Self management of haemodialysis for end stage renal disease : a systematic review

Reid, Carol L., Hall, Jenny, Boys, Jennifer, Lewis, Sally, & Chang, Anne M. (2011) Self management of haemodialysis for end stage renal disease : a systematic review. JBI Library of Systematic Reviews, 9(3), pp. 69-103.

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Abstract

Background

Exploring self management in End Stage Renal Disease is extremely important for patients as they encounter several challenges including ongoing symptoms, complex treatments and restrictions, uncertainty about life and a dependency on technology, all of which impact upon their autonomy particularly after commencement of haemodialysis.

Objective

To summarise the effects of nursing interventions which effect selfmanagement of haemodialysis for patients with End Stage Renal Disease.

Search strategy

Search terms were chosen after reviewing text words and MeSH terms in relevant articles and databases. An extensive search of the literature from 1966 to June 2009 was conducted across a range of health databases including Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, PsycINFO and Web of Science. Further studies were identified from reference lists of all retrieved studies.

Selection criteria

We considered randomised controlled trials that compared interventions to improve self management of haemodialysis in patients with ESRD. In the absence of RCTs, comparative studies without randomisation as well as before and after studies were considered for inclusion.

Methodological quality

Study reports selected for retrieval were assessed by two independent reviewers for methodological quality prior to inclusion in the review using the standardised critical appraisal instruments for the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information package (SUMARI).

Data collection and analysis

Data was extracted using the JBI data extraction tool for evidence of effectiveness independently by pairs of review authors. The evidence was reported in narrative summaries due to heterogeneity of the interventions of the studies.

Results and conclusions

Five randomised controlled trials were included in the review. Overall, the evidence found that psychosocial and educational interventions influenced self management of haemodialysis in this patient population.

Impact and interest:

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ID Code: 63520
Item Type: Journal Article
Refereed: Yes
Keywords: end stage renal disease, self management, psychosocial, educational, nursing interventions
ISSN: 1838-2142
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Deposited On: 21 Oct 2013 22:31
Last Modified: 12 May 2017 05:22

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