An Educational Nursing Program to Improve Self-Care in Chronic Kidney Disease: A Multiple Case Study
Abstract
1. Introduction
2. Materials and Methods
2.1. Sample
2.2. Data Collection Instruments
2.3. Procedures
3. Results
Sociodemographic Characterization
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Activity/Session | Description | Method | Duration |
---|---|---|---|
Reveal and Engage Day 1–Initial Face-to-Face Consultation | The nurse introduces themselves to the person and caregiver (if applicable); Multidimensional assessment: clinical history, therapy, psychosocial history, meaning of illness. Use of assessment tools to identify needs and potential. Assessment of psychosocial profile and self-care potential. | Semi-structured interview Assessment tools | 60 min |
Empower/Enable Day 4–Face-to-Face Health Education Session 1 | Joint identification and prioritization of nursing diagnoses. Education on CKD management, hemodialysis, vascular access, medication, diet, and complication prevention. | Educational counselling Teach-back | 45–60 min |
Day 10–Face-to-Face Health Education Session 2 | Medication management, warning signs, stress coping, and emotional support. Promotion of self-care and caregiver training. | Interactive dialogue Teach-back | 45–60 min |
Commitment Ongoing (in each session) | Review and adjustment of goals (short, medium, long-term). Joint planning of interventions based on the person’s life project. Validation of care strategies. | Shared decision-making Individualised planning | Integrated into sessions |
Taking Care of Yourself and Others Day 15–Final Assessment and Closure | Assessment of autonomy in managing the therapeutic regimen. Reflection on the caregiver’s capacity for care and self-care. Identification of support needs and referral to resources. Final discussion and reinforcement of self-care plan. | Reflective interview Action planning | 60 min |
Cases | A1 | A2 | A3 |
---|---|---|---|
Age (years) | 50 | 56 | 73 |
Gender | Female | Male | Male |
Cohabitation | With son | Live alone | With wife |
Education Level (years) | 12 | 16 | 4 |
Comorbidities | Hemodialysis since 2019; Hypertension. | Peritoneal Dialysis since 2020; Hypertension; Diabetes Mellitus | Prostate adenocarcinoma; right nephrectomy due to lithiasis; endocarditis; arterial hypertension and dyslipidemia; hydronephrosis |
Participants | Braden Scale (6–23) | Barthel Index (0–100) | Morse Fall Scale (0–125) | MAT Scale (1–6) | Mini-Mental State Examination (0–30) | KDQOL SF (0–10) |
---|---|---|---|---|---|---|
A1 | 23 | 50 | 20 | 5.57 | 30 | 5 |
A2 | 22 | 50 | 15 | 5.42 | 30 | 3 |
A3 | 22 | 50 | 35 | 5.86 | 26 | 7 |
Legend: MAT Scale = Measure of Adherence to Treatment; KDQOL-SF = Kidney Disease Quality of Life–Short Form. | ||||||
Evolution of the Knowledge About CDK | Pré-Intervention | Pós-Intervention | Evolution (%) | |
---|---|---|---|---|
A1 | Total | 66.25 | 78.75 | +12.50 |
A2 | Total | 60.00 | 76.25 | +16.25 |
A3 | Total | 67.50 | 81.25 | +13.75 |
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Atraca, E.; Solinho, L.; Pires, S.; Braga, V.; Gomes, I.; Ramos, A. An Educational Nursing Program to Improve Self-Care in Chronic Kidney Disease: A Multiple Case Study. J. Ageing Longev. 2025, 5, 30. https://doi.org/10.3390/jal5030030
Atraca E, Solinho L, Pires S, Braga V, Gomes I, Ramos A. An Educational Nursing Program to Improve Self-Care in Chronic Kidney Disease: A Multiple Case Study. Journal of Ageing and Longevity. 2025; 5(3):30. https://doi.org/10.3390/jal5030030
Chicago/Turabian StyleAtraca, Edgar, Luísa Solinho, Sara Pires, Vera Braga, Idalina Gomes, and Ana Ramos. 2025. "An Educational Nursing Program to Improve Self-Care in Chronic Kidney Disease: A Multiple Case Study" Journal of Ageing and Longevity 5, no. 3: 30. https://doi.org/10.3390/jal5030030
APA StyleAtraca, E., Solinho, L., Pires, S., Braga, V., Gomes, I., & Ramos, A. (2025). An Educational Nursing Program to Improve Self-Care in Chronic Kidney Disease: A Multiple Case Study. Journal of Ageing and Longevity, 5(3), 30. https://doi.org/10.3390/jal5030030