Self-efficacy and home dialysis: An integrative review

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2024-08-29 DOI:10.1111/jorc.12510

Nicola A. D'Souza MSc, Ma'en Zaid Abu-Qamar PhD, Lisa Whitehead PhD

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引用次数: 0

Abstract

Background

Enhancing patient confidence in their ability (self-efficacy) is vital to ensure people are equipped to maintain home dialysis protocols. Bandura's social cognitive theory provided a framework for understanding the role of self-efficacy in patients managing home dialysis.

Objectives

To identify self-reported levels of self-efficacy, the measurements used to assess self-efficacy and the effectiveness of interventions to enhance self-efficacy in patients undergoing home dialysis.

Design

An integrative review approach was employed using Whittemore and Knafl's methodology.

Methods

A comprehensive search was conducted to identify literature on self-efficacy in patients managing home dialysis. Searches were conducted in CINAHL, MEDLINE, Embase and Scopus databases without a date limit. The included literature was critically appraised for methodological quality. Data extraction was conducted to report the study characteristics, measurement tools used and interventions conducted along with the synthesis of findings in a narrative format.

Results

Fifteen studies were included in the review were predominantly quantitative examining training programmes promoting self-efficacy in adults conducting home dialysis. The finding that self-efficacy builds over time was structured into two themes; gaining skills to develop self-efficacy and building and maintaining knowledge of self-efficacy.

Conclusion

The findings highlighted the importance of employing multifaceted strategies with support from health professionals including nurses, families and peer support to develop self-efficacy in patients undergoing home dialysis.

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自我效能感与家庭透析：综合评述。

背景：增强患者对自身能力的信心（自我效能感）对于确保人们有能力维持家庭透析方案至关重要。班杜拉的社会认知理论为了解自我效能在患者管理家庭透析中的作用提供了一个框架：确定家庭透析患者自我报告的自我效能水平、用于评估自我效能的测量方法以及提高自我效能的干预措施的有效性：设计：采用 Whittemore 和 Knafl 的方法进行综合综述：方法：我们进行了一次全面检索，以确定有关家庭透析患者自我效能的文献。检索在 CINAHL、MEDLINE、Embase 和 Scopus 数据库中进行，没有日期限制。对纳入的文献进行了严格的方法学质量评估。通过数据提取，以叙述的形式报告了研究特点、使用的测量工具和采取的干预措施以及研究结果的综述：综述共收录了 15 项研究，这些研究主要是对促进成人家庭透析自我效能的培训计划进行定量研究。随着时间的推移，自我效能感会逐渐增强，这一结论分为两个主题：获得发展自我效能感的技能以及建立和保持自我效能感的知识：研究结果强调了在包括护士、家人和同伴支持在内的医疗专业人员的支持下，采用多方面策略培养家庭透析患者自我效能感的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.