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

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

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

Study Overview

• Status: Recruiting
• Conditions: Chronic Kidney Diseases; Maintenance Hemodialysis; Narrative Nursing
• Intervention / Treatment: Other: traditional nursing; Other: narrative nursing

Detailed 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.

• Study Type: Observational
• Enrollment (Estimated): 80

Contacts and Locations

• Study Contact: Name: Jie Zheng, Associate professor; Phone Number: +8618636667799; Email: zhengjie@sxmu.edu.cn

Study Locations

• China
  • Shanxi
    • Taiyuan, Shanxi, China, 030001
      • Recruiting
      • The Second Hospital of Shanxi Medical University
      • Contact: Zheng Jie, Associate professor; Phone Number: +8618636667799; Email: zhengjie@sxmu.edu.cn

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

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

Description

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.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
traditional nursing group	Other: 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.
narrative nursing group	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 .

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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

Collaborators and Investigators

• Sponsor: Shanxi Medical University

Study record dates

Study Major Dates

• Study Start (Actual): November 29, 2023
• Primary Completion (Estimated): November 29, 2024
• Study Completion (Estimated): December 29, 2024

Study Registration Dates

• First Submitted: December 4, 2023
• First Submitted That Met QC Criteria: December 17, 2023
• First Posted (Estimated): December 19, 2023

Study Record Updates

• Last Update Posted (Estimated): December 19, 2023
• Last Update Submitted That Met QC Criteria: December 17, 2023
• Last Verified: December 1, 2023

More Information

Terms related to this study

• Keywords: self-efficacy; life quality; negative emotions
• Additional Relevant MeSH Terms: Pathologic Processes; Urologic Diseases; Disease Attributes; Renal Insufficiency; Chronic Disease; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Kidney Diseases; Renal Insufficiency, Chronic
• Other Study ID Numbers: 2019041044-1

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No