同伴互助小组与血液透析护理人员的护理负担:在伊朗医疗机构进行的一项研究。

IF 2.2 4区 医学 Q2 UROLOGY & NEPHROLOGY BMC Nephrology Pub Date : 2024-10-21 DOI:10.1186/s12882-024-03811-8
Nader Ghenaati, Hamid Reza Zendehtalab, Mohammad Namazinia, Masoud Zare
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引用次数: 0

摘要

背景:慢性肾功能衰竭是全球健康面临的重大挑战,给患者及其护理人员都带来了沉重的负担。血液透析是治疗终末期肾病的一种常见方法,它给护理人员带来了巨大的身体、情感和经济压力,往往会导致较高的护理负担。本研究独特地探讨了在伊朗医疗机构中,同伴支持小组对减轻血液透析患者护理人员护理负担的影响,而这在以前还没有被广泛探讨过:方法:进行了一项平行对照临床试验,将 60 名护理人员分为干预组和对照组。干预组参加了一项为期 8 个疗程的同伴支持计划,该计划是根据护理人员的需求量身定制的,包括应对压力、社会隔离和经济挑战。Zarit护理负担访谈量表用于测量干预前后的护理负担:研究显示,与对照组相比,干预组护理人员的护理负担,尤其是身体、社交和情感方面的护理负担,在统计学上有明显减轻。护理负担总分明显下降,表明同伴支持干预措施的有效性。虽然经济方面的挑战仍然是一个令人担忧的问题,但干预措施在这一领域的影响有限:这项研究表明,同伴互助小组能显著减轻血液透析患者护理人员的护理负担,改善他们在多个方面的福祉。研究结果凸显了将同伴支持策略纳入慢性病管理医疗保健计划的重要性,并强调了采取辅助性经济支持措施全面解决护理人员需求的必要性。未来的研究应探讨此类干预措施的可扩展性和长期可持续性,并解决这些照顾者所面临的独特经济挑战:本研究于 2022 年 8 月 11 日在伊朗临床试验注册中心(IRCT)注册,注册号为 IRCT20220724055540N1。
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Peer support groups and care burden in hemodialysis caregivers: a RCT in an Iranian healthcare setting.

Background: Chronic renal failure poses a significant global health challenge, exerting a substantial burden on both patients and their caregivers. Hemodialysis, a common treatment for end-stage renal disease, imposes extensive physical, emotional, and financial pressures on caregivers, often leading to a high care burden. This study uniquely examines the impact of peer support groups on reducing the care burden among caregivers of patients receiving hemodialysis in an Iranian healthcare setting, an aspect that has not been extensively explored before.

Methods: A parallel-controlled clinical trial was conducted involving 60 caregivers, divided into intervention and control groups. The intervention group participated in an 8-session peer support program tailored to their identified needs, including coping with stress, social isolation, and financial challenges. The Zarit Care Burden Interview Scale was used to measure care burden before and after the intervention.

Results: The study revealed statistically significant reductions in care burden, particularly in physical, social, and emotional dimensions, among caregivers in the intervention group compared to the control group. The total care burden score showed a marked decrease, indicating the effectiveness of the peer support intervention. While economic challenges remained a concern, the intervention had a limited impact in this domain.

Conclusion: This study demonstrates that peer support groups significantly alleviate the care burden experienced by caregivers of patients receiving hemodialysis, improving their well-being across several dimensions. The findings highlight the importance of integrating peer support strategies into healthcare programs for chronic disease management and underscore the need for supplementary economic support measures to comprehensively address caregivers' needs. Future research should explore the scalability and long-term sustainability of such interventions and address the unique economic challenges faced by these caregivers.

Trial registration: This study was registered in the Iranian Registry of Clinical Trials (IRCT) under the registration number IRCT20220724055540N1 on 11/08/2022.

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来源期刊
BMC Nephrology
BMC Nephrology UROLOGY & NEPHROLOGY-
CiteScore
4.30
自引率
0.00%
发文量
375
审稿时长
3-8 weeks
期刊介绍: BMC Nephrology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of kidney and associated disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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