1. Improving the care of patients with chronic kidney disease using group visits: a pilot study to reflect an emphasis on the patients rather than the disease
- Author
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Montoya, Vicki, Sole, Mary Lou, and Norris, Anne E.
- Subjects
United States. Department of Health and Human Services ,Medical research ,Medicine, Experimental ,Chronic kidney failure -- Care and treatment ,Health ,National Kidney Foundation - Abstract
This two-group, repeated-measures experimental study assessed the efficacy of a nurse practitioner-facilitated chronic kidney disease (CKD) group visit (GV) model versus usual nephrology care for patients with Stage 4 CKD. The study enrolled patients from two sites of an outpatient nephrology practice (n = 30) and randomized subjects to usual care (n = 14) or to the GV model (n = 16). Data regarding CKD knowledge, self-efficacy/disease self-management, and physiologic measures were collected at baseline, 6 months, and 9 months. Satisfaction was obtained at 6 months and 9 months. Usual nephrology office visit components were maintained during six monthly GVs, with group discussions of CKD-related topics. Results indicated a statistical improvement in CKD knowledge for both groups (F[1.498, 34.446] = 6.363, p = 0.008). An upward trend in mean scores for self-management subscales and self-efficacy scores was demonstrated in the GV patients, with no improvement found in the usual care group. Twenty-six of 30 patients completed the study, with 92% attendance in the GV group. GV satisfaction was high. Key Words: Chronic kidney disease, group visit, CKD knowledge, self-efficacy, disease self-management, Overall mortality rates for patients with end stage renal disease (ESRD) continue to decline. The adjusted death rate for patients on dialysis fell by 23% from 2004 to 2013 (United [...]
- Published
- 2016