Type 2 Diabetic nephropathy
Conditions
Interventions
Implementation of a diabetic nephropathy disease management program (acquisition of self-management skills and lifestyle change, 6 month-period, combination of face-to-face interview and telephone cal
Assess problems on sleep and advice coping strategies if he/she has
Recommend going to the fitness club (1/week, 12 times), assess activities and advice appropriate activities
Sponsors
Division of Nursing Science, Graduate School of Biomedical and Health Sciences, Hiroshima University
Hiroshima Prefecture, Hiroshima City
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Type 2 diabetic nephropathy patients at Stages 1-3 according to the diabetic guideline 1. Beneficiaries of Hiroshima-city National Health Insurance and Union National Health Insurance living in Hiroshima prefecture, and the insured of Japan Health Insurance Association, Hiroshima chapter, and National Federation of Health Insurance Societies of Hiroshima. 2. A patient was judged by his/her general physician or physician in charge of diabetic care intended to participate in this study 3. An outpatient in diabetic treatment 4. Age =>20 and =<74 years old of both sexes 5. Not participate in another clinical study 6. A patient whom can receive a written consent form Do not consider who takes sleeping drugs and/or psychotropic drugs.
Exclusion criteria
Exclusion criteria: 1. A patient was judged by the nurses (who provide the program) as unable to implement the program (such as difficulties in visiting the education site, filling in questionnaires, and measuring the sleep scale and activities by his/herself) 2. An inpatient 3. A patient at Renal Replacement Therapy (RRT) 4. A patient who has a plan for renal transplantation within 6 months 5. A patient at end stage 6. Type 1 diabetes and in case of secondary diabetes 7. Pregnant women 8. Dementia 9. Those who have behavioral problems and be considered as difficult to continue the program by his/her general physician, physician in charge of diabetic care or researcher
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Physiological indicators: Weight (BMI), blood pressure, pulse rate, fasting blood glucose, HbA1c, urine protein/urine albumin, serum creatinine (eGFR), nonHDL-cholesterol, triglycerides 2. Change of the diabetic nephropathy stage 3. Onset and progression of diabetic complication and disease 4. Amount of activity 5. Sleep difficulties (description, scale scores) 6. SpO2 7. QOL 8. Feasibility: participation rate, completion rate, use of equipments and fitness, evaluation of the program, etc) 9. Behavioral indicators: quality of activities, behavior change/self-monitoring 10. Presenteeism and absennteeism | — |
Countries
Japan
Contacts
Public ContactMICHIKO MORIYAMA
Graduate School of Biomedical and Health Sciences, Hiroshima University Division of Nursing Science
Outcome results
None listed