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

NCT ID: NCT06175585

Last Updated: 2023-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-29

Study Completion Date

2024-12-29

Brief Summary

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

Detailed Description

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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.

Conditions

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Narrative Nursing Maintenance Hemodialysis Chronic Kidney Diseases

Keywords

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self-efficacy negative emotions life quality

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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traditional nursing group

traditional nursing

Intervention Type 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.

narrative nursing group

narrative nursing

Intervention Type 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 .

Interventions

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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 .

Intervention Type 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.

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanxi Medical University

OTHER

Sponsor Role lead

Responsible Party

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Zheng Jie

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jie Zheng, Associate professor

Role: CONTACT

Phone: +8618636667799

Email: [email protected]

Facility Contacts

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Zheng Jie, Associate professor

Role: primary

Other Identifiers

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2019041044-1

Identifier Type: -

Identifier Source: org_study_id