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

Study Overview
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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.

Official Title
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Construction of a Theoretical Model of Medical Behavior of Patients With Chronic Kidney Disease From the Perspective of Supply: An Empirical Analysis Based on Andersen Behavior Model

Conditions
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Narrative Nursing, Maintenance Hemodialysis, Chronic Kidney Diseases

Intervention / Treatment
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* Other: narrative nursing
* Other: traditional nursing


Participation Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| traditional nursing group<br> | Other: traditional nursing<br>* 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.<br>|
| narrative nursing group<br> | Other: narrative nursing<br>* 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 .<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Zung's Self-Rating Anxiety Scale | assess the anxiety and depression levels of patients | one week | 
| Self-rating Depression Scale | assess the anxiety and depression levels of patients | one week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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self-efficacy, negative emotions, life quality