Effectiveness of a day care program in supporting patients on peritoneal dialysis and their caregivers

Yu, Zhen; Seow, Ying-Ying; Seow, Pei Shing; Tan, Ban Leong Kenny

doi:10.1007/s11255-016-1241-z

Cited by 14 publications

(7 citation statements)

References 18 publications

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“…Therefore, the intervention delivered via WeChat may be a potential effective means of providing support for patients. Similar findings were also reported by another study (Yu, Seow, Seow, & Tan, ). Providing social interaction could allay psychosocial problems such as anxiety.…”

Section: Discussionsupporting

confidence: 92%

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

Ren

Lian

Liu

et al. 2019

Journal of Advanced Nursing

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Aim To examine the effects of a transtheoretical model‐based WeChat health education programme on self‐management in haemodialysis patients in China. Design A longitudinal experimental intervention study. Methods Patients (N = 120) who underwent haemodialysis from December 2015–November 2017 were recruited and randomly allocated to either group 1 (who received a 3‐month WeChat health education immediately after randomization) or group 2 (who was combined with group 1 and received the same intervention at the 5th month after enrolment in the study). Self‐management, knowledge and self‐efficacy were assessed at baseline (T0), 3 months after enrolment in the study (T1), 21 months after enrolment in the study (T2). Results There were significant group effects on self‐efficacy; time effects on partnership, self‐care, emotion management with total self‐management; interaction effects on problem‐solving and emotion management within total self‐management according to the two‐way repeated measures ANCOVA. Further between‐group comparisons indicated that patients in group 1 had better self‐management than those in group 2 at T1. Within‐group comparisons demonstrated that, compared with the baseline values, group 1 had significantly improved self‐management at T1; however, group 2 had improved self‐management at T2. Conclusion The transtheoretical model‐based WeChat health education programme had a potentially positive effect on improving the self‐management of haemodialysis patients. Impact Self‐management is often difficult yet crucial for haemodialysis patients. This study indicated that the transtheoretical model‐based WeChat health education resulted in improved self‐management in haemodialysis patients and can be implemented in continuing care during the interdialysis period to improve self‐management in patients. Trial registration: ChiCTR1800018172.

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Section: Discussionsupporting

confidence: 92%

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

Ren

Lian

Liu

et al. 2019

Journal of Advanced Nursing

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“…A systematic review published in 2008 found just three studies which all assessed the effect of educational material and found it improved caregivers knowledge . More recently, a day care programme has been shown to improve caregiver mental QOL and reduce burden and enhanced psychosocial support reduced caregiver burden and anxiety . Finally, it is important to ensure caregivers access support services provided, with a study of caregivers of elderly people in the United States finding just one quarter use available support services .…”

Section: Discussionmentioning

confidence: 99%

Quality of life in caregivers compared with dialysis recipients: The Co‐ACTIVE sub‐study of the ACTIVE dialysis trial

et al. 2019

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The authors compared quality of life (QOL) of caregivers of dialysis patients versus that of the patients themselves and found that the former had higher physical and equivalent mental QOL but poorer personal well-being than the Chinese population norm. ABSTRACT:Aim: To compare quality of life (QOL) of caregivers of dialysis patients with the cared for patients and population norms.Methods: The ACTIVE Dialysis study randomized participants to extended (median 24 h/week) or standard (median 12 h/week) haemodialysis hours for 12 months. A subgroup of participants and their nominated caregivers completed QOL questionnaires including the EuroQOL-5 Dimension-3 Level (EQ5D-3 L), short form-36 (SF-36, also allowing estimation of the SF-6D), as well as a bespoke questionnaire and the personal wellbeing index (PWI). Caregiver QOL was compared with dialysis patient QOL and predictors of caregiver QOL were determined using multivariable regression.Results: There were 54 patients and caregiver pairs, predominantly from China. Caregivers mean (SD) age was 53.4 (11.3) years, 60% were female, 71% cared for their spouse/partner, and 36% were educated to university level. Caregivers had better physical but similar mental QOL compared with dialysis patients (mean SF-36 physical component summary: 46.9 AE 8.7 vs 40.4 AE 10.2, P < 0.001; mental component summary: 47.8 AE 9.7 vs 49.6 AE 12.0, P = 0.84). Health utility measured with EQ5D-3 L was not significantly different between caregivers and dialysis patients (mean 0.869 AE 0.185 vs 0.798 AE 0.227, P = 0.083). Caregiver PWI was 43.7 AE 15.5, significantly lower than the Chinese population norm (68.2 AE 14.2, P < 0.001). Higher physical and mental QOL among caregivers was predicted by university education but not age, gender or daily hours caring.Conclusion: Caregivers have higher physical and equivalent mental QOL to dialysis patients but poorer personal well-being than the Chinese population. University education predicts better QOL and may be a surrogate for socioeconomic or other factors. (NCT00649298).In the United States, there are an estimated 14.7 million family and unpaid caregivers assisting 7.7 million communitydwelling people with disabilities. 1 In Australia, an estimated 1 in 8 of the population (2.86 million people) provide informal care for an average of 13 h each week, and if replaced with formal caregivers would cost the equivalent of 3.8% of gross domestic product. 2 Caregiving also has significant financial impact on the caregiver. In the United States, 78% of caregivers incur out-of-pocket expenses averaging US$6954 annually. 3 This burden falls disproportionately on the poor,

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“…68 Four studies reporting 221 caregivers collected data before and after an intervention for caregivers and/or patients. 39,59,70,80 The modified Newcastle-Ottawa Scale revealed that 85% of studies were at high risk of bias (Table S2). Only 3 studies enrolled more than 200 participants, 41,57,67 whereas 2 studies had more than 200 participants but included data previously reported.…”

Section: Literature Search and Study Characteristicsmentioning

confidence: 99%

Burden of Care and Quality of Life Among Caregivers for Adults Receiving Maintenance Dialysis: A Systematic Review

Gilbertson

Krishnasamy

Foote

et al. 2019

American Journal of Kidney Diseases

105

103

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Dialysis is a burdensome and complex treatment for which many recipients require support from caregivers. The impact of caring for people dependent on dialysis on the quality of life of the caregivers has been incompletely characterized. Study Design: Systematic review of quantitative studies of quality of life and burden to caregivers. Setting & Study Population: Caregivers of adults receiving maintenance dialysis. Selection Criteria for Studies: The Cochrane Library, Embase, PsycINFO, CINAHL, PubMed, and MEDLINE were systematically searched from inception until December 2016 for quantitative studies of caregivers. Pediatric and non-English language studies were excluded. Study quality was assessed using a modified Newcastle-Ottawa scale. Data Extraction: 2 independent reviewers selected studies and extracted data using a prespecified extraction instrument. Complete author and article information provided before references.

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Effectiveness of a day care program in supporting patients on peritoneal dialysis and their caregivers

Abstract: Day care service is effective in alleviating the burden of caregivers and beneficial to patients with relatively good functional status. However, persuading patients and their caregivers to take up the program was a challenge.

Cited by 14 publications

References 18 publications

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

Quality of life in caregivers compared with dialysis recipients: The Co‐ACTIVE sub‐study of the ACTIVE dialysis trial

Burden of Care and Quality of Life Among Caregivers for Adults Receiving Maintenance Dialysis: A Systematic Review

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