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

July 17, 2024 updated by: Reva Balci Akpinar

The Effect of Nursing Care Given According to Kolcaba's Comfort Theory on the Complaints and Comfort Level of Hemodialysis Patients

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.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

American nurse theorist Katharine Kolcaba developed Comfort Theory based on the care observed or given. Kolcaba has worked in operating room, home care, and medical/surgical specialties. Kolcaba's Comfort Theory; It consists of levels of spaciousness, comfort and superiority (transcendence) and physical, psychospiritual, sociocultural and environmental dimensions. Comfort is an important goal of care that aims to provide the highest quality of life for the patient and their family. Good caregiving, family support, the way of managing information, the search for meaning in life, and the need to control life are important predictors of providing comfort. Patients' physical, sociocultural, psychospiritual and environmental problems affect their comfort. One of the treatment methods used for individuals with chronic kidney failure is Hemodialysis (HD). Living connected to a hemodialysis machine can cause physiological, psychological and social problems in sick individuals. The difficulties that patients face are that they experience physiological problems due to restriction in their nutrition, that they have to restrict fluids, that they live dependent on the treatment team, that they experience psychological problems related to changes in body image, that they experience social problems such as anxiety about the future and limitation of work life, and decreased social relations. These difficulties they experience negatively affect the daily lives and comfort of patients. Comfort is very important for patients receiving hemodialysis treatment. Nurses have important responsibilities in increasing the comfort levels and quality of life of HD patients. It is very important to plan, implement and evaluate nursing interventions .

According to Kolcaba's Comfort Theory, the results of nursing care given to children with cancer have determined that it is an appropriate approach that helps make innovative interventions to provide comfort to children with cancer and allows the patient to be evaluated holistically .

Study Type

Interventional

Enrollment (Estimated)

70

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
    • Diğerleri
      • Erzurum, Diğerleri, Turkey, 25200
        • Ataturk University
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion criteria:

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

Exclusion Criteria:

Having a psychiatric illness

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: EXPERIMENTAL GROUP
This group will be given designated nursing care.
Other: nursing care
It is thought that this study, in which individualized care will be based on comfort theory, will lead to individualized care in chronic diseases.
Active Comparator: CONTROL GROUP
Routine nursing care will be provided to this group.
Other: nursing care
It is thought that this study, in which individualized care will be based on comfort theory, will lead to individualized care in chronic diseases.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
General Comfort Scale
Time Frame: 4 week
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
Time Frame: 4 week
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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Reva Balci Akpinar

Collaborators

Ataturk University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 1, 2024

Primary Completion (Estimated)

October 1, 2024

Study Completion (Estimated)

December 1, 2024

Study Registration Dates

First Submitted

February 7, 2024

First Submitted That Met QC Criteria

February 15, 2024

First Posted (Actual)

February 23, 2024

Study Record Updates

Last Update Posted (Actual)

July 18, 2024

Last Update Submitted That Met QC Criteria

July 17, 2024

Last Verified

July 1, 2024

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • TDK-2023-12649

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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