Abstract：
AIM:This paper is a report of a study conducted to explore the effects of promoting self-management on the well-being of patients having peritoneal dialysis. BACKGROUND:Peritoneal dialysis is a home-based treatment for end-stage renal disease. Promoting self-management has been shown to improve the health status of people with diabetes mellitus and other chronic diseases. However, little is known about the effects of self-management support for patients having peritoneal dialysis. METHOD:Thirty patients who had received peritoneal dialysis for at least 6 months and were clinically stable were enrolled in the study in 2006. A multidisciplinary team was built to support the patients' self-management. Various forms of education such as group discussion and individual consultation were used to improve patients' self-efficacy and all were followed up for 6 months. We compared the volume status, adequacy of dialysis, nutritional status, quality of life, rehabilitation status, self-management capacity and self-efficacy levels at baseline, 3 and 6 months after enrolment. RESULTS:During follow-up, patients' urine volume and residual renal function decreased, while the adequacy of dialysis (Kt/v and Ccr) did not change. Volume status, quality of life and rehabilitation status all improved, whereas nutritional status did not deteriorate. Both self-management capacity and self-efficacy level increased statistically significantly. CONCLUSION:A team approach needs to be taken to achieve successful self-management in patients having peritoneal dialysis, as with other chronic disease treatments. Nurses should use multiple strategies based on self-efficacy theory to improve patients' self-efficacy levels and self-management capacities.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Su CY,Lu XH,Chen W,Wang Tdoi
10.1111/j.1365-2648.2009.04993.xsubject
Has Abstractpub_date
2009-07-01 00:00:00pages
1381-9issue
7eissn
0309-2402issn
1365-2648pii
JAN4993journal_volume
65pub_type
杂志文章abstract：AIMS:To explore nursing students' perceptions of how their profession is portrayed on medical television programmes. BACKGROUND:Recruitment and retention in nursing have been linked to the image of the profession in society. Images of nursing in popular media frequently draw on stereotypes that may damage the appeal o...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12148
更新日期：2013-12-01 00:00:00
abstract：AIM:This paper is a report of a concept analysis of clinical reasoning in nursing. BACKGROUND:Clinical reasoning is an ambiguous term that is often used synonymously with decision-making and clinical judgment. Clinical reasoning has not been clearly defined in the literature. Healthcare settings are increasingly fille...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2010.05262.x
更新日期：2010-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21050837.x
更新日期：1995-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.00967.x
更新日期：1999-04-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1989.tb01518.x
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
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更新日期：2012-09-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2002-05-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2015-09-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：1998-06-01 00:00:00
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journal_title：Journal of advanced nursing
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更新日期：2017-03-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.1995.22030442.x
更新日期：1995-09-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.14720
更新日期：2021-01-19 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13220
更新日期：2017-06-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：1993-06-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2019-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2020-05-01 00:00:00
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pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2019-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：2017-02-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01355.x
更新日期：2000-04-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：2005-10-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：1999-10-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：
更新日期：2000-10-01 00:00:00
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journal_title：Journal of advanced nursing
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更新日期：2018-02-01 00:00:00
