Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2023 Jun;29(3):e13123.
doi: 10.1111/ijn.13123. Epub 2022 Dec 11.

The effectiveness of a psychoeducational intervention on health outcomes of patients undergoing haemodialysis: A randomized controlled trial

Hui-Chen Chen  1   2 , Lixia Zhu  1   2 , Wai-Chi Sally Chan  3 , Kin Fong Karis Cheng  4 , A Vathsala  5   6 , Hong-Gu He  1   2
Affiliations
Randomized Controlled Trial

The effectiveness of a psychoeducational intervention on health outcomes of patients undergoing haemodialysis: A randomized controlled trial

Hui-Chen Chen et al. Int J Nurs Pract. 2023 Jun.

Abstract

Aim: The aim of this work is to examine the effectiveness of a psychoeducational intervention on self-efficacy (primary outcome), anxiety, depression, treatment adherence, and health-related quality of life (HRQoL) of patients undergoing haemodialysis.

Methods: A two-group randomized controlled trial of 124 patients (65 and 59 patients in the intervention and control groups, respectively) recruited from a tertiary hospital in Singapore was conducted. Data were collected from January 2015 to June 2016. Outcomes were measured at baseline and 1, 3, and 6 months after the intervention. General linear model was used to analyse data.

Results: Our findings showed significant group effect on HRQoL (effects of kidney disease on daily life; p = 0.041), time effect on all outcomes (p < 0.05; except for treatment adherence behaviours and HRQoL [burden of kidney disease]), and group * time interaction effect on anxiety (p = 0.040) and depression (p = 0.003), with the intervention group reporting better outcomes.

Conclusions: The positive effects of our intervention on patients' self-efficacy, psychological well-being, treatment adherence attitudes, and HRQoL implied its potential use in dialysis/renal centres to improve patients' self-care and health outcomes.

Keywords: anxiety; depression; end-stage kidney disease; haemodialysis; health-related quality of life; psychoeducation; self-efficacy; treatment adherence.

PubMed Disclaimer

References

REFERENCES

    1. Agrawaal, K. K., Chhetri, P. K., Singh, P. M., Manandhar, D. N., Poude, P., & Chhetri, A. (2019). Prevalence of depression in patients with chronic kidney disease stage 5 on hemodialysis at a tertiary care center. Journal of the Nepal Medical Association, 57(217), 172-175. https://doi.org/10.31729/jnma.4408
    1. Al Saraireh, F. A., Aloush, S. M., Al Azzam, M., & Al Bashtawy, M. (2018). The effectiveness of cognitive behavioral therapy versus psychoeducation in the management of depression among patients undergoing haemodialysis. Issues in Mental Health Nursing, 39(6), 514-518. https://doi.org/10.1080/01612840.2017.1406022
    1. Alikari, V., Tsironi, M., Matziou, V., Tzavella, F., Stathoulis, J., Babatsikou, F., Fradelos, E., & Zyga, S. (2019). The impact of education on knowledge, adherence and quality of life among patients on haemodialysis. Quality of Life Research, 28(1), 73-83. https://doi.org/10.1007/s11136-018-1989-y
    1. Bakarman, M. A., Felimban, M. K., Atta, M. M., & Butt, N. S. (2019). The effect of an educational program on quality of life in patients undergoing hemodialysis in western Saudi Arabia. Saudi Medical Journal, 40(1), 66-71. https://doi.org/10.15537/smj.2019.1.23401
    1. Bandura, A. (1997). Self-efficacy: The exercise of control. Freeman, USA.

Publication types

LinkOut - more resources