Cent Eur J Nurs Midw 2023, 14(2):896-904 | DOI: 10.15452/cejnm.2022.13.0013

The effectiveness of self-management program to prevent diabetic nephropathy progression: a literature review

Dayan Hisni1,3, Pradana Soewondo2, Debie Dahlia3, Tutik Sri Haryati3, Dian Ayubi4
1 Department of Nursing, Faculty of Health Sciences, Universitas Nasional, Jakarta, Indonesia
2 Department of Internist, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
3 Department of Medical and Surgical, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
4 Deparment Health Education and Behavior Science, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia

Aim:  The aim of the literature review was to identify evidence of the effectiveness of self-management programs in preventing progression of diabetic nephropathy. Design: A literature review. Methods: This review was conducted according to the Cochrane guidelines for systematic review research and complies with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. We found seven articles from electronic databases such as Science Direct, PubMed, and CINAHL from 2011 to 2021. Three researchers independently conducted study selections, extracted data, and assessed the data quality. Results: Seven studies were included (two randomized control trials and five quasi-experimental studies). We examined studies that provided deep analysis and explanation of self-management to prevent progression of diabetic nephropathy. Conclusion: All of the studies reported that self-management programs significantly improved behaviors aimed at preventing diabetic nephropathy progression such as dietary, physical activity, medication adherence, and smoking cessation. In addition to behaviors, the program also improved renal function, metabolic markers, and blood pressure.

Keywords: diabetic nephropathy, metabolic markers, renal functions, self-management program, type 2 DM

Received: November 4, 2021; Revised: May 28, 2022; Accepted: June 2, 2022; Prepublished online: March 28, 2023; Published: June 5, 2023  Show citation

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Hisni D, Soewondo P, Dahlia D, Haryati TS, Ayubi D. The effectiveness of self-management program to prevent diabetic nephropathy progression: a literature review. Central European Journal of Nursing and Midwifery. 2023;14(2):896-904. doi: 10.15452/cejnm.2022.13.0013.
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