Peer Review, Hemodialysis Complication, Nurse's Role, Health-Related Behavior
Conditions
Keywords
Peer sport, nursing, hemodialysis
Brief summary
The main advantage of patient-to-patient peer counseling is that it benefits both the client and the peer mentors as real and authentic experiences are shared. Since both individuals go through similar experiences, they can share common feelings. Although there are studies in the literature showing the effectiveness of peer support groups in different patient groups, studies on chronic kidney disease patients are limited. There are no studies on the effects of these programs on caregivers. This study will be conducted to examine the effects of peer support program applied to chronic kidney patients on patient outcomes and caregivers.
Detailed description
This study was planned to be conducted with a randomized controlled experimental design to examine the effect of the peer support program applied to Chronic Kidney patients on patient outcomes and caregivers. Patients diagnosed with Chronic Kidney Disease and receiving haemodialysis (HD) as a renal replacement method constitute the population of the study. In the a priori power analysis performed to calculate the number of subjects, the effect size was taken as 1.3 (d) based on reference studies. Accordingly, it was found that 34 subjects should be included in the calculation for the independent two-sample t-test according to 0.95 power and 0.05 alpha. The sample of the study will consist of 25 intervention and 25 control CKDs who fulfil the inclusion criteria, taking into account the dropout status.
Interventions
BEHAVIORALThe Peer Support Program
Implementation of the research; Peer support programme for the intervention group will be carried out for 10 weeks in accordance with the peer guide-client implementation plan. Standard follow-up and training programme will be applied to the control group in accordance with the procedures of the institution.
BEHAVIORALStandart care
The standard care provided by the institution will continue.
Sponsors
Acibadem University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
Intervation group (Peer support) Control group (Standart care)
Intervention model description
The study will start after obtaining official institutional permissions. The researcher will examine the profile of patients receiving treatment at the dialysis center. After this stage, the following steps will be followed
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Inclusion and
Exclusion criteria
For Peer Mentor Inclusion Criteria; * Speaking Turkish * To be literate * CKD receiving haemodialysis * Volunteering * 18 years of age or older * Being open to communication and co-operation * Not having any psychiatric disorder For Patient Inclusion Criteria; * Speaking Turkish * To be literate * CKD receiving haemodialysis * Volunteering * 18 years of age or older * Not having any psychiatric disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adaptation to the disease. | The scale will be completed before the intervention and at 3, 7 and 9 weeks. | End Stage Renal Disease Adaptation Questionnaire (ESRD-AQ) Total score varies between 0 and 1200. As the score obtained from the scale increases, the level of treatment compliance increases. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-Care | The scale will be completed before the intervention and at 3, 7 and 9 weeks. | Chronic Dialysis Patients' Self-Care Agency (SCA) Scores obtained from the scale are between 0-44. As the score decreases, it is evaluated as self-care power is not good. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Patient outcomes | The Kt/V value of all patients calculated before the intervention and the change in the value measured 3, 7 and 9 weeks after the intervention will be completed by the researcher. | Data collection form for patients (The target Kt/V in dialysis patients is between 1.2-1.4. , Kt/V(K - urea dialyzer clearance, t - dialysis time, V - urea volume of distribution)) |
| Caregivers on Care Burden | The scale will be completed by the patients before the intervention and at 9th week. | Caregiver Burden Scale for family caregivers of hemodialysis patients Sub-dimension scores, internal consistency of 0.87, 0.70, 0.76, 0.70, 0.70 and 0.53 indicate an increase in care burden. |
Countries
Turkey (Türkiye)
Outcome results
None listed