Efficacy of a disease management program focused on acquisition of self-management skills in pre-dialysis patients with diabetic nephropathy: 24 months follow-up
Not Applicable
- Conditions
- diabetic nephropathy
- Registration Number
- JPRN-UMIN000014094
- Lead Sponsor
- Division of Nursing Science, Institute of Biomedical & Health Sciences, Hiroshima University
- Brief Summary
Of the 31 subjects enrolled in each group, 26 subjects in the intervention group and 27 subjects in the control group were analyzed after excluding drop-outs. During the study period, 0 and 2 subjects in the intervention group and the control group started RRT, respectively. In the intervention group, renal function maintained, while significant worsening was observed in the control group. Hemoglobin A1c improved in the intervention group, on the contrary became significantly worse in the control group. In the intervention group, all process indicators of behavior modification increased significantly after our intervention.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete: follow-up complete
- Sex
- All
- Target Recruitment
- 50
Inclusion Criteria
Not provided
Exclusion Criteria
Exclusion criteria were current RRT, cognitively impaired or mental disorders, or pregnancy.
Study & Design
- Study Type
- Interventional,observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The number of patients who initiated RRT.
- Secondary Outcome Measures
Name Time Method 1.physiological indicators HbA1c, serum creatinine, estimated glomerular filtration rate, blood urea nitrogen, hemoglobin, total protein, albumin, potassium, inorganic phosphate, non high-density lipoprotein cholesterol, blood pressure, body mass index 2.psychological indicators the self-efficacy scale of health behavior in patients with chronic disease, the World Health Organization Quality of Life instrument, Japanese version scale 3.process indicators the percentage of days per month that subjects performed the following self-management behaviors A.dietary and exercise target behaviors B.self-monitoring of blood pressure, body weight, and blood glucose levels C.medication complied with the instructions of their physician