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Background <p>Chronic kidney disease (CKD) is a growing health problem in Vietnam, affecting approximately 10% of the population, many of whom require hemodialysis. There is a limited intervention to support these patients, so a brief self-management intervention using the teach-back method has been developed. Therefore, this study aimed to investigate the impact of a health education program on hemodialysis patients.</p> Methods <p>A single-group pre- &amp; post-test intervention design was used to recruit 100 dialysis patients aged ≥ 18. The intervention involved face-to-face education using the teach-back method and a dialysis care booklet. Linear mixed-effect models assessed the usefulness of kidney disease knowledge, arteriovenous shunt self-care, and hemodialysis self-management behaviors at Week 0 (baseline) and Week 12.</p> Results <p>All 100 participants (mean age = 43.8 years, 61% female) completed the study. After 12 weeks, significant improvements were observed in kidney disease knowledge, arteriovenous shunt self-care, and two self-management domains. However, problem-solving and emotional management domains did not significantly improve, warranting further educational content consolidation to improve these areas.</p> Conclusions <p>A brief and low-cost nurse-led self-management program successfully improves patients’ understanding of kidney disease and promotes self-management behaviors. Additional content focusing on problem-solving and emotional management is recommended to provide comprehensive support for individuals undergoing hemodialysis.</p>

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Supporting dialysis patients’ self-management through a nurse-led program: a single-group pre- and post-test intervention

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月3日

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  • Nguyet Thi Nguyen,
  • Van Lan Hoang,
  • Thi Minh Le,
  • Thi Hanh Phung,
  • Hien Thi Bui,
  • Thi Thuy Ha Dinh

摘要

Background

Chronic kidney disease (CKD) is a growing health problem in Vietnam, affecting approximately 10% of the population, many of whom require hemodialysis. There is a limited intervention to support these patients, so a brief self-management intervention using the teach-back method has been developed. Therefore, this study aimed to investigate the impact of a health education program on hemodialysis patients.

Methods

A single-group pre- & post-test intervention design was used to recruit 100 dialysis patients aged ≥ 18. The intervention involved face-to-face education using the teach-back method and a dialysis care booklet. Linear mixed-effect models assessed the usefulness of kidney disease knowledge, arteriovenous shunt self-care, and hemodialysis self-management behaviors at Week 0 (baseline) and Week 12.

Results

All 100 participants (mean age = 43.8 years, 61% female) completed the study. After 12 weeks, significant improvements were observed in kidney disease knowledge, arteriovenous shunt self-care, and two self-management domains. However, problem-solving and emotional management domains did not significantly improve, warranting further educational content consolidation to improve these areas.

Conclusions

A brief and low-cost nurse-led self-management program successfully improves patients’ understanding of kidney disease and promotes self-management behaviors. Additional content focusing on problem-solving and emotional management is recommended to provide comprehensive support for individuals undergoing hemodialysis.