Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
National University Health System, Singapore.
Int J Nurs Pract. 2023 Jun;29(3):e13123. doi: 10.1111/ijn.13123. Epub 2022 Dec 11.
The aim of this work is to examine the effectiveness of a psychoeducational intervention on self-efficacy (primary outcome), anxiety, depression, treatment adherence, and health-related quality of life (HRQoL) of patients undergoing haemodialysis.
A two-group randomized controlled trial of 124 patients (65 and 59 patients in the intervention and control groups, respectively) recruited from a tertiary hospital in Singapore was conducted. Data were collected from January 2015 to June 2016. Outcomes were measured at baseline and 1, 3, and 6 months after the intervention. General linear model was used to analyse data.
Our findings showed significant group effect on HRQoL (effects of kidney disease on daily life; p = 0.041), time effect on all outcomes (p < 0.05; except for treatment adherence behaviours and HRQoL [burden of kidney disease]), and group * time interaction effect on anxiety (p = 0.040) and depression (p = 0.003), with the intervention group reporting better outcomes.
The positive effects of our intervention on patients' self-efficacy, psychological well-being, treatment adherence attitudes, and HRQoL implied its potential use in dialysis/renal centres to improve patients' self-care and health outcomes.
本研究旨在考察心理教育干预对接受血液透析患者自我效能（主要结局）、焦虑、抑郁、治疗依从性和健康相关生活质量（HRQoL）的影响。
在新加坡一家三级医院进行了一项两臂随机对照试验，共纳入 124 名患者（干预组和对照组各 65 名和 59 名患者）。数据于 2015 年 1 月至 2016 年 6 月收集。在干预后 1、3 和 6 个月评估结局。采用一般线性模型进行数据分析。
我们的研究结果显示，在 HRQoL（肾病对日常生活的影响；p=0.041）方面存在显著的组间效应，在所有结局方面均存在时间效应（p<0.05；除治疗依从性行为和 HRQoL[肾病负担]外），在焦虑（p=0.040）和抑郁（p=0.003）方面存在组间*时间交互效应，干预组的结果更好。
我们的干预对患者的自我效能、心理健康、治疗依从性态度和 HRQoL 产生了积极影响，这暗示了其在透析/肾脏中心的潜在应用，以改善患者的自我护理和健康结局。
