Premium
Educational or behavioural interventions for symptoms and health‐related quality of life in adults receiving haemodialysis: A systematic review
Author(s) -
Sharma Sita,
Green Theresa,
Alexander Kimberly E.,
Bonner Ann
Publication year - 2020
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/jorc.12329
Subject(s) - medicine , psychological intervention , psycinfo , cinahl , systematic review , cochrane library , medline , randomized controlled trial , quality of life (healthcare) , meta analysis , physical therapy , population , psychiatry , nursing , surgery , environmental health , political science , law
SUMMARY Background People with end‐stage kidney disease (ESKD) suffer from multiple symptoms, which have a negative impact on their health‐related quality of life (HRQoL). Educational and behavioural interventions are being developed for this population; however, the effect of these interventions is unclear. Aim To evaluate the effectiveness of educational or behavioural interventions compared with standard care or alternative strategies on reducing symptoms and improving HRQoL in adults with ESKD receiving haemodialysis (HD). Methods An effectiveness systematic review using Joanna Briggs Institute (JBI) procedures was conducted on experimental studies [randomised controlled trials (RCTs), pseudo‐RCTs and quasi‐experimental designs] published in English between January 2009 and July 2019. Studies were retrieved from CINAHL, PubMed, MEDLINE, Embase, PsycINFO, Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trial) and JBI databases. Effect size at 95% confidence interval was calculated where possible. Results Eighteen studies involving 791 participants were included in this review. All studies involved behavioural interventions with the majority of studies (n = 11) targeting psychological symptoms. Interventions were categorised as either active or passive. Active interventions seemed to improve some physical symptoms, although there was very little evidence of improvements to HRQoL. Passive interventions tended to have a large effect on psychological symptoms and the mental health components of HRQoL. Conclusion Due to great heterogeneity between studies, meta‐analyses could not be conducted further limiting the evidence to inform practice. In addition, further research on educational interventions to teach self‐management strategies for symptom management and to improve HRQoL in people with ESKD receiving HD are needed.