American Journal of Nursing Research. 2019, 7(4), 657-663
DOI: 10.12691/AJNR-7-4-27
Original Research

Effect of Self-Management Program on Quality of Life for Patients with Chronic Kidney Disease

Rania Rabie El-Etreby1, and Ahmed Hashem El-Sayed El-Monshed1

1Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing-Mansoura University

Pub. Date: June 19, 2019

Cite this paper

Rania Rabie El-Etreby and Ahmed Hashem El-Sayed El-Monshed. Effect of Self-Management Program on Quality of Life for Patients with Chronic Kidney Disease. American Journal of Nursing Research. 2019; 7(4):657-663. doi: 10.12691/AJNR-7-4-27


Background: Chronic Kidney Disease (CKD) is a serious medical and public health problem whose prevalence is increasing worldwide. Patients with CKD must cope with life changes and stresses to improve their quality of life (QoL). It is suggested that self-management is key to the effective care of chronic diseases, a process in which individuals carry out the daily functions of health care to manage chronic diseases. Aim of the study: This study aimed to evaluate the effect of self-management program on QoL among patients with CKD. Subjects and Method: A quasi-experimental research design [pretest -posttest] was conducted at Out-Patient Clinics of the New Mansoura General Hospital. The instruments used for data collection were Socio-demographic and Clinical Data Structured Interview Schedule and The 36-item Short-Form Questionnaire (SF-36). A convenience sampling of sixty nine patients with CKD completed the study after implementing the self-management program with 6 weekly sessions. Results: The present study findings revealed that there was highly statistically significant difference of all dimensions of QoL except pain and vitality/ energy dimensions between before and after implementing the self-management program. Conclusion: The current study revealed that the CKD self-management program had a positive effect on preventing QoL deterioration in patients with CKD. Recommendation: Self- management programs will be useful if it is accompanied by other therapeutic and welfare actions and comprehensive supports of public and private charity organizations.


