Effect of patient‐centred self‐management programme on mental health, self‐efficacy and self‐management of patients with hypertensive nephropathy: A randomised controlled trial

Abstract

To evaluate the effect of patient-centred self-management programme on mental health, self-efficacy and self-management of patients with hypertensive nephropathy. If the symptoms of hypertension are not well-controlled, deterioration of renal function will accelerate and evolve into hypertensive nephropathy. A randomised single-blind trial. This article follows the requirements of CONSORT statement. The experimental group (n=35) after pre-test used patient-centred self-management programme once a week for a total of 4weeks and the intervention effect was measured after 3months for post-test. Contrarily, the traditional care was employed for the control group (n=35). The measuring outcomes included mental health, self-efficacy and self-management. Trial registry is listed under https://clinicaltrials.gov/ with Identifier No. NCT04633993. After the intervention, the average score of mental health for the experimental group was 20.79 (SD=0.82) which was higher than the 19.27 points for the control group (SD=0.77) and showed a significant difference (F=8.31, p=.005, partial eta2 =0.133). In terms of self-efficacy, the average score for the experimental group was 214.13 (SD=6.40), which was higher than the 189.58 points for the control group (SD=6.03) and exhibited a significant difference (F=11.82, p=.001, partial eta2 =0.197). Regarding self-management, the average score of the experimental group was 75.12 (SD=2.29) which was significantly higher than the 68.80 points of the control group (SD=2.43) (F=11.17, p=.001, partial eta2 =0.190). In addition to promoting mental health of individual cases, this intervention also increases their self-confidence in disease control and improves their self-management on diseases. The intervention provides an effective option for clinical care workers as a replacement for or supplement to the traditional care.