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

Aim and objectives To evaluate the effect of patient‐centred self‐management programme on mental health, self‐efficacy and self‐management of patients with hypertensive nephropathy. Background If the symptoms of hypertension are not well‐controlled, deterioration of renal function will accelerate and evolve into hypertensive nephropathy. Design A randomised single‐blind trial. This article follows the requirements of CONSORT statement. Methods The experimental group ( n = 35) after pre‐test used patient‐centred self‐management programme once a week for a total of 4 weeks and the intervention effect was measured after 3 months 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. Results 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 eta 2 = 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 eta 2 = 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 eta 2 = 0.190). Conclusions 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. Relevance to clinical practice The intervention provides an effective option for clinical care workers as a replacement for or supplement to the traditional care.