Background: In the past 30 years, the prevalence and mortality of chronic kidney disease in China have increased significantly, the Transtheoretical Model and health coaching technology are widely used in the self-management process of patients with chronic diseases, and have achieved good application results. However, there is no research to explore the effect of this model on the frailty and self-management ability of non-dialysis patients with diabetic nephropathy. Objective: To investigate the effect of health education based on Transtheoretical model of change on frailty and self-management in patients with diabetic nephropathy. Methods: In this study, a randomized controlled trial was adopted. from December 2022 to February 2023,80 patients with non-dialysis diabetic nephropathy in the Department of Nephrology of a tertiary hospital in Sichuan Province from December 2022 to February 2023 were selected by convenient sampling method. According to the random number table method, they were randomly divided into control group (n = 40) and experimental group (n = 40). The control group was treated with routine nursing program, and the experimental group was treated with the Transtheoretical model combined with health coaching technology on the basis of the control group, and evaluated by self-management behavior scale and frailty scale. Results: After 6 months of intervention, the self-management score of the experimental group was higher than that of the control group, The frailty score of the experimental group was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: This project improves the level of self-management behavior of non-dialysis patients with diabetic nephropathy and reduces the frailty state, which is worthy of further promotion.
Published in | International Journal of Diabetes and Endocrinology (Volume 8, Issue 4) |
DOI | 10.11648/j.ijde.20230804.13 |
Page(s) | 54-59 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Diabetic Nephropathy, Self-Management, Health Coaching Techniques, Transtheoretical Model, Frailty
[1] | Mills K T, Xu Y, Zhang W, et al. A systematic analysis of worldwide population-based data on the global burden of chronic kidney disease in 2010 [J]. Kidney Int, 2015, 88(5): 950-957. |
[2] | Gupta S, Dominguez M, Golestaneh L. Diabetic Kidney Disease: An Update [J]. Med Clin North Am, 2023, 107(4): 689-705. |
[3] | Chen T K, Knicely D H, Grams M E. Chronic Kidney Disease Diagnosis and Management: A Review [J]. JAMA, 2019, 322(13): 1294-1304. |
[4] | Levey A S, Stevens L A, Schmid C H, et al. A new equation to estimate glomerular filtration rate [J]. Ann Intern Med, 2009, 150(9): 604-612. |
[5] | McCullough K P, Morgenstern H, Saran R, et al. Projecting ESRD Incidence and Prevalence in the United States through 2030 [J]. J Am Soc Nephrol, 2019, 30(1): 127-135. |
[6] | Kim L G, Cleary F, Wheeler D C, et al. How do primary care doctors in England and Wales code and manage people with chronic kidney disease? Results from the National Chronic Kidney Disease Audit [J]. Nephrol Dial Transplant, 2018, 33(8): 1373-1379. |
[7] | Imai E, Horio M, Watanabe T, et al. Prevalence of chronic kidney disease in the Japanese general population [J]. Clin Exp Nephrol, 2009, 13(6): 621-630. |
[8] | Cui Y, Yang T, Li R, et al. Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic [J]. Front Public Health, 2022, 10: 1073409. |
[9] | Li Y, Ning Y, Shen B, et al. Temporal trends in prevalence and mortality for chronic kidney disease in China from 1990 to 2019: an analysis of the Global Burden of Disease Study 2019 [J]. Clin Kidney J, 2023, 16(2): 312-321. |
[10] | Zhou M, Wang H, Zeng X, et al. Mortality, morbidity, and risk factors in China and its provinces, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 [J]. Lancet, 2019, 394(10204): 1145-1158. |
[11] | Hoerger T J, Simpson S A, Yarnoff B O, et al. The future burden of CKD in the United States: a simulation model for the CDC CKD Initiative [J]. Am J Kidney Dis, 2015, 65(3): 403-411. |
[12] | Centers for Disease Control and Prevention. Chronic kidney disease in the United States. 2021. www.cdc.gov/kidneydisease/publications-resources/ckd-national-facts.html. [J]. |
