 propensity score matching, 100 patients per group were included in the matched analysis. The control group received conventional health education, whereas the observation group received a new media-based stratified health education program for 12 months. Health knowledge awareness, CKD self-management behavior, eGFR, UACR, and nursing satisfaction were evaluated.
Results: After 12 months, health knowledge awareness was higher in the observation group than in the control group (89.00% vs 56.00%, P<0.001). CKD self-management scores were also higher in the observation group (all P<0.001). Both groups showed declining eGFR and increasing UACR; however, the changes were smaller in the observation group (both between-group follow-up comparisons P<0.01). The overall three-category nursing satisfaction distribution differed between groups (P<0.001), whereas the dichotomized satisfaction rate did not differ significantly (89.00% vs 82.00%, P=0.160).
Conclusion: New media-based stratified health education was associated with better health knowledge and self-management outcomes in patients with CKD. The observed renal function differences should be interpreted cautiously because of the non-randomized design, residual confounding, and the 12-month follow-up. The binary nursing satisfaction rate was not significantly different between groups.
期刊介绍:
Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal.
As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.