chronic kidney disease, quality of life, self-management


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[1]  D’Onofrio, G., Simeoni, M., Rizza, P., Caroleo, M., Capria, M., Mazzitello, G., … Fuiano, G. (2017). Quality of life, clinical outcome, personality and coping in chronic hemodialysis patients. Renal Failure, 39(1), 45-53.
[2]  da Silva, B. C. O. da, Oliveira, G. J. N. de, Souza, V. L. de, Silva, R. A. R. da, Rocha, C. C. T., & Holanda, J. R. R. (2016). Coping strategies used by chronic renal failure patients on hemodialysis. Escola Anna Nery - Revista de Enfermagem, 20(1), 147-154.
[3]  Baykan, H., & Yargic, I. (2012). Depression, anxiety disorders, quality of life and stress coping strategies in hemodialysis and continuous ambulatory peritoneal dialysis patients. Klinik Psikofarmakoloji Bulteni, 22(2), 167-176.
[4]  Subramanian, L., Quinn, M., Zhao, J., Lachance, L., Zee, J., & Tentori, F. (2017). Coping with kidney disease - qualitative findings from the Empowering Patients on Choices for Renal Replacement Therapy (EPOCH-RRT) study. BMC Nephrology, 18(1), 1-10.
[5]  Donald, M., Kahlon, B. K., Beanlands, H., Straus, S., Ronksley, P., Herrington, G., … Hemmelgarn, B. R. (2018). Self-management interventions for adults with chronic kidney disease: A scoping review. BMJ Open, 8(3), 1-21.
[6]  Wassef O. M., El-Gendy, M. F., El-Anwar, R. M., El-Taher, S. M., & Hani, B. M. (2018). Assessment of health-related quality of life of hemodialysis patients in Benha City, Qalyubia Governorate. Menoufia Medical Journal, 31(4), 1414.
[7]  Collister, D., Rodrigues, J. C., Mazzetti, A., Salisbury, K., Morosin, L., Rabbat, C., … Walsh, M. (2019). Single Questions for the Screening of Anxiety and Depression in Hemodialysis. Canadian Journal of Kidney Health and Disease, 6, 2054358118825441.
[8]  Schmidt, D. B. (2019). Quality of life and mental health in hemodialysis patients: a challenge for multiprofessional practices. Brazilian Journal of Nephrology, 41(1), 10-11.
[9]  Lee, M. C., Wu, S. F. V., Hsieh, N. C., & Tsai, J. M. (2016). Self-Management Programs on eGFR, Depression, and Quality of Life among Patients with Chronic Kidney Disease: A Meta-Analysis. Asian Nursing Research, 10(4), 255-262.
[10]  La Sala, R., Dicembrino, R. B., Dall’Argine, S., Baiguera, M., Gazzotti, L., Gubin, E., … Mamei, I. (2017). Nurse training in self-management of patients with cardiovascular diseases: a multicentre observational study. Acta Bio-Medica: Atenei Parmensis, 88(5S), 22-30.
[11]  Lin, M. Y., Liu, M. F., Hsu, L. F., & Tsai, P. S. (2017). Effects of self-management on chronic kidney disease: A meta-analysis. International Journal of Nursing Studies, 74(June), 128-137.
[12]  Hochstenbach, L. M. J., Zwakhalen, S. M. G., Vermeulen, J., van Kleef, M., de Witte, L. P., & Courtens, A. M. (2017). Co-creative development of a Health nursing intervention: Self-management support for outpatients with cancer pain. Applied Nursing Research, 36, 1-8.
[13]  El-Arbagy, A., Yassin, Y., & Boshra, B. (2017). Study of prevalence of end-stage renal disease in Assiut governorate, Upper Egypt. Menoufia Medical Journal, 29(2), 222.
[14]  Rahimimoghadam, Z., Rahemi, Z., Sadat, Z., & Mirbagher Ajorpaz, N. (2019). Pilates exercises and quality of life of patients with chronic kidney disease. Complementary Therapies in Clinical Practice, 34(October 2018), 35-40.
[15]  Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473-483.
[16]  Hassan BH (2011): Comparative clinical study of non pharmacological interventions for relieving moderate to severe knee pain in elderly patients. Unpublished Doctoral Thesis, Faculty of Nursing, Alexandria University.
[17]  Bandura, A. (1994). Self-efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of human behavior (Vol. 4, pp. 71-81). New York: Academic Press. (Reprinted in H. Friedman [Ed.], Encyclopedia of mental health. San Diego: Academic Press, 1998).
[18]  Rogelberg, S. G. (2017). Self-Efficacy. The SAGE Encyclopedia of Industrial and Organizational Psychology, 2nd Edition, 4(1994), 71-81.
[19]  Narva, A. S., Norton, J. M., & Boulware, L. E. (2016). Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care. Clinical Journal of the American Society of Nephrology: CJASN, 11(4), 694-703.
[20]  Vides, M. C., & Martins, M. R. I. (2017). Bone pain assessment in patients with chronic kidney disease undergoing hemodialysis. Revista Dor, 18(3), 245-249.
[21]  Kuwaiti, S., Ghadami, A., & Yousefi, H. (2017). Effects of the self-management program on the quality of life among kidney-transplant patients in Isfahan’s Hazrat Abolfazl Health and Medical Charity in 2015. Annals of Tropical Medicine and Public Health, 10(6), 1607.
[22]  Novak, M., Costantini, L., Schneider, S., & Beanlands, H. (2013). Approaches to Self-Management in Chronic Illness. Seminars in Dialysis, 26(2), 188-194.
[23]  Mason, J., Khunti, K., Stone, M., Farooqi, A., & Carr, S. (2008). Educational Interventions in Kidney Disease Care: A Systematic Review of Randomized Trials. American Journal of Kidney Diseases, 51(6), 933-951.
[24]  Ahmadzadeh, S., Matlabi, H., Allahverdipour, H., & Khodaei Ashan, S. (2017). The effectiveness of self-management program on quality of life among haemodialysis patients. Progress in Palliative Care, 25(4), 177-184.