[13] | Kalantar-Zadeh K, Jafar T H, Nitsch D, et al. Chronic kidney disease [J]. Lancet, 2021, 398(10302): 786-802. |
[14] | Cervantes C E, Hanouneh M, Jaar B G. From screening to treatment: the new landscape of diabetic kidney disease [J]. BMC Med, 2022, 20(1): 329. |
[15] | Bailey R A, Wang Y, Zhu V, et al. Chronic kidney disease in US adults with type 2 diabetes: an updated national estimate of prevalence based on Kidney Disease: Improving Global Outcomes (KDIGO) staging [J]. BMC Res Notes, 2014, 7: 415. |
[16] | Zhang L, Long J, Jiang W, et al. Trends in Chronic Kidney Disease in China [J]. N Engl J Med, 2016, 375(9): 905-906. |
[17] | Yang Z, Guo G F. Frailty status and its influencing factors in hospitalized patients with chronic kidney disease treated with non-renal replacement therapy [J]. China Nursing Management, 2022, 22 (06): 868-873. |
[18] | Creer T L, Renne C M, Christian W P. Behavioral contributions to rehabilitation and childhood asthma [J]. Rehabil Lit, 1976, 37(8): 226-232, 247. |
[19] | Lin C C, Anderson R M, Chang C S, et al. Development and testing of the Diabetes Self-management Instrument: a confirmatory analysis [J]. Res Nurs Health, 2008, 31(4): 370-380. |
[20] | Helou N, Talhouedec D, Shaha M, et al. The impact of a multidisciplinary self-care management program on quality of life, self-care, adherence to anti-hypertensive therapy, glycemic control, and renal function in diabetic kidney disease: A Cross-over Study Protocol [J]. BMC Nephrol, 2016, 17(1): 88. |
[21] | Wang C, Guo X, Xu X, et al. Association between sarcopenia and frailty in elderly patients with chronic kidney disease. J Cachexia Sarcopenia Muscle. 2023; 14(4): 1855-1864. |
[22] | Miller W R, Rose G S. Toward a theory of motivational interviewing [J]. Am Psychol, 2009, 64(6): 527-537. |
[23] | Fried L P, Tangen C M, Walston J, et al. Frailty in older adults: evidence for a phenotype [J]. J Gerontol A Biol Sci Med Sci, 2001, 56(3): M146-M156. |
[24] | Toobert D J, Hampson S E, Glasgow R E. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale [J]. Diabetes Care, 2000, 23(7): 943-950. |
[25] | Wan Q Q, Shang S M, et al. Reliability and validity of self-management behavior scale for patients with type 2 diabetes mellitus [J]. Chinese Journal of Practical Nursing, 2008, 24 (7): 26-27. |
[26] | Ng T P, Feng L, Nyunt M S, et al. Nutritional, Physical, Cognitive, and Combination Interventions and Frailty Reversal Among Older Adults: A Randomized Controlled Trial [J]. Am J Med, 2015, 128(11): 1225-1236. |
[27] | Chuang L M, Wu S V, Lee M C, et al. The effects of knowledge and self-management of patients with early-stage chronic kidney disease: Self-efficacy is a mediator [J]. Jpn J Nurs Sci, 2021, 18(2): e12388. |
[28] | Prochaska J O. Decision making in the transtheoretical model of behavior change [J]. Med Decis Making, 2008, 28(6): 845-849. |
APA Style
Qing, W., Zhang, J., Xu, F., Zou, Z., Xu, X., et al. (2023). Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy. International Journal of Diabetes and Endocrinology, 8(4), 54-59. https://doi.org/10.11648/j.ijde.20230804.13
ACS Style
Qing, W.; Zhang, J.; Xu, F.; Zou, Z.; Xu, X., et al. Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy. Int. J. Diabetes Endocrinol. 2023, 8(4), 54-59. doi: 10.11648/j.ijde.20230804.13
AMA Style
Qing W, Zhang J, Xu F, Zou Z, Xu X, et al. Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy. Int J Diabetes Endocrinol. 2023;8(4):54-59. doi: 10.11648/j.ijde.20230804.13
