Effects of self-management program with reminder system via line application to prevent volume overload among patients receiving hemodialysis
Keywords:
self-management programs, volume overload, self-management behavior, hemodialysisAbstract
This one-group pretest-posttest research design was conducted to study the effects of self-management program and line health reminder on volume overload prevention in patients with hemodialysis that come to receive service at the dialysis unit, Srinagarind Hospital Faculty of Medicine Khon Kaen University. Twenty participants were purposively recruited to joine this study for 8 weeks. Self-management program was developed based on self-management concept of Methakanjanasak (Methakanjanasak, 2005) to promote volume overload self-management behavior. The instruments quality was evaluated by experts before applying. Descriptive statistic and Repeated Measures ANOVA were used to analyzed the collected data.
The study results showed that overall and each dimensions mean self-management behavior scores for volume overload prevention were statistically significantly better than those before receiving the program (p <.05). Except the mean score of fluid controlling behavior after receiving the program at week 4 was not statistically different than those before receiving the program. Volume overload events among samples decreased after receiving the self-management program. It was found that the mean interdialytic weight gain decreased statistically significant (F=35.569, p <0.001). The result indicated that the program can improve skills and promote self-management behavior for volume overload prevention among patients with chronic kidney disease receiving hemodialysis. Therefore, it should be used in nursing care to improve quality of life in patients with hemodialysis.
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