EFFECTIVENESS OF EMPOWERMENT PROGRAM ON QUALITY OF LIFE AND SELF EFFICACY OF PATIENTS UNDERGOING HEMODIALYSIS TREATMENT
Main Article Content
Keywords
Chronic Kidney Diseases, Hemodialysis, Quality of Life, Self-efficacy, Empowerment Program
Abstract
Background: Chronic kidney disease prevalence is very high. Almost one out of ten people are involved globally. CKD causes a high burden on patients' physical and psychological health. Hemodialysis patients have various physical, emotional, and social health issues. Empowerment initiatives may facilitate behavioral improvements and general health.
Objective: To evaluate the effectiveness of the empowerment program on quality of life, self-efficacy, and clinical indicators of patients undergoing hemodialysis treatment.
Methodology: This was a single group pre-post quasi-experimental study. Study was conducted in three tertiary care hospitals on patients undergoing hemodialysis treatment. A total of sixty participants were selected. Patients having at least three months of dialysis were included. Quality of Life Satisfaction Index and Strategies Used by People to Promote Health were used to determine the study outcome. Quality of life and self-efficacy were measured before and after eight sessions of the empowerment program interventions.
Results: The study finding shows mean difference (Mean ± SD) in quality of life was found before (99.75±10.3) and after (132.35±5.4), and also in self-efficacy before (72.2±8.7) and after (110.95±7.8). There was a significant difference in the pre-and post-quality of life and self-efficacy with a p-value of <0.001. There was also a significant difference in the study participants' systolic blood pressure p-value <0.001, diastolic blood pressure p-value <0.01, heart rate p-value <0.03, and oxygen saturation p-value <0.02.
Conclusion: Quality of life and self-efficacy were low in hemodialysis patients. The educational sessions have been used to improve their quality of life and self-efficacy. The empowerment program was highly effective and positively affected patients' quality of life and self-efficacy undergoing hemodialysis treatment.
References
2. AGHAJANI, M., SAEIDNEJAD, Z. & MIRBAGHER AJORPAZ, N. J. J. O. C.-C. N. C. 2020b. Empowerment Program Based on BASNEF Model and the General Health of Hemodialysis Patients. 6, 65-76.
3. BARAZ, S., MOHAMMADI, E. & BROMAND, B. 2006. Effect of diet education on the laboratory indicators and interdialytic weight gains in patients treated with maintenance hemodialysis. Shahrecord School of Medical Sciences journal, 8, 20-27.
4. BAUMGART, A., MANERA, K. E., JOHNSON, D. W., CRAIG, J. C., SHEN, J. I., RUIZ, L., WANG, A. Y.-M., YIP, T., FUNG, S. K. & TONG, M. J. N. D. T. 2020. Meaning of empowerment in peritoneal dialysis: focus groups with patients and caregivers. 35, 1949-1958.
5. BERMA, A., ABO EL-ATA, A. B., WAHBA, N. M. & ELMWAFY, R. I. J. P. S. S. J. O. N. 2021. Relation between stressors, coping strategies and self-efficacy among patients undergoing hemodialysis. 8, 122-141.
6. BIKBOV, B., PURCELL, C. A., LEVEY, A. S., SMITH, M., ABDOLI, A., ABEBE, M., ADEBAYO, O. M., AFARIDEH, M., AGARWAL, S. K. & AGUDELO-BOTERO, M. J. T. L. 2020. Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. 395, 709-733.
7. CHENG, L., CUI, Y., CHEN, Q., YE, Y., LIU, Y., ZHANG, F., ZENG, W. & HU, X. J. B. H. S. R. 2020. Paediatric nurses’ general self-efficacy, perceived organizational support and perceived professional benefits from Class A tertiary hospitals in Jilin province of China: the mediating effect of nursing practice environment. 20, 1-9.
8. EL-MELEGY, O. A., AL-ZEFTAWY, A. M., KHATON, S. E. J. J. O. N. E. & PRACTICE 2016. Effect of family centered empowerment model on hemodialysis patients and their caregivers. 6, 119-32.
9. FADLALMOLA, H. A. & ELKAREEM, E. M. A. 2020. Impact of an educational program on knowledge and quality of life among hemodialysis patients in Khartoum state. International Journal of Africa Nursing Sciences, 12, 100205.
10. HIRST, J. A., HILL, N., O’CALLAGHAN, C. A., LASSERSON, D., MCMANUS, R. J., OGBURN, E., MENA, J. M. O., SHINE, B., TAYLOR, C. J. & VAZQUEZ-MONTES, M. D. J. B. J. O. G. P. 2020. Prevalence of chronic kidney disease in the community using data from OxRen: a UK population-based cohort study. 70, e285-e293.
11. JOBOSHI, H. & OKA, M. J. I. J. O. N. S. 2017. Effectiveness of an educational intervention (the Encourage Autonomous Self-Enrichment Program) in patients with chronic kidney disease: a randomized controlled trial. 67, 51-58.
12. KALANTAR-ZADEH, K., JAFAR, T. H., NITSCH, D., NEUEN, B. L. & PERKOVIC, V. J. T. L. 2021. Chronic kidney disease. 398, 786-802.
13. LAI, P.-C., WU, S.-F. V., ALIZARGAR, J., PRANATA, S., TSAI, J.-M. & HSIEH, N.-C. Factors influencing self-efficacy and self-management among patients with pre-end-stage renal disease (Pre-esrd). Healthcare, 2021. Multidisciplinary Digital Publishing Institute, 266.
14. LEE, M. C., WU, S. F. V., LU, K. C., LIU, C. Y., LIANG, S. Y. & CHUANG, Y. H. Effectiveness of a self‐management program in enhancing quality of life, self‐care, and self‐efficacy in patients with hemodialysis: A quasi‐experimental design. Seminars in Dialysis, 2021a. Wiley Online Library.
15. LEE, M. C., WU, S. F. V., LU, K. C., LIU, C. Y., LIANG, S. Y. & CHUANG, Y. H. Effectiveness of a self‐management program in enhancing quality of life, self‐care, and self‐efficacy in patients with hemodialysis: A quasi‐experimental design. Seminars in Dialysis, 2021b. Wiley Online Library, 292-299.
16. MOATTARI, M., EBRAHIMI, M., SHARIFI, N., ROUZBEH, J. J. H. & OUTCOMES, Q. O. L. 2012. The effect of empowerment on the self-efficacy, quality of life and clinical and laboratory indicators of patients treated with hemodialysis: a randomized controlled trial. 10, 1-10.
17. MOHAMAD BAYOUMY, H. J. J. N. & CARE, H. 2017. The efficacy of an empowerment program for end-stage renal disease patients treated with hemodialysis. 1, 001-015.
18. MOUSA, I., ATABA, R., AL-ALI, K., ALKAIYAT, A. & ZYOUD, S. E. H. J. R. R. T. 2018. Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine. 4, 1-12.
19. NAWAL, A. F. & DALIA, I. 2018. Quality of Life among Family Caregivers of Patients Undergoing Hemodialysis. The Medical Journal of Cairo University, 86, 4137-4144.
20. NGUYEN, T. T. N., LIANG, S.-Y., LIU, C.-Y. & CHIEN, C.-H. 2022. Self-care self-efficacy and depression associated with quality of life among patients undergoing hemodialysis in Vietnam. Plos one, 17, e0270100.
21. POORGHOLAMI, F., ABDOLLAHIFARD, S., ZAMANI, M., JAHROMI, M. K. & JAHROMI, Z. B. J. G. J. O. H. S. 2016. The effect of stress management training on hope in hemodialysis patients. 8, 165.
22. TSAY, S.-L. & HUNG, L.-O. 2004. Empowerment of patients with end-stage renal disease—a randomized controlled trial. International Journal of nursing studies, 41, 59-65.
23. VENUTHURUPALLI, S. K., HOY, W. E., HEALY, H. G., CAMERON, A. & FASSETT, R. G. J. K. I. R. 2018. CKD screening and surveillance in Australia: Past, present, and future. 3, 36-46.
24. WANG, V., VILME, H., MACIEJEWSKI, M. L. & BOULWARE, L. E. The economic burden of chronic kidney disease and end-stage renal disease. Seminars in nephrology, 2016. Elsevier, 319-330.
25. WONG, J., VILAR, E., DAVENPORT, A. & FARRINGTON, K. J. N. D. T. 2015. Incremental haemodialysis. 30, 1639-1648.
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Mr. Saeedullah
Assistant Professor, Malak Ahmad Khan Institute of Health Science, Chakdara Swat Pakistan.
Mr. Shahzad Bashir
Associate Professor, Ziauddin University Faculty of Nursing and Midwifery Karachi Pakistan
Mr. Santosh Kumar
Assistant Professor, Jinnah Sindh Medical University, Institute of Nursing and Midwifery, Karachi, Pakistan Ziauddin University, Faculty of Nursing and Midwifery, Karachi, Pakistan