@article{10.11648/j.ijde.20230804.13, author = {Wei Qing and Jiquan Zhang and Fan Xu and Zhaohua Zou and Xingying Xu and Hong Xiong}, title = {Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy}, journal = {International Journal of Diabetes and Endocrinology}, volume = {8}, number = {4}, pages = {54-59}, doi = {10.11648/j.ijde.20230804.13}, url = {https://doi.org/10.11648/j.ijde.20230804.13}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20230804.13}, abstract = {Background: In the past 30 years, the prevalence and mortality of chronic kidney disease in China have increased significantly, the Transtheoretical Model and health coaching technology are widely used in the self-management process of patients with chronic diseases, and have achieved good application results. However, there is no research to explore the effect of this model on the frailty and self-management ability of non-dialysis patients with diabetic nephropathy. Objective: To investigate the effect of health education based on Transtheoretical model of change on frailty and self-management in patients with diabetic nephropathy. Methods: In this study, a randomized controlled trial was adopted. from December 2022 to February 2023,80 patients with non-dialysis diabetic nephropathy in the Department of Nephrology of a tertiary hospital in Sichuan Province from December 2022 to February 2023 were selected by convenient sampling method. According to the random number table method, they were randomly divided into control group (n = 40) and experimental group (n = 40). The control group was treated with routine nursing program, and the experimental group was treated with the Transtheoretical model combined with health coaching technology on the basis of the control group, and evaluated by self-management behavior scale and frailty scale. Results: After 6 months of intervention, the self-management score of the experimental group was higher than that of the control group, The frailty score of the experimental group was lower than that of the control group, and the difference was statistically significant (PConclusion: This project improves the level of self-management behavior of non-dialysis patients with diabetic nephropathy and reduces the frailty state, which is worthy of further promotion. }, year = {2023} }
TY - JOUR T1 - Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy AU - Wei Qing AU - Jiquan Zhang AU - Fan Xu AU - Zhaohua Zou AU - Xingying Xu AU - Hong Xiong Y1 - 2023/11/29 PY - 2023 N1 - https://doi.org/10.11648/j.ijde.20230804.13 DO - 10.11648/j.ijde.20230804.13 T2 - International Journal of Diabetes and Endocrinology JF - International Journal of Diabetes and Endocrinology JO - International Journal of Diabetes and Endocrinology SP - 54 EP - 59 PB - Science Publishing Group SN - 2640-1371 UR - https://doi.org/10.11648/j.ijde.20230804.13 AB - Background: In the past 30 years, the prevalence and mortality of chronic kidney disease in China have increased significantly, the Transtheoretical Model and health coaching technology are widely used in the self-management process of patients with chronic diseases, and have achieved good application results. However, there is no research to explore the effect of this model on the frailty and self-management ability of non-dialysis patients with diabetic nephropathy. Objective: To investigate the effect of health education based on Transtheoretical model of change on frailty and self-management in patients with diabetic nephropathy. Methods: In this study, a randomized controlled trial was adopted. from December 2022 to February 2023,80 patients with non-dialysis diabetic nephropathy in the Department of Nephrology of a tertiary hospital in Sichuan Province from December 2022 to February 2023 were selected by convenient sampling method. According to the random number table method, they were randomly divided into control group (n = 40) and experimental group (n = 40). The control group was treated with routine nursing program, and the experimental group was treated with the Transtheoretical model combined with health coaching technology on the basis of the control group, and evaluated by self-management behavior scale and frailty scale. Results: After 6 months of intervention, the self-management score of the experimental group was higher than that of the control group, The frailty score of the experimental group was lower than that of the control group, and the difference was statistically significant (PConclusion: This project improves the level of self-management behavior of non-dialysis patients with diabetic nephropathy and reduces the frailty state, which is worthy of further promotion. VL - 8 IS - 4 ER -