The Effect of the Care Given to Hemodialysis Patients on Comfort Level and Complaints

NCT06274099 | Not Yet Recruiting

• 1 other identifier: TDK-2023-12649
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 2

Brief Summary

Kolcaba's comfort theory is a theory used by nurses to increase the comfort of patients. There are limited studies determining that nursing care provided according to this theory contributes to the increase in patients' comfort levels in various patient groups. This study will be carried out in the hemodialysis center of a public hospital located in the city center of Bingöl. Patients in the intervention group receiving hemodialysis treatment will be given nursing care by the researcher for 12 sessions during the sessions in which the patient receives hemodialysis treatment. In order to provide nursing care, nursing diagnoses suitable for the patient group will be determined in advance and the care the patient needs will be given according to these diagnoses.. If necessary, the researcher will add additional diagnoses to the preliminary diagnosis form and provide care. In this research, the individual nursing care needs of the researcher patient will be determined. Individualized caregiving is unique to this study. Individually provided care is expected to increase patient comfort and satisfaction. Increased comfort will help the patient cope more easily with the disease and hemodialysis treatment symptoms. In addition, the results of individual care provided can guide nurses in their care behaviors. By adding this research to the literature, the groundwork will be laid for studies that will provide individual care to patients. It is expected that the results of this research will guide the planning of the research and the provision of individualized care in all patient groups, especially patients receiving hemodialysis treatment.

Conditions

Hemodialysis Complication; Nurse's Role

Keywords

hemodialysis; nursing care; comfort

Outcome Measures

Primary Outcomes (2)

• General Comfort Scale

  The minimum score that can be obtained from the scale is 48 and the maximum score is 192. As total score increases, comfort increases. A decrease in the score means that the comfort decreases.

  4 week

• Dialysis Symptom Index

  The minimum score for the scale is 0 and the maximum score is 150. As the total score approaches 150, the effect of the symptom increases, and as it approaches 0, it indicates that the effect of the symptom decreases.

  4 week

Study Arms (2)

EXPERIMENTAL GROUP

EXPERIMENTAL

This group will be given designated nursing care.

Other: nursing care

CONTROL GROUP

ACTIVE COMPARATOR

Routine nursing care will be provided to this group.

Other: nursing care

Interventions

nursing care OTHER

It is thought that this study, in which individualized care will be based on comfort theory, will lead to individualized care in chronic diseases.

CONTROL GROUP; EXPERIMENTAL GROUP

Eligibility Criteria

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

You may qualify if:

• Clinical diagnosis of chronic renal failure Receiving 3 sessions of hemodialysis treatment per week Over 18 years old Must be able to communicate

You may not qualify if:

• Having a psychiatric illness

Sponsors & Collaborators

• Reva Balci Akpinar: lead
• Ataturk University: collaborator

Study Sites (2)

Ataturk University

Erzurum, Diğerleri, 25200, Turkey (Türkiye)

Location

Ataturk University

Erzurum, Diğerleri, 25200, Turkey (Türkiye)

Location

Related Publications (7)

• Baraz S, Zarea K, Dashtbozorgi B. Comparing the effect of two educational programs on the quality of life of hemodialysis patients in iran. Iran Red Crescent Med J. 2014 Aug;16(8):e19368. doi: 10.5812/ircmj.19368. Epub 2014 Aug 5.

  PMID: 25389489 BACKGROUND

• Borzou SR, Anosheh M, Mohammadi E, Kazemnejad A. Patients' perception of comfort facilitators during hemodialysis procedure: a qualitative study. Iran Red Crescent Med J. 2014 Jul;16(7):e19055. doi: 10.5812/ircmj.19055. Epub 2014 Jul 5.

  PMID: 25237587 BACKGROUND

• Cabrera VJ, Hansson J, Kliger AS, Finkelstein FO. Symptom Management of the Patient with CKD: The Role of Dialysis. Clin J Am Soc Nephrol. 2017 Apr 3;12(4):687-693. doi: 10.2215/CJN.01650216. Epub 2017 Feb 1.

  PMID: 28148557 BACKGROUND

• Ebrahimpour F, Hoseini ASS. Suggesting a Practical Theory to Oncology Nurses: Case Report of a Child in Discomfort. J Palliat Care. 2018 Oct;33(4):194-196. doi: 10.1177/0825859718763645. Epub 2018 Mar 21.

  PMID: 29560797 BACKGROUND

• Kacaroglu Vicdan A. The Effect of Training Given to Hemodialysis Patients According to the Comfort Theory. Clin Nurse Spec. 2020 Jan/Feb;34(1):30-37. doi: 10.1097/NUR.0000000000000495.

  PMID: 31789961 BACKGROUND

• Moledina DG, Perry Wilson F. Pharmacologic Treatment of Common Symptoms in Dialysis Patients: A Narrative Review. Semin Dial. 2015 Jul-Aug;28(4):377-83. doi: 10.1111/sdi.12378. Epub 2015 Apr 25.

  PMID: 25913502 BACKGROUND

• Shahdadi H, Rahnama M. Experience of Nurses in Hemodialysis Care: A Phenomenological Study. J Clin Med. 2018 Feb 11;7(2):30. doi: 10.3390/jcm7020030.

  PMID: 29439484 BACKGROUND

MeSH Terms

Interventions

Nursing Care

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Model Details: pretest posttest randomized controlled trial

Study Record Dates

• First Submitted: February 7, 2024
• First Posted: February 23, 2024
• Study Start: August 1, 2024
• Primary Completion: October 1, 2024
• Study Completion: December 1, 2024
• Last Updated: July 18, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)