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

Chronic Kidney Diseases Clinical Trial

Official title:

Construction of a Theoretical Model of Medical Behavior of Patients With Chronic Kidney Disease From the Perspective of Supply: An Empirical Analysis Based on Andersen Behavior Model

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06175585
• Other study ID #: 2019041044-1
• Status: Recruiting
• Start date: November 29, 2023
• Est. completion date: December 29, 2024

Study information

• Verified date: December 2023
• Source: Shanxi Medical University
• Contact: Jie Zheng, Associate professor
• Phone: +8618636667799
• Email: zhengjie[@]sxmu.edu.cn
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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

Description:

The objective of this study is to create a narrative nursing protocol using the "two-line system" approach to enhance the practice of narrative nursing.Investigators applied this protocol during maintenance hemodialysis (MHD) treatment, with the aim of examining the impact of the interventions on negative emotions, self-efficacy, and overall quality of life of patients. By analyzing the data before and after the interventions, investigators aim to demonstrate how targeted narrative nursing measures can positively influence negative emotions, self-efficacy, and life quality of patients.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 80
• Est. completion date: December 29, 2024
• Est. primary completion date: November 29, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion criteria:

• 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.

Exclusion criteria:

• 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.

Related Conditions & MeSH terms

• Chronic Kidney Diseases
• Kidney Diseases
• Maintenance Hemodialysis
• Renal Insufficiency, Chronic

Intervention

Other:
• narrative nursing
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 .
• traditional nursing
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.

Locations

Country	Name	City	State
China	The Second Hospital of Shanxi Medical University	Taiyuan	Shanxi

Sponsors (1)

Lead Sponsor	Collaborator
Shanxi Medical University

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Zung's Self-Rating Anxiety Scale	assess the anxiety and depression levels of patients	one week
Primary	Self-rating Depression Scale	assess the anxiety and depression levels of patients	one week