Helali Basmah Abdel-Nasser, Eliwa Sahar Mahmoud, Nosir Fatma Ata Abd El-Salihen, Adam Mohamed Shimaa Saied
Psychiatric and Mental Health Nursing, Faculty of Nursing, Ain Shams University, Cairo, 11566, Egypt.
Sci Rep. 2025 Jun 4;15(1):19568. doi: 10.1038/s41598-025-04052-x.
Self-efficacy and psychological adjustment to illness are crucial for new hemodialysis patients as they empower individuals to manage their treatment effectively and cope with the emotional and physical challenges of their condition. Research on the psychological aspects of hemodialysis patients in the Middle East is limited, and even rarer are interventions specifically tailored to promote them. This study evaluates the impact of a psychoeducational nursing program on self-efficacy and psychological adjustment among hemodialysis patients. A quasi-experimental design was utilized with a purposive sample of 53 patients aged 18-60 years, undergoing hemodialysis for less than a year at NIUN, Cairo, Egypt. Data were collected using a socio-demographic and clinical data questionnaire, Self-Efficacy for Hemodialysis Scale, and Psychological Adjustment to Illness Scale. Our program, which specifically targeted new hemodialysis patients, aimed to facilitate faster and more effective psychological adaptation through interactive discussions, practical coping strategies, and educational materials on disease management and self-care. Our study showed improvement in self-efficacy for hemodialysis patients in pre- and post-program implementation, with a p-value of (0.057), and a highly significant improvement in psychological adjustment to illness, with a p-value of (0.001). Based on the improvements observed, psychoeducational programs should be integrated into standard care for new hemodialysis patients, with a focus on multidisciplinary collaboration to address both medical and psychological needs.
自我效能感以及对疾病的心理调适对于新的血液透析患者至关重要，因为它们能使个体有效地管理自身治疗，并应对疾病带来的情感和身体挑战。中东地区对血液透析患者心理方面的研究有限，专门为促进这些方面而量身定制的干预措施更是罕见。本研究评估了一项心理教育护理项目对血液透析患者自我效能感和心理调适的影响。采用了准实验设计，选取了53名年龄在18至60岁之间、在埃及开罗NIUN接受血液透析不到一年的患者作为目的抽样样本。使用社会人口统计学和临床数据问卷、血液透析自我效能量表以及疾病心理调适量表收集数据。我们的项目专门针对新的血液透析患者，旨在通过互动讨论、实用应对策略以及关于疾病管理和自我护理的教育材料，促进更快、更有效的心理适应。我们的研究表明，在项目实施前后，血液透析患者的自我效能感有所改善，p值为（0.057），对疾病的心理调适有非常显著的改善，p值为（0.001）。基于观察到的改善情况，心理教育项目应纳入新血液透析患者的标准护理中，重点是多学科协作以满足医疗和心理需求。
