Clinical trial NCT06167668: The Influence of Internet + Combined Family Empowerment Management Mode on Treatment Compliance of PATIENTS With CKD
Official title: The Influence of Internet + Combined Family Empowerment Management Mode on Treatment Compliance of PATIENTS With CKD and the Relationship Between Psychological Status and Disease Progression
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Internet
Chronic Kidney Disease
Keywords: Compliance
Self-efficacy
Family empowerment management
Mental state
Lead sponsor: Shanxi Medical University
Sponsor class: OTHER
First posted: 2023-12-12
Enrollment: 100
Sex: ALL
Minimum age (years): 40
Maximum age (years): 60
Standard ages: ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Combined with laboratory results, CKD was confirmed

Brief summary: To explore the effect of Internet + combined family empowerment management mode on treatment compliance of patients with chronic kidney disease (CKD) and the correlation between psychological status and disease progression.

Detailed description: To explore the effect of Internet + combined family empowerment management mode on treatment compliance of patients with chronic kidney disease (CKD) and the correlation between psychological status and disease progression. A total of 100 patients with CKD treated in our hospital from October 2020 to October 2021 were screened and analyzed, and randomly divided into combined group and traditional group according to the number table method, with 50 patients in each group. The traditional group was implemented with the conventional chronic disease management mode, and the combined group was implemented with the Internet + combined family empowerment management mode. The differences in compliance, self-efficacy, psychological status and renal function indexes of each group were compared. Mmas-8 compliance score and GSES score showed an increasing trend. Compared with the traditional group, T2-T4MMAS-8 score and GSES score in the combined group were significantly increased with statistical differences (P \< 0.05). The levels of BUN, Scr, SAS and SDS showed a decreasing trend. Compared with the traditional group, the levels of four indexes T2-T4 in the combined group were significantly decreased with statistical differences (P \< 0.05). BUN, Scr were positively correlated with SAS and SDS (P\< 0.05). Internet + combined family empowerment management model can effectively improve renal function, negative psychological clarity, self-efficacy and medication compliance of CKD patients, which is worthy of clinical promotion.

Eligibility criteria: Inclusion Criteria:

* Enrolled subjects meet the diagnostic criteria for CKD and are confirmed to be CKD based on laboratory findings.
* After assessment, it was determined that the subject's communication was barrier-free
* No abnormal feedback was found after evaluation.
* The patient received dialysis treatment for more than 3 months, and the clinical data were complete. This is the first time they've been to the hospital.

Exclusion criteria:

* The female patient is pregnant and lactating.
* Kidney transplant patient.
* People with language communication disorders or mental diseases.
* Participants received other psychological guidance and health education interventions during the study period.

Primary outcomes:
measure: blood urea nitrogen
timeFrame: 70/5000 The four observation time points in this study were 1 day before treatment, 1 month, 3 months, and 6 months after treatment, labeled T1 to T4, respectively. T1 ~ T4 when fasting in the morning.
measure: serum creatinine
timeFrame: 70/5000 The four observation time points in this study were 1 day before treatment, 1 month, 3 months, and 6 months after treatment, labeled T1 to T4, respectively. T1 ~ T4 when fasting in the morning.
Secondary outcomes:
measure: Morisky Medication Adherence Scale
timeFrame: Six months Max
measure: General Self-Efficacy Scale
timeFrame: Six months Max
measure: Self-Rating Anxiety Scale
timeFrame: Six months Max
Other outcomes:
Locations:
city: Taiyuan
country: China
facility: The Second Hospital of Shanxi Medical University
state: Shanxi
Study officials:
References: