6th World Nursing and Healthcare Conference
National University of Singapore, Singapore
Title: The effectiveness of self-efficacy psychoeducational program to enhance outcomes of patients with end stage renal disease
Biography: Hui-Chen Chen
End stage renal disease (ESRD) is the last stage of chronic kidney disease. The numbers of patients with ESRD have increased worldwide due to the growing number of aging, diabetes and hypertension populations. Patients with ESRD suffer from physical illness and psychological distress due to complex treatment regimens, which often affect the patients’ social and psychological functioning. As a result, the patients may fail to perform daily self-care and self-management and consequently experience worsening conditions. The study aims to examine the effectiveness of self-efficacy psychoeducational program on primary outcome and secondary outcomes. A randomized controlled, two-group pretest and repeated post tests design was carried out. A total of 154 participants (n=154) was recruited. The program is a two-session of educational intervention within a week. A booklet, face-to-face individual education and an abdominal breathing exercise are adopted in the program. Outcome measurements include Dialysis Specific Self-efficacy Scale, Kidney Disease Quality of Life-Short Form, Hospital Anxiety and Depression Scale, Renal Adherence Attitudes Questionnaire and Renal Adherence Behavior Questionnaire. The questionnaires will be used to measure at baseline, immediately post-intervention and 1 and 3-month follow-up periods. Quantitative data were analyzed using SPSS22.0 software. This study will identify a clinically useful and potentially effective approach to help patients with end stage renal disease and haemodialysis by enhancing their self-efficacy in self-care behavior and therefore improving their psychological wellbeing, treatment adherence and quality of life. This study will provide information to develop clinical guidelines to improve patients’ disease self-management and to enhance health-related outcomes.