Chronic Kidney Diseases, Maintenance Hemodialysis, Narrative Nursing
Conditions
Keywords
self-efficacy, negative emotions, life quality
Brief summary
The impact of narrative nursing interventions on negative emotions, self-efficacy, quality of life in individuals undergoing maintenance hemodialysis
Detailed description
The objective of this study is to create a narrative nursing protocol using the two-line system approach to enhance the practice of narrative nursing.Investigators applied this protocol during maintenance hemodialysis (MHD) treatment, with the aim of examining the impact of the interventions on negative emotions, self-efficacy, and overall quality of life of patients. By analyzing the data before and after the interventions, investigators aim to demonstrate how targeted narrative nursing measures can positively influence negative emotions, self-efficacy, and life quality of patients.
Interventions
OTHERnarrative nursing
The narrative nursing process is based on the practice of two-line system proposed by Jiang, which is carried out in a separate classroom, office or ward with sufficient space and good lighting. The environment is set to the right temperature and humidity for comfortable face-to-face conversation. This process is done in stages, depending on how often the patient is dialysis three or more times a week. Each session lasts about 30 minutes and the whole process lasts four weeks. Adjust to the specific needs of each patient .
OTHERtraditional nursing
Patients undergoing MHD received traditional nursing interventions, encompassing various aspects such as dietary advice, instructions on medication usage, health education, emphasis on precautions during dialysis, and guidelines for vascular access care. Additionally, the nurses proactively inquired about patients' emotional well-being during the nursing shift change, actively engaged and uplifted patients experiencing low spirits, and encouraged family members to provide emotional support.
Sponsors
Shanxi Medical University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed with ESRD and treated with dialysis for more than 3 months; * Patients aged ≥18 years old; * Patients with complete clinical data; * Patients who are clearly conscious and can accurately express their willingness; * Patients who have signed informed consent and are willing to cooperate with the study.
Exclusion criteria
* Patients with other serious systemic diseases, such as severe cardiovascular and cerebrovascular diseases, severe diabetes, etc.; * Patients with mental disorder, such as cognitive or intellectual disability; * Patients with a history of anxiety and depression; * Patients with intermittent loss of consciousness or are unable to understand the questions in the questionnaire.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Zung's Self-Rating Anxiety Scale | one week | assess the anxiety and depression levels of patients |
| Self-rating Depression Scale | one week | assess the anxiety and depression levels of patients |
Countries
China
Contacts
Primary ContactJie Zheng, Associate professor
Outcome results
None listed