Fatemeh (pbuh) School of Nursing & Midwifery, Shiraz University of Medical Sciences (SUMS), Zand Blvd, P,O, Box 71345-1359, Shiraz, 71936-13119, Iran.
Health Qual Life Outcomes. 2012 Sep 20;10:115. doi: 10.1186/1477-7525-10-115.
Hemodialysis patients face numerous physical and psychological stresses that result in reduced health. The aim of this study is to determine the impact of an empowerment program on self-efficacy, quality of life, clinical indicators of blood pressure and interdialytic weight gain, and laboratory results in these patients.
This randomized, controlled trial was conducted at Boo Ali Sina Dialysis Center, Shiraz, Iran. A total of 48 hemodialysis patients participated in this study. After acquisition of informed consent, eligible patients were randomly divided into two groups, control and experimental. Pre-test data were obtained by using a demographic data form and two questionnaires for self-efficacy and quality of life. Blood pressure and interdialytic weight gain were measured. We extracted laboratory data from patients' charts. A six-week empowerment intervention that included four individual and two group counselling sessions was performed for the experimental group. Six weeks after intervention, post-test data were obtained from both groups in the same manner as the pre-test. Data were analyzed by ANCOVA using SPSS v11.5.
There were no statistically significant differences in demographic variables between the groups. Pre-test mean scores for self-efficacy, quality of life, blood pressure, interdialytic weight gain and laboratory results did not differ between the groups. There was a significant difference between the experimental and control groups in terms of pre-to post-intervention changes in overall self-efficacy scores, stress reduction, and decision making, in addition to overall quality of life and all dimensions included within quality of life based on this questionnaire. Additionally, the pre- to post-intervention changes in systolic/diastolic blood pressures, interdialytic weight gain, hemoglobin and hematocrit levels significantly differed between the groups.
Our study demonstrates that a combination of individual and group empowerment counselling sessions improves self-efficacy, quality of life, clinical signs, and hemoglobin and hematocrit levels in hemodialysis patients. Empowerment of hemodialysis patients should be considered in hemodialysis centers to assist patients with the management of their health-related problems.
Irct ID: IRCT138901172621N4.
血液透析患者面临着许多身体和心理压力，导致健康状况下降。本研究旨在确定赋能计划对自我效能感、生活质量、血压和透析间体重增加的临床指标以及这些患者的实验室结果的影响。
这项随机对照试验在伊朗设拉子的Boo Ali Sina 透析中心进行。共有 48 名血液透析患者参与了这项研究。在获得知情同意后，符合条件的患者被随机分为对照组和实验组。通过使用人口统计学数据表格和两份自我效能感和生活质量问卷，获得了预测试数据。测量了血压和透析间体重增加。我们从患者图表中提取了实验室数据。实验组进行了为期六周的赋能干预，包括四次个体和两次小组咨询。干预六周后，以与预测试相同的方式从两组中获得了后测试数据。使用 SPSS v11.5 进行了 ANCOVA 数据分析。
两组在人口统计学变量方面没有统计学上的显著差异。预测试自我效能感、生活质量、血压、透析间体重增加和实验室结果的平均得分在两组之间没有差异。实验组和对照组在整体自我效能感得分、压力减轻和决策制定方面，以及整体生活质量和根据该问卷包含的生活质量所有维度方面，干预前后的变化存在显著差异。此外，两组之间收缩压/舒张压、透析间体重增加、血红蛋白和血细胞比容水平的干预前后变化也存在显著差异。
我们的研究表明，个体和小组赋能咨询的结合可以提高血液透析患者的自我效能感、生活质量、临床体征以及血红蛋白和血细胞比容水平。在血液透析中心应考虑赋予血液透析患者权力，以帮助患者管理与健康相关的问题。
Irct ID：IRCT138901172621N4。
