Effectiveness of a Patient-Family-Shared Care Program on Delaying the Progression of Chronic Kidney Disease in Uncontrolled Type 2 Diabetic Patients: A Quasi-Experimental Study
Abstract
Objective: This study aimed to examine the effectiveness of a patient-family-shared care program in delaying the progression of chronic kidney disease (PFS-DCKD-P) in uncontrolled type 2 diabetic patients within Phrae province, Thailand.
Material and Methods: In this quasi-experimental research, twenty-three patient-family member dyads in the intervention group completed the 16-week PFS-DCKD-P; while twenty-two patient-family member dyads of the control group received a regular program. Outcomes included: patients’ shared care, family members’ shared care and the clinical outcomes, which were chronic kidney disease clinical indexes (CKDC-Indexes). Differences were compared within the groups before and after participating in the program as well as differences between groups after participating in the program. Descriptive statistics, paired t-test, and independent t-test statistics were used for data analysis.
Results: The patients’ shared care of a decision-making component and a reciprocity component, systolic blood pressure (SBP), and blood sugar (BS) after program participation were higher than before in the intervention group (p-value<0.05). When compared between groups, the SBP of the intervention group was lower than the control group (p-value<0.05). There were no statistical differences of patients’ and family members’ shared care mean scores between the two groups. However, family members’ shared care of the communication component was increased in the intervention group (p-value<0.05).
Conclusion: The PFS-DCKD-P showed no explicit effectiveness on improving shared care for both patients and family members, nor for CKDC-Indexes. Further studies should optimize each program activity and encourage more consistent participation from family members.
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Cheng HT, Xu X, Lim PS, Hung KY. Worldwide epidemiology of diabetes-related end-stage renal disease, 2000-2015. Diabetes Care 2021;44:89-97.
Koye DN, Magliano DJ, Nelson RG, Pavkov ME. The Global Epidemiology of Diabetes and Kidney Disease. Adv Chronic Kidney Dis 2018;25:121-32.
Aekplakorn W. The 4th survey of Thai health by physical examinations 2008-2009. Nonthaburi: The Graphico Systems; 2009.
Aekplakorn W. The 5th survey of Thai health by physical examinations 2014. Bangkok: Aksorn Graphic and Design; 2016.
Okur ME, Karantas ID, Siafaka PI. Diabetes mellitus: a review on pathophysiology, current status of oral medications and future perspectives. Acta Pharmaceutica Sciencia 2017;55:61-82.
Winocour PH. Diabetes and chronic kidney disease: an increasingly common multi-morbid disease in need of a paradigm shift in care. Diabet Med 2018;35:300-5.
Levey AS, Becker C, Inker LA. Glomerular filtration rate and albuminuria for detection and staging of acute and chronic kidney disease in adults: a systematic review. JAMA 2015;313:837-46.
Chen TK, Knicely DH, Grams ME. Chronic kidney disease diagnosis and management: a review. JAMA 2019;322:1294-304.
Lv JC, Zhang LX. Prevalence and Disease Burden of Chronic Kidney Disease. Adv Exp Med Biol 2019;1165:3-15.
Yapa HE, Purtell L, Chambers S, Bonner A. Alterations in symptoms and health-related quality of life as kidney function deteriorates: a cross-sectional study. J Clin Nurs 2021;30:1787-96.
Pamungkas RA, Chamroonsawasdi K, Vatanasomboon P. A systematic review: family support integrated with diabetes self-management among uncontrolled type ii diabetes mellitus patients. Behav Sci (Basel) 2017;7.
Ausili D, Barbaranelli C, Rossi E, Rebora P, Fabrizi D, Coghi C, et al. Development and psychometric testing of a theory-based tool to measure self-care in diabetes patients: the self-care of diabetes inventory. BMC Endocr Disord 2017;17:66.
Carpenter R, DiChiacchio T, Barker K. Interventions for self-management of type 2 diabetes: an integrative review. Int J Nurs Sci 2019;6:70-91.
Amirehsani KA, Hu J, Wallace DC, Silva ZA, Dick S. Hispanic Families’ Action Plans for a Healthier Lifestyle for Diabetes Management. Diabetes Educ 2019;45:87-95.
Withidpanyawong U, Lerkiatbundit S, Saengcharoen W. Family-based intervention by pharmacists for type 2 diabetes: a randomised controlled trial. Patient Educ Couns 2019;102:85-92.
Sebern M, Brown R, Flatley-Brennan P. Shared care contributions to self-care and quality of life in chronic cardiac patients. West J Nurs Res 2016;38:837-57.
Sebern MD, Woda A. Shared care dyadic intervention: outcome patterns for heart failure care partners. West J Nurs Res 2012;34:289-316.
Sebern MD. Explication of the construct of shared care and the prevention of pressure ulcers in home health care. Res Nurs Health 1996;19:183-92.
Pairojkittraku S, Harnirattisai T, Thitiarchakul S. The effect of a shared care-promoting program on shared care, nutritional status and, exit site infection among continuous ambulatory peritoneal dialysis patients. Rama Nurs J 2014;20:325-40.
Ministry of Public Health. HDC Service Database 2021 [homepage on the Internet]. Nonthaburi: Ministry of Public Health; 2021 [cited 2022 Jun 20]. Available fro-m: https://hdcservice.moph.go.th
Sarin S, Moolsart S, Chailimpamontree W. The effectiveness of a health literacy development program in patients with type 2 diabetes risking to chronic kidney disease. Nurs J Pub Health 2019;29:86-101.
Cuschieri S. The CONSORT statement. Saudi J Anaesth 2019;13(Suppl 1):S27-30.
Sebern M. Shared care, elder and family member skills used to manage burden. J Adv Nurs 2005;52:170-9.
Lanzola G, Losiouk E, Del Favero S, Facchinetti A, Galderisi A, Quaglini S, et al. Remote blood glucose monitoring in mhealth scenarios: a review. Sensors (Basel) 2016;16.
Siddiqui K, George TP, Joy SS, Alfadda AA. Risk factors of chronic kidney disease among type 2 diabetic patients with longer duration of diabetes. Front Endocrinol (Lausanne) 2022;13:1079725.
Gonzalez-Perez A, Saez ME, Vizcaya D, Lind M, Garcia Rodriguez LA. Impact of chronic kidney disease definition on assessment of its incidence and risk factors in patients with newly diagnosed type 1 and type 2 diabetes in the UK: A cohort study using primary care data from the United Kingdom. Prim Care Diabetes 2020;14:381-7.
Harjutsalo V, Groop PH. Epidemiology and risk factors for diabetic kidney disease. Adv Chronic Kidney Dis 2014;21:260-6.
de Boer IH, Rue TC, Cleary PA, Lachin JM, Molitch ME, Steffes MW, et al. Long-term renal outcomes of patients with type 1 diabetes mellitus and microalbuminuria: an analysis of the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications cohort. Arch Intern Med 2011;171:412-20.
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