The Impacts of self-management model on health behavior modification for slowing renal function decline among patients with chronic kidney disease stages 1–3

Abstract

This quasi-experimental study employed a one-group pretest-posttest design to investigate the effects of a self-management model on health behavior modification for delaying the progression of chronic kidney disease (CKD) among patients in stages 1 to 3. The study involved 45 participants and utilized four research instruments: the self-management model, a personal data and health status questionnaire, a clinical outcome recording form, and a questionnaire on kidney-delaying behaviors. The content validity was verified by three experts, yielding an Index of Item-Objective Congruence (IOC) between 0.67 and 1.0, with a reliability coefficient of .76. Data analysis was conducted using descriptive statistics, Chi-square, and Repeated Measures ANOVA.

The findings revealed that following the implementation of the model and at the 24-week follow-up, health behaviors for delaying kidney progression were significantly higher than the baseline (p < .001). Regarding clinical outcomes, systolic blood pressure at both the post-intervention and 24-week follow-up stages was significantly lower than pre-intervention levels (p < .001). While no significant differences were observed in diastolic blood pressure across the three time periods (p = .065), the Glomerular Filtration Rate (GFR) showed a statistically significant difference between the pre-intervention stage and the 24-week follow-up  (p < .001).