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Self-Management,
Knowledge, and
Functioning
and Well-Being of
Patients on Hemodialysis
(Vol
31/No. 4. On-line test expires: 08/20/2006)
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To
receive continuing education credit, you must read the
information in this article and take an on-line post
test and fill out an on-line program evaluation form.
The certificate will then be generated for you as a
.pdf file which you can print out locally on your computer.
CE Certification by ANNA requires a handling charge
that must be paid by credit card. Pricing information
is available by clicking on the "Post-Test Evaluation"
link below.
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Please
download and print the PDF file below:
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Roberta Braun Curtin, PhD, RN
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Roberta Braun Curtin, PhD, RN, is
Research
Consultant at the Medical Education
Institute,
Madison, WI. |
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Dara
Bultman Sitter, PhD, RPh |
Dara Bultman Sitter, PhD, RPh, is Pharmacist at Consumer Prescription Center, Appleton, WI,
and former Research Manager for the Medical
Education Institute. |
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Dorian Schatell, MS |
Dorian Schatell, MS, is Executive Director at
Medical Educational Institute, Madison, WI.
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Betty A. Chewning, PhD |
Betty A. Chewning, PhD, is Associate Professor
and Director of the Sonderegger Research Center at
the University of Wisconsin - Madison, School of
Pharmacy, Madison, WI. |
Past
research suggests that patients’ self-management
behavior and knowledge about their
condition/treatment may impact functioning
and well-being. Specific self-management
activities used by patients on hemodialysis
have included cooperative/participatory
and protective/proactive strategies.
In this cross-sectional study, measures
of
self-management and knowledge were administered
to 372 patients on hemodialysis from
17 dialysis facilities. Findings suggest
that the patients studied were low selfmanagers.
The most commonly used self-management
strategies were the cooperative/participatory
activities of self-care during hemodialysis
and shared responsibility in care.
Multiple linear regression showed
self-care during hemodialysis to be positively
associated with physical functioning,
measured by the SF-12 Physical
Component Summary (PCS-12) scale. Age,
diabetes, and two protective/proactive
strategies (selective symptom management
and assertive self-advocacy) were negatively
associated with the PCS-12. Selective
symptom management was also negatively
associated with mental health functioning
measured by the SF-12 Mental Component
Summary (MCS-12), whereas patient knowledge
of kidney disease/treatment was positively
associated with the MCS-12. Because past
research has shown the SF-36 PCS
and the MCS scores to be associated with
mortality and hospitalizations, using
cooperative/
participatory self-management behaviors,
minimizing the need for protective/
proactive strategies, and increasing
patients’ knowledge of kidney disease
may
have long-term benefits.
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CE
RELATED INFORMATION |
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This
offering for 2.0 contact
hours is being provided by
the
American
Nephrology Nurses’ Association
(ANNA), which
is accredited as a provider
and approver of continuing
education in nursing by
the American Nurses’
Credentialing Center-Commission
on Accreditation (ANCCCOA).
This educational activity
is approved by most states
and specialty organizations
that recognize the ANCC-COA
accreditation process. ANNA
is an approved provider of
continuing education in nursing
by the California Board of
Registered Nursing, BRN Provider
No. 00910.
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Goal:
To describe the association between hemodialysis
patient self-management behaviors
and functioning and well-being.
Objectives:
1. List self-management behaviors used by patients on hemodialysis.
2. Compare and contrast protective/proactive self-management strategies and cooperative/
participatory self-management strategies.
3. Discuss the significance of patient knowledge and physical and mental functioning.
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AUTHOR DISCLOSURE
STATEMENT |
Roberta
Braun Curtin
has no conflicts
of interest to disclose.
Dara Bultman Sitter has
no conflicts of interest to disclose.
Dorian Schatell has
no conflicts of interest to disclose.
Betty A. Chewning has
no conflicts of interest to disclose.
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ANNA and HDCN CE POLICY STATEMENTS |
The CE policy and disclosure statements of the American Nephrology
Nurses' Association are given in detail on the Symposium
Home Page. The CE policy statements of HDCN are listed on
this page. |
