Effect of Educational Nursing Guidelines on Self-management and Health-Related Quality of Life for Hemodialysis Patients

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-01 DOI:10.4103/ijnmr.ijnmr_191_22

Mona Hassan Ibrahim, Amira Mohammed Ali, M. Allawy

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Abstract

Chronic kidney disease is the biggest problem in health care today, and the primary replacement therapy, hemodialysis, has a severe impact on both self-management and quality of life. This study aimed to evaluate the effect of educational nursing guidelines on self-management and health-related quality of life for hemodialysis patients. A quasi-experimental design was used. A convenience sample of 100 hemodialysis patients in the hemodialysis unit at Ismailia General Hospital, 50 patients for the study and 50 patients for the control groups. Data were collected using a patient demographic information questionnaire, hemodialysis self-management scale, and survey instrument on kidney disease quality of life 36-item (KDQOL-36). The intervention was conducted over 12 weeks in five sessions, from implementing the guidelines to the post-test phase. The control group received the usual care. SPSS version 23, descriptive statistics, and inferential statistics like independent t-test and Pearson Chi-square test were used. Regarding self-management dimensions, a statistically significant difference was found between the study and control group regarding problem-solving and communications, fluid control, diet, self-advocacy, and emotional control with p < 0.001, and effect size 5.89,4.99, 5.06, and 4.54, respectively. Regarding the quality of life domains, a statistically significant difference was found between the study and control group regarding physical functioning, mental functioning, the burden of kidney disease, management of symptoms, and kidney disease effect with p < 0.001 and the effect size 9.39, 6.07, 1.86, 7.65, and 6.96, respectively. Educational guidelines are effective for improving self-management and quality of life.

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教育性护理指南对血液透析患者自我管理和健康相关生活质量的影响

慢性肾脏病是当今医疗保健领域最大的问题，其主要替代疗法--血液透析--严重影响患者的自我管理和生活质量。本研究旨在评估教育性护理指南对血液透析患者自我管理和健康相关生活质量的影响。研究采用了准实验设计。研究对象为伊斯梅利亚综合医院血液透析室的 100 名血液透析患者，其中 50 名患者为研究组，50 名患者为对照组。使用患者人口信息调查表、血液透析自我管理量表和肾病生活质量 36 项调查工具（KDQOL-36）收集数据。干预从实施指南到后期测试阶段，共分五次，历时 12 周。对照组接受常规护理。研究使用了 SPSS 23 版本、描述性统计和推论性统计，如独立 t 检验和皮尔逊卡方检验。在自我管理方面，研究组和对照组在解决问题和沟通、液体控制、饮食、自我倡导和情绪控制方面的差异有统计学意义（P < 0.001），效应大小分别为 5.89、4.99、5.06 和 4.54。在生活质量方面，研究组与对照组在身体功能、精神功能、肾病负担、症状管理和肾病效果方面的差异有统计学意义（P < 0.001），效应大小分别为 9.39、6.07、1.86、7.65 和 6.96。教育指南可有效改善自我管理和生活质量。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.