Main Article Content
Background: Studies of the self-management support have emerged widely in chronic diseases, including chronic kidney disease. These mainly include European and American studies. Only a small number of studies have been conducted in the context of Asian countries, including Thailand.
Objectives: The aim of this study was to conduct a systematic literature review and conduct the meta-analysis to confirm the eGFR decline of self- management support program in patients with pre-dialysis in Thailand.
Method: The search was limited to research related to self-management support in patients with chronic kidney disease written in English or Thai and published from 2013 – 2017, from both International and Thai databases. After applying the eligibility criteria, 3 from 9 studies were included for data extraction and was subjected to a systematic review and meta-analysis.
Results: Analysis of three research studies in level 2 based on The Joanna Briggs Institute criterion levels of evidence showed a statistically non-significant difference of efficacy in self-management support program. The mean difference = –0.599 mL/min/1.73m2; 95% CI [ -5.66, 4.47]; p = 0.82.
Conclusion: Policy makers of health care organizations should develop a policy on promoting self-management support for the delay of kidney disease progression in patients with pre-dialysis chronic kidney disease. This should also include a process of how stakeholders can be involved with the care to slow down the deteriorate process which will respond to health care needs according to varies contexts.
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