Effects of motivational interviewing and an education programme based on Watson's theory of human caring on adults receiving haemodialysis: randomised controlled trial.

IF 1.6 Q2 NURSING
Şefika Tuğba Yangöz, Zeynep Özer
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引用次数: 0

Abstract

Background: Effective haemodialysis management is crucial, and behavioural change interventions are essential for good haemodialysis self-management. However, no study explores the effects of Watson's theory such as the humanistic approach to behavioural change in haemodialysis.

Aims: To evaluate the effects of motivational interviewing and an education programme based on Watson's theory on adherence to treatment, satisfaction and health-related quality of life (HRQOL) on haemodialysis.

Methods: This study was conducted in Turkey. Intervention group received four sessions of motivational interviewing and an education programme based on Watson's theory, and the control group received routine care. The primary outcomes were adherence to fluid intake, diet and medication, attendance at haemodialysis sessions, satisfaction and HRQOL. The secondary outcomes were laboratory parameters.

Results: Participants were randomly assigned to the intervention (n = 32) or the control group (n = 28). There were statistically significant between-group differences in adherence to fluid intake, diet and medication, and the kidney disease burden sub-dimension of HRQOL, with medium to large effect sizes. There was no difference in laboratory parameters. Participants showed high levels of satisfaction with this programme.

Conclusions: This study provides evidence for nurses regarding Watson's theory-based programme in a haemodialysis population. Results will help nurses to develop and practice customised effective interventions for haemodialysis.

基于沃森人类关怀理论的动机性访谈和教育计划对接受血液透析的成年人的影响:随机对照试验。
背景:有效的血液透析管理至关重要,行为改变干预对于良好的血液透析自我管理至关重要。然而,没有研究探索沃森理论的影响,如人文主义方法对血液透析行为改变的影响。目的:评价动机性访谈和基于Watson理论的教育方案对血液透析患者治疗依从性、满意度和健康相关生活质量(HRQOL)的影响。方法:本研究在土耳其进行。干预组接受4次动机性访谈和基于沃森理论的教育方案,对照组接受常规护理。主要结局是坚持液体摄入、饮食和药物、参加血液透析会议、满意度和HRQOL。次要结局为实验室参数。结果:参与者被随机分为干预组(n = 32)和对照组(n = 28)。在液体摄入、饮食和药物依从性以及HRQOL的肾脏疾病负担子维度上,组间差异有统计学意义,效应量为中大型。实验参数无差异。参加者对课程表现出很高的满意度。结论:本研究为护士在血液透析人群中关于沃森的理论为基础的方案提供了证据。结果将有助于护士制定和实践针对血液透析的有效干预措施。
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来源期刊
CiteScore
5.30
自引率
3.20%
发文量
82
期刊介绍: The Journal of Research in Nursing is a leading peer reviewed journal that blends good research with contemporary debates about policy and practice. The Journal of Research in Nursing contributes knowledge to nursing practice, research and local, national and international health and social care policy. Each issue contains a variety of papers and review commentaries within a specific theme. The editors are advised and supported by a board of key academics, practitioners and policy makers of international standing. The Journal of Research in Nursing will: • Ensure an evidence base to your practice and policy development • Inform your research work at an advanced level • Challenge you to critically reflect on the interface between practice, policy and research
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