Next Article in Journal
Adipose Tissue: A Source of Stem Cells with Potential for Regenerative Therapies for Wound Healing
Next Article in Special Issue
Effect of an Enhanced Self-Care Protocol on Lymphedema Status among People Affected by Moderate to Severe Lower-Limb Lymphedema in Bangladesh, a Cluster Randomized Controlled Trial
Previous Article in Journal
Role of Helicobacters in Neuropsychiatric Disease: A Systematic Review in Idiopathic Parkinsonism
Previous Article in Special Issue
Implementing Supported Self-Management in Community-Based Stroke Care: A Secondary Analysis of Nurses’ Perspectives
Article

A Multidisciplinary Approach for Improving Quality of Life and Self-Management in Diabetic Kidney Disease: A Crossover Study

1
School of Health Sciences (HESAV), HES-SO University of Applied Sciences and Arts Western Switzerland, 1011 Lausanne, Switzerland
2
Clinique de La Source, 1004 Lausanne, Switzerland
3
Department of Health, Bern University of Applied Sciences, 3010 Bern, Switzerland
4
Service of Nephrology and Hypertension, Service of Endocrinology, Diabetes and Metabolism, Department of Medicine, Lausanne University Hospital and University of Lausanne, 1011 Lausanne, Switzerland
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(7), 2160; https://doi.org/10.3390/jcm9072160
Received: 24 June 2020 / Accepted: 6 July 2020 / Published: 8 July 2020
(This article belongs to the Special Issue Self-Management and Health Promotion in Chronic Disease)
Individuals with diabetic kidney disease are at high risk of complications and challenged to self-manage. Previous research suggested that multidisciplinary approaches would improve health outcomes. This study investigated the effect of a multidisciplinary self-management approach of diabetic kidney disease on quality of life, and self-management, glycemic control, and renal function. A uniform balanced crossover design was used because it attains a high level of statistical power with a lower sample size. A total of 32 participants (aged 67.8 ± 10.8) were randomized into four study arms. In differing sequences, each participant was treated twice with three months of usual care alternated with three months of multidisciplinary management. The intervention improved the present dimension of quality of life demonstrating higher mean rank as compared to usual care (52.49 vs. 41.01; p = 0.026, 95% CI) and three self-care activities, general diet habits, diabetes diet habits, and blood sugar testing (respectively: 55.43 vs. 38.31; p = 0.002, 56.84 vs. 37.02; p = 0.000, 53.84 vs. 39.77; p = 0.008; 95% CI). Antihypertensive medication engagement was high across the study period (Mean = 95.38%, Min = 69%, Max = 100%). Glycemic control and renal function indicators were similar for the intervention and the usual care. Studies are needed to determine how the new recommended therapies for diabetic kidney disease such as SGLT2 inhibitors and GLP-1 receptor agonists impact on self-management and quality of life. View Full-Text
Keywords: self-management support; self-management interventions; multidisciplinary care; interdisciplinary studies; diabetic nephropathy; randomized crossover self-management support; self-management interventions; multidisciplinary care; interdisciplinary studies; diabetic nephropathy; randomized crossover
Show Figures

Figure 1

MDPI and ACS Style

Helou, N.; Talhouedec, D.; Zumstein-Shaha, M.; Zanchi, A. A Multidisciplinary Approach for Improving Quality of Life and Self-Management in Diabetic Kidney Disease: A Crossover Study. J. Clin. Med. 2020, 9, 2160. https://doi.org/10.3390/jcm9072160

AMA Style

Helou N, Talhouedec D, Zumstein-Shaha M, Zanchi A. A Multidisciplinary Approach for Improving Quality of Life and Self-Management in Diabetic Kidney Disease: A Crossover Study. Journal of Clinical Medicine. 2020; 9(7):2160. https://doi.org/10.3390/jcm9072160

Chicago/Turabian Style

Helou, Nancy, Dominique Talhouedec, Maya Zumstein-Shaha, and Anne Zanchi. 2020. "A Multidisciplinary Approach for Improving Quality of Life and Self-Management in Diabetic Kidney Disease: A Crossover Study" Journal of Clinical Medicine 9, no. 7: 2160. https://doi.org/10.3390/jcm9072160

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop