scholarly journals Investigating the Effect of a Structured Intervention on the Development of Self-Care Behaviors With Arteriovenous Fistula in Hemodialysis Patients

2020 ◽  
pp. 105477382097483
Author(s):  
Clemente Neves Sousa ◽  
Ana Rita Cabral Paquete ◽  
Paulo Teles ◽  
Cristina Maria Correia Barroso Pinto ◽  
Vanessa Filipa Ferreira Dias ◽  
...  

This study aimed to assess the effectiveness of a structured intervention on the frequency of self-care behaviors with arteriovenous fistula (AVF) by patients on hemodialysis. This is a quasi-experimental study with pre- and post-measurements. Participants were assigned to an intervention group (IG) ( n = 48) or to a control group (CG) ( n = 41). IG patients were subject to a structured intervention on self-care with AVF (SISC-AVF) consisting of both a theoretical and a practical part. After SISC-AVF application, patients in the IG showed better overall self-care behaviors with AVF than patients in the CG (79.2% and 91.4%, respectively, p < .001) as well as better self-care concerning both the management of signs and symptoms (90.1% and 94.4% respectively, p = .004) and the prevention of complications (72.7% and 89.5%, respectively, p < .001). The study results suggest that the SISC-AVF had positive effects on patients in the IG.

2021 ◽  
Vol 71 (9) ◽  
Author(s):  
Zohra Jabeen ◽  
Nighat Shah ◽  
Zaeema Ahmer ◽  
Sulhera Khan ◽  
Amir Hussain Khan ◽  
...  

Abstract Objective: The objective of this study was to compare the effectiveness of health education as an intervention to promote BSE among intervention and non-intervention group presenting in a low resource setting at North Karachi Methodology: This Quasi-experimental study was conducted from January-August 2018 in a charitable hospital in Karachi after taking ethical approval by the Institutional Review Board of Jinnah Sindh Medical University and relevant approvals from the hospital authorities. This study recruited 172 eligible women by dividing them into intervention (n=86) and control (n=86) groups from a low resource setting in Karachi. Demographic variables were collected through pretested questionnaire by interview. Intervention group then received health education regarding carcinoma of breast, importance of BSE and monthly motivation to perform BSE through cell phone. The questionnaire was again filled after 6 months of intervention. Control group was also given health education sessions upon completion of study. Results: Results revealed that both groups were similar initially. After 6 months females in intervention group showed significant (p=<0.001) improvement in knowledge and performance of BSE from 44.2% to 88.4% but there was no change in control group. Being in intervention group (RR=2.714, 95% CI= 1.760 - 4.186, p=0.001) and education (RR=0.573, 95% CI= 0.361 - 0.910, p=0.018) showed positive association with BSE performance. Upon adjusting with age, marital status, family history and education, intervention group (RR=2.570, 95% CI= 1.654 - 3.992, p= 0.001) remained significant while education (RR=1.466, 95% CI =0.910 - 2.363, p=0.116) became insignificant. Continuous...


2020 ◽  
Vol 4 (1) ◽  
pp. 20-30
Author(s):  
Candra Saputra ◽  
Yulastri Arif ◽  
Fitra Yeni

This study aimed to determine the effectiveness of ANNISA development on nurses' knowledge of nursing documentation. This method uses quantitative research with a quasi-experimental design and a time series approach non-equivocal control group design. The study results were there were differences in the measurement of nurses' knowledge about nursing documentation in the intervention group before the intervention by measuring posttest-1 with p-value = 0.000. There were differences in nurses' experience about nursing documentation between the intervention group and the control group in the posttest-1 and posttest-2 measurements after the intervention using ANNISA with p-value = 0,000. There was an increase in differences in nurses' knowledge about nursing documentation from the pretest, posttest-1, and posttest-2 measurements after using ANNISA in the intervention group and the control group with p-value = 0.000. In conclusion, ANNISA development affects increasing the knowledge of nurses about nursing documentation   Keywords: ANNISA, Nursing Documentation, Knowledge


2018 ◽  
Vol 2 (1) ◽  
pp. 44
Author(s):  
Diah Ayu Agustin ◽  
Nani Nurhaeni ◽  
Nur Agustini

ABSTRAKBalita pneumonia mengalami batuk, napas cepat, dan ronkhi. Madu memiliki efek antimikroba dan antibodi yang dapat menghambat pertumbuhan agen mikroba penyebab pneumonia. Tujuan penelitian: mengetahui pengaruh pemberian madu terhadap frekuensi batuk, frekuensi napas, dan ronkhi balita pneumonia. Metode: Desain penelitian quasi-experimental: pre-test-post-test, non-equivalent control group. Jumlah sampel 34 balita berdasarkan rumus besar sampel kategorik berpasangan. Kelompok intervensi sejumlah 17 orang, diberikan madu murni 2,5 cc 30 menit sebelum anak tidur malam (± pukul 18.00) selama 3 hari. Kelompok kontrol sejumlah 17 orang diberikan air putih 2,5 cc 30 menit sebelum anak tidur malam (± pukul 18.00) selama 3 hari. Pengukuran hasil penelitian dilakukan pada hari pertama sebelum perlakuan dan hari keempat setelah perlakuan. Instrumen yang digunakan ialah timer, stetoskop, lembar observasi, dan kuesioner. Analisis data bivariat berpasangan menggunakan marginal homogenity, pair t test, dan Mc Nemar. Analisis data bivariat tidak berpasangan menggunakan Kolmogorov Smirnov, Fisher exact, dan independent t test. Hasil: Hasil penelitian menemukan adanya pengaruh yang bermakna pada pemberian madu terhadap frekuensi batuk (p=0,001), frekuensi napas (p=0,0001), dan ronkhi (p=0,012) antara kelompok kontrol dan kelompok intervensi. Kesimpulan: Rekomendasi penelitian ialah perlu menerapkan pemberian madu pada balita pneumonia untuk menurunkan batuk, frekuensi napas, dan ronkhi.Kata Kunci: balita pneumonia, frekuensi batuk, frekuensi napas, madu, ronkhi.EFFECT OF HONEY ON FREQUENCY OF COUGH, RESPIRATION AND RHONCHI IN UNDER-FIVE CHILDREN WITH PNEUMONIAABSTRACTUnder-five children with pneumonia experience cough, rapid breathing, and rhonchi. Honey has antimicrobial and antibody effects which can inhibit the growth of pneumonia-causing microbial agents. Objective: To identify the effect of honey on frequency of cough, respiration, and rhonchi in under-five children with pneumonia. Methods: This study employed quasi- experimental research with pretest-posttest, non-equivalent control group. The number of samples of 34 under-five children based on the formula of categorical paired samples. The intervention group numbering 17 people was given 2.5 cc ofpure honey 30 minutes before the child slept at night (± 06:00pm) for 3 days. The control group numbering 17people was given 2.5 cc ofwater 30 minutes before the child slept at night (± 06:00pm) for 3 days. The study results were measured on the first day before treatment and the fourth day after treatment. The instruments used were timer, stethoscope, observation sheet, and questionnaire. Paired bivariate data were analyzed using marginal homogeneity, pair t test, and Mc Nemar. Unpaired bivariate data were analyzed of using Kolmogorov-Smirnov, Fisher’s exact, and independent t-test. Results: The study results found a significant effect of giving honey on frequency of cough (p=0.001), frequency of respiration (p=0.0001), and rhonchi (p=0.012) between the control group and the intervention group. Conclusion: This study recommends to give honey to under-five children with pneumonia to decrease cough, frequency of respiration, and rhonchi.Keywords: under-five children with pneumonia, frequency of cough, frequency of respiration, honey, rhonchi.


2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Maryam Abiz ◽  
Hasan Robabi ◽  
Alireza Salar ◽  
Farshid Saeedinezhad

Background: Tuberculosis (TB) affects various aspects of quality of life (QoL), and self-care is the most important form of primary care and one of the main factors involved in the process of treating chronic diseases and improving the patients’ QoL. Objectives: This study aimed to investigate the effect of self-care education on the QoL of TB patients. Methods: In this quasi-experimental study, 110 TB patients referred to the TB coordinating Center in Zahedan, Southeastern Iran, in 2018, are studied. Participants were selected using convenience sampling and were randomly assigned to the intervention (n = 55) and control (n = 55) groups. Data were collected using the tuberculosis quality of life-version 2 (TBQol-v2). For the intervention group, first, patients and their caregivers were divided into groups compromising of 4 to 6 members, and then three sessions of self-care education, including lectures and questions and answers meetings, each lasted for 30 minutes (in total 90 minutes) were provided to each group. Data were analyzed in SPSS version 21 using descriptive statistical tests, independent t-test, paired t-test, and chi-squared test. Results: Mean of the total QoL score of the two groups before the intervention was 67.56 ± 5.99 and 67.09 ± 5.03, respectively, indicating no significant difference (P = 0.65). But after providing the intervention, the mean score of patients QoL in the intervention group (74.84 ± 4.90) was significantly higher than the control group (67.98 ± 0.68) (P = 0.001). Conclusions: Since self-care education can effectively enhance the QoL of TB patients, it is recommended to provide such educations for both treatment and follow-up of these patients along with directly observed treatment, short-course (DOTS).


2018 ◽  
Vol 2 (4) ◽  
pp. 141
Author(s):  
Elfina Natalia

Chronic Kidney Desease was a progressive and irreversible kidney function disorder, usually treated with hemodialysis, a frequent complaint in hemodialysis patients is fatigue. The aim of this study was to see the effect of Based Self Care Education On level fatigue in Patient With Chronic Kidney Desease during Hemodialysis. The research was a quantitative study with quasi-experimental with control group pre test-post test design was used in this studi. The study was conducted at RSUD A. Wahab Sjahranie during May to June 2017. The total samples of 111 patients hemodialysis selected by purposive sampling. The subjects was divided into the interventions group consist of 83 patient who were given based self care education and the control group 28 patients. The results of the research were obtained after 6 weeks intervention, the Non-Parametric Test showed that Asymp Sig (2 tailed) = .00 or p-value <.05 the difference fatigue level between the intervention group to the control group, Odd Ratio was showed that self care-based education intervention group has a tendency to experience fatigue change rate of 1.22 times greater than control group. The ordinal logistic analyse result was showed that p = .00 or p-value <.05 there was a significant effected of Based Self Care Education intervention given to changes in fatigue. Conclusions of Based Self Care Education research have an influenced on decreased fatigue. The study has been recommended on intervention could be applied as one of the education given to patients during hemodialysis therapy.


Aquichan ◽  
2020 ◽  
Vol 20 (1) ◽  
pp. 1-13
Author(s):  
Clementina Prazeres Fernandes Sousa ◽  
Célia Samarina Brito Santos

Objective: To evaluate the effect of a stoma nursing care program on the personal adjustment to an ostomy. Materials and methods: A quasi-experimental study with a control group. The sample of 105 patients with stoma was divided into two groups (intervention group and control group), with assessments in the first and sixth month after hospital discharge. Information was collected using the Elimination Ostomy Adjustment Scale. Student’s t-tests analysis were performed. Results: One month after hospital discharge, the adjustment to the stoma was satisfactory and similar (p > 0.05) in both groups, and in the sixth month, statistically more favorable in the intervention group (p < 0.001); a statistically significant difference between the two assessments (p < 0.001) is found in the intervention group only. Conclusions: The intervention program has a positive influence on the adjustment to the stoma, and its contribution is significant six months after hospital discharge. Systematic interventions of an ostomy care specialized nurse have shown positive effects on ostomy adjustment, which is recommended since the preoperative period.


2017 ◽  
Vol 12 (6) ◽  
pp. 725-736 ◽  
Author(s):  
Sebastian Altfeld ◽  
Heiner Langenkamp ◽  
Jürgen Beckmann ◽  
Michael Kellmann

It has repeatedly been shown that effective regulation of one's emotional states is crucial for high performance in sports. However, self-regulation skills need to be learned and practiced by players for effective use. The present study examined the effectiveness of newly designed basketball drills for regular team practice for implementing and improving self-regulation skills in young basketball players. A quasi-experimental design with four measurements and two follow-ups was applied. The sample included two teams ( N = 20) of the highest national under 16 youth basketball league of Germany. The intervention group was instructed in self-regulation skills (e.g. self-talk, self-relaxation, routines) at the beginning of the intervention. Subsequently, the techniques were practiced in the course of eight psychologically oriented basketball drills between the second and fourth measurement. The sport-specific Volitional Components Questionnaire and the Action Control Scale Sport were used in this study. Results indicated that the intervention group improved significantly in the factors measuring self-motivation and dealing with negative thoughts while the control group showed no significant effects. The effects were maintained in the follow-ups. The results imply that learned and practiced strategies to regulate one's emotional state have long-term benefits for players.


Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Alireza Salar ◽  
Hoda Taheri

Background: Self-care is one of the important aspects of treatment in hemodialysis patients. This study was done to determine the effect of the family-centered empowerment model on the self-care of hemodialysis patients. Methods: This study was performed on 100 hemodialysis patients referring to the Zahedan hemodialysis department in 2018. For the intervention group, the family-centered empowerment model was executed in four stages, including understanding the threat, problem-solving, educational participation, and evaluation according to the steps of the model, and the control group received the usual care of the department. The data collection tools were the demographic information questionnaire and self-care questionnaire. Data were analyzed using SPSS V.22 by analysis of variance (ANOVA), independent t-test, repeated measures t-test, and Chi-square test. Results: Based on the independent t-test, the mean self-care score of patients in the intervention and control group was significantly different (P < 0.001). There was a significant difference in the "main caregiver relation" variable (P = 0.006). The results of the "time" and "intervention" effects of this test also showed that these two variables had a significant effect on mean self-care scores (P < 0.001). The results of ANOVA showed that self-care score changed in the two groups there was an increase in the self-care score in the intervention group compared with the control group (P < 0.001). Conclusions: Implementing the family-centered empowerment model in hemodialysis patients by strengthening the ability of the patient and their families to care provides a platform for their promotion and maintenance of their self-care.


2019 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Andreas Rantepadang ◽  
Gracela Gwendolin Taebenu

  ABSTRAK Pasien hemodialisa mengalami rasa haus yang menyebabkan ketidaknyamanan dan mempengaruhi kualitas hidup, mengunyah permen karet (xylitol) merupakan salah satu intervensi yang dapat digunakan untuk mengurangi rasa haus. Penelitian ini bertujuan untuk mengetahui pengaruh mengunyah permen karet terhadap rasa haus pada pasien hemodialisa di Rumah Sakit Advent Manado. Desain penelitian quasi-eksperimental dengan pendekatan pre and posttest nonequivalent control group design. Metode sampling adalah purposive sampling. Sampel penelitian 30 responden dibagi atas 15 responden kelompok perlakuan dan 15 responden kelompok kontrol. Hasil penelitian: rata-rata rasa haus sebelum mengunyah permen karet pada kelompok intervensi (24,40) berada pada rasa haus berat, setelah diberikan intevensi permen karet selama 2 minggu rasa haus pasien menurun menjadi (11,47) rasa haus ringan. Sedangkan pada kelompok kontrol rasa haus pada hari pertama (23, 20) berada pada rasa haus berat, setelah 2 minggu, tetap berada pada haus berat (23,07). Hasil uji statistik mann whitney u-test didapati nilai p value 0,000<0,05 di mana terdapat pengaruh yang signifikan mengunyah permen karet terhadap rasa haus pada pasien hemodialisa. Rekomendasi: Bagi pasien yang menjalani hemodialisa dapat menggunakan permen karet sebagai terapi alternatif untuk mengurangi rasa haus.     Kata kunci: mengunyah permen karet, rasa haus, hemodialisa ABSTRACT Hemodialysis patients feel thirsty that cause discomfort and affect the quality of life.  One of the methods used to reduce thirsty is to chew gum (xylitol). This study aims to determine the effect of chewing gum on thirst in hemodialysis patients at Manado Adventist Hospital. Design of this research used quasi-experimental with a pre and posttest nonequivalent control group approach. The sampling method used was purposive sampling. The research sample of 30 respondents was divided into 15 respondents for the treatment group and 15 respondents for the control group. Result: The average thirsty before chewing gum in the intervention group (24.40) which indicated being in severe thirsty, after being given an intervention of gum for 2 weeks in the intervention group, the patients’ thirsty decreased to (11.47) being in mild thirsty. Whereas first day control group (23.20) which was in severe thirst, and thirst after 2 weeks the control group (23.07) remained in severe thirst. The result of the mann whitney u-test statistical test found p value 0.000<0.05 where there was a significant effect of chewing gum on thirst in hemodialysis patients. Recommendation: For hemodialysis patients can use gum as an alternative therapy to reduce thirsty. Keywords: chewing gum, thirsty, hemodialysis


2020 ◽  
Vol 9 (4) ◽  
pp. e33-e33
Author(s):  
seyedeh zahra hoseinigolafshani ◽  
Soraya Taheri ◽  
Maryam Mafi ◽  
Mohamad Hossein Mafi ◽  
Leila Kasirlou

Introduction: The relationship between caregivers and patients plays a vital role in providing effective care. Objectives: The aim of this study was to investigate the effect of group logo therapy on the burden of hemodialysis patients’ caregivers. Patients and Methods: The present research was a quasi-experimental study with pretest-posttest design. The study population was all caregivers of hemodialysis patients in Qazvin. The sample of this study consisted of 100 caregivers (50 participants in the intervention group and 50 participants in the control group) who were selected according to the inclusion criteria and then randomly allocated in two groups. After the initial evaluation of burden in both groups, 10 sessions, (90 minutes for each session) logo therapy was conducted for intervention group. Immediately after the end of the course and one month later, the intensity of caregiver burden in both groups was measured. The data collection tools were demographic questionnaires for the patient and caregiver and the Zarit Burden Interview. Results: In this study we found, the intervention group with a mean score of 44.6±7.4 and the control group with a mean score of 44.8±5.38 experienced severe burden. Regarding the effect of logo therapy on caregiver burden, the results showed that the mean score of burden before the intervention was 44.6±7.4 and immediately after the intervention and one month later were 37.2±12.6 and 2.14±6.34, respectively (P<0.001). Conclusion: The findings showed the positive effect of group logo therapy on reducing the burden of hemodialysis patients’ caregivers. Considering the high level of caregiver burden, it appears that the application of logo therapy in educational programs for dialysis centers is necessary to reduce the caregiver burden and improve the quality of life.


Sign in / Sign up

Export Citation Format

Share Document