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Donald M, Kahlon BK, Beanlands H, Straus S, Ronksley P, Herrington G, Tong A, Grill A, Waldvogel B, Large CA, Large CL, Harwood L, Novak M, James MT, Elliott M, Fernandez N, Brimble S, Samuel S, Hemmelgarn BR. Self-management interventions for adults with chronic kidney disease: a scoping review. BMJ Open 2018; 8: e019814.

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Article

Zone Tool: Improving Self-Care and Self-Efficacy among Patients with Chronic Kidney Disease

1Nursing Education Department, Faculty of Nursing, Alexandria University, Egypt

2Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt

3Gerontology Nursing Department, Faculty of Nursing, Damanhur University, Egypt


American Journal of Nursing Research. 2020, Vol. 8 No. 6, 608-623
DOI: 10.12691/ajnr-8-6-4
Copyright © 2020 Science and Education Publishing

Cite this paper:
Azza Fathi Ibrahim Mohammed, Thoraya Mohammed Abdel Aziz, Ola Ezzat Eltohamy. Zone Tool: Improving Self-Care and Self-Efficacy among Patients with Chronic Kidney Disease. American Journal of Nursing Research. 2020; 8(6):608-623. doi: 10.12691/ajnr-8-6-4.

Correspondence to: Azza  Fathi Ibrahim Mohammed, Nursing Education Department, Faculty of Nursing, Alexandria University, Egypt. Email: azza_fathy2008@yahoo.com

Abstract

Chronic Kidney Disease (CKD) mortality has increased in Egypt; consequently, comprehensive health education is necessitated. This study aimed to: develop and employ, then, evaluate the developed zone tool as a health education strategy on CKD patients’ self-care management and self-efficacy levels. A methodological design was implemented. Two hundred patients with CKD were randomly assigned as an assessment group, then, by systematic random sampling; 30% of them, were recruited as an experimental group. Three tools were used for data collection: Tool one: Patient's sociodemographic and clinical characteristics questionnaire, Tool two: CKD Self-Management Instrument, and Tool three: Self-Efficacy for Managing Chronic Disease Six-Item Scale. Results for the assessment group showed an obvious low level in self-care management and self-efficacy perceptions. After using the developed zone tool among the experimental group; the findings revealed little improvement in clinical characteristic’s values, and considerable improvement in self-care management and self-efficacy perception levels within 1st, 2nd, to 3rd assessments. Conclusion: the developed zone tool is a crucial educational approach to improve CKD patient’s self-care management, and self-efficacy perception levels. Recommendations and further studies: interdisciplinary involvement should be integrated into developing comprehensive and valid CKD health education materials. Evaluation of health education’ compliance among CKD patients is a required study.

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