Construction of Theoretical Model of Medical Treatment Behavior of Patients With Chronic Kidney Disease

NCT06175585 | Unknown

• 1 other identifier: 2019041044-1
• Study Type: observational
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The impact of narrative nursing interventions on negative emotions, self-efficacy, quality of life in individuals undergoing maintenance hemodialysis

Conditions

Narrative Nursing; Maintenance Hemodialysis; Chronic Kidney Diseases

Keywords

self-efficacy; negative emotions; life quality

Outcome Measures

Primary Outcomes (2)

• Zung's Self-Rating Anxiety Scale

  assess the anxiety and depression levels of patients

  one week

• Self-rating Depression Scale

  assess the anxiety and depression levels of patients

  one week

Study Arms (2)

traditional nursing group

Other: traditional nursing

narrative nursing group

Other: narrative nursing

Interventions

narrative nursing OTHER

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 .

narrative nursing group

traditional nursing OTHER

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.

traditional nursing group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients undergoing MHD at the Department of Nephrology in our hospital.

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Shanxi Medical University: lead

Study Sites (1)

The Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, 030001, China

RECRUITING

MeSH Terms

Conditions

Renal Insufficiency, Chronic

Condition Hierarchy (Ancestors)

Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Jie Zheng, Associate professor

CONTACT

+8618636667799; zhengjie@sxmu.edu.cn

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: December 4, 2023
• First Posted: December 19, 2023
• Study Start: November 29, 2023
• Primary Completion: November 29, 2024
• Study Completion: December 29, 2024
• Last Updated: December 19, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will share

Locations

CN (1)