Effects of a face-to-face self-management program on knowledge, self-care practice and kidney function in patients with chronic kidney disease before the renal replacement therapy

J Korean Acad Nurs. 2012 Dec;42(7):1070-8. doi: 10.4040/jkan.2012.42.7.1070.


Purpose: The purpose of this study was to examine the effects of a face-to-face self-management educational program on knowledge, self-care practice and kidney function in patients with chronic kidney disease (CKD) before kidney replacement therapy.

Methods: This study employed a nonequivalent control group, non-synchronized design. Data were collected from 61 patients with CKD visiting an outpatient department of nephrology in a university hospital in Seoul, South Korea. The experimental group (n=31) took the pre-test, then after 3 weeks, face-to-face education and individualized consultation (1st intervention), after a week of self-practice, the 1st post-test, followed by re-enforcement education and consultation (2nd intervention), and 4 weeks later, the 2nd post-test. The control group (n=30) took the pre-test and post-tests at 4 and 8 weeks.

Results: Scores for knowledge of CKD and self-care practice over time improved significantly in the experimental group compared to the control group. Kidney function did not improve significantly in the experimental group.

Conclusion: Health care providers can identify various and individualized needs, and provide effective education and consultation through face to face self-management for patients with chronic irreversible illnesses. Nurses can coordinate for these program by designing and providing systematic and effective education.

Keywords: Chronic renal insufficiency; Education; Self-management.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Blood Urea Nitrogen
  • Calcium / blood
  • Creatinine / blood
  • Female
  • Glomerular Filtration Rate
  • Health Knowledge, Attitudes, Practice*
  • Hemoglobins / analysis
  • Humans
  • Kidney / metabolism*
  • Male
  • Middle Aged
  • Patient Education as Topic*
  • Phosphates / blood
  • Potassium / urine
  • Program Evaluation
  • Renal Insufficiency, Chronic / psychology*
  • Renal Replacement Therapy
  • Self Care*
  • Sodium / urine


  • Hemoglobins
  • Phosphates
  • Sodium
  • Creatinine
  • Potassium
  • Calcium