Ignite Creation Date:
2024-05-06 @ 4:14 PM
Last Modification Date:
2024-10-26 @ 2:07 PM
Study NCT ID:
NCT04927923
Status:
COMPLETED
Last Update Posted:
2024-01-30
First Post:
2021-06-09
Brief Title:
The Effect of Hope-focused Motivational Interview on Individuals Receiving Hemodialysis Treatment
Sponsor:
Serife Bilge Duran
Organization:
Akdeniz University
Study Overview
Official Title:
The Effect of Hope-Focused Motivational Interview on Depression Anxiety Stress and Hope Levels of Individuals Receiving Hemodialysis Treatment
Status:
COMPLETED
Status Verified Date:
2024-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Chronic kidney failure CRF is an important health problem in the world and in our country The use of hemodialysis as a treatment method has prolonged the life span of individuals with CRF challenging and long treatment processes make the individual at risk for mental illnesses It is an inevitable need to carry out psychosocial interventions to protect and improve the mental health of individuals to ensure their adaptation to treatment processes and to support them in coping with the difficulties they encounter It is predicted that hope-focused motivational interviewing which is a hope-enhancing intervention based on Snyders Hope Theory will be effective for individuals with low hope levels In this study it was aimed to evaluate the protocol suitability of the research This study is a single blind randomized controlled trial The universe of the research will consist of 44 individuals coming for treatment in the Hemodialysis Unit The study will be carried out in the Hemodialysis Clinic between September 2021 and December 2022 Within the scope of the protocol a preliminary application was made with two individuals Research data will be obtained by using sociodemographic data form Depression Anxiety Stress Scale Continuous Hope Scale In the study it was planned to apply hope-focused motivational interviews to the experimental group as one-hour sessions per week with face-to-face interviews for 8 weeks while no intervention was made to the control group Each session has goals and assignments for goals Within the scope of the study a hope tree will be created for everyone together with the patients to be used in the evaluation process of the interview sessions Through the hope tree it is aimed for the individual to set goals and discover the obstacles and solutions in reaching these goals At the end of 8 weeks the final test will be applied to the experimental and control groups Following the post-test application follow-up is planned at the end of the first month The pre-application of the eight-week application protocol created for the purpose was made with two individuals As a result of the preliminary application it was observed that the stress anxiety and depression levels of the individuals decreased and their hope levels increased As a result of the preliminary application it was concluded that the steps of the prepared application protocol were suitable for the study in line with the purpose determined with this patient group and the protocol was transferred to the application phase as it was It is thought that the results obtained from the research will contribute to the literature
Detailed Description:
Chronic kidney failure is an important health problem in the world and in our country If crf is not diagnosed early and intervened in a timely manner a picture called end-stage renal disease emerges and compels individuals to undergo dialysis treatment This high-cost treatment makes individuals dependent on the health institution on certain days and hours of the week and negatively affects the quality of life of the individuals High morbidity rates and poor quality of life also negatively affect the family and social life of these patients and hinder their economic productivity Dialysis or kidney transplantation treatments are required for patients with esrd to survive Since it is difficult to provide suitable conditions donor finding economic etc For kidney transplantation the predominant treatment method all over the world is hemodialysis with a rate of approximately 90 percent although there are some differences between countries The prevalence of end-stage renal disease requiring renal replacement therapy in turkey is 9884 per million population When looking at the type of rrt of all patients who received rrt at the end of 2018 it is seen that 7482 received hemodialysis treatment With the use of hemodialysis treatment as a treatment method for individuals with a diagnosis of crf their lifespan has been prolonged however the type of treatment and the constant dependence on the hospital caused the psychosocial problems of individuals to increase hemodialysis treatment patients become dependent on dialysis machines healthcare professionals and family members throughout the treatment process they experience role losses and domestic problems become a risky group in terms of mental illnesses as a result of economic difficulties due to losses and an isolated life from the society The most common mental problems in hemodialysis treatment patients depression restriction of social life anxiety of losing independence anxiety and hopelessness Therefore patients adaptation to treatment processes and coping with the difficulties they encounter necessitate psychosocial interventions
According to Babur Abram grouped the reactions of individuals who received hemodialysis treatment treatment into five periods He named the first period as Uremic Period In this period the individual has not started dialysis yet and with the diagnosis of CRF hopelessness fear of death weakness etc findings indicate that it can be seen He defined the second period as the Anxiety Period Beginning of Dialysis The anxiety period is the period in which individuals experience concerns about treatment The third period was defined as the Honeymoon Period the first three weeks in dialysis and it was emphasized that the individual feels better apathy decreases and euphoria may be experienced with the regression of symptoms in this period The next period is the Depression Period It starts with the individual realizing the situation after 8-9 dialysis This period in which treatment compliance difficulties and depression are common usually lasts 3-12 months The last period has been defined as the Adaptation Period During this period the individual has gotten used to the dialysis machine and tries to return to his normal life There are forward plans and expectations When the characteristics of these five periods are evaluated although each period contains its own specific emotional and behavioral responses it is a situation that should be evaluated to develop strengthen hope and hope Snyder evaluated hope in two dimensions emotional and cognitive The first dimension agency is the desire to reach the goal and the feeling of strength to achieve the goal It includes being able to make successful decisions in achieving the past present and future goal The second dimension of hope is called pathway Pathway dimension includes the individuals belief that he or she can plan successfully to achieve his goals Both dimensions are related to each other and increase each others effects in a positive way It is a healing force that promotes well-being necessary for healthy coping Snyder stated that as a result of studies conducted with different ethnic groups hopeful thinking is not inherited it is learned from childhood Therefore he argued that hopeful thinking can be taught and enhanced Hope has been accepted as a basic personality trait and has been defined as a fundamental resource in human life In other words individuals with a high level of hope have goals they want to achieve and individuals strive to achieve these goals The high level of hope is important in increasing the life satisfaction of individuals
It is seen as an effective coping mechanism that makes the individual feel safe and relate to reality increases motivation prevents feelings of pessimism or helplessness in case of illness and contributes to compliance with treatment As they increase their compliance with treatment increases and as a result it can be effective in reducing the symptoms of the disease
Snyder defines it as the ability to produce ways to achieve desired goals and the motivation to use these paths They believe that if an individual has a high level of hope they can find many ways to achieve their goals This belief motivates the individual that good events will happen in the future In this direction motivational interview enables the individual to understand their problems and put them into action for change With motivational interview it will be easier for the individual to notice the obstacles that may occur in achieving his goal and he will be able to make expressions that will motivate himself about his anxiety desire desire for change and skill In this context it is predicted that with a hope-oriented motivational interview individuals will be able to recognize their goals more easily and determine their paths Studies involving hope-enhancing intervention are based on Snyders Hope Theory in positive psychology Diabetes hypertension depression CRF unstable angina In addition to individuals with chronic diseases hope-enhancing interventions were applied to individuals with caregiver roles such as caregivers of patients diagnosed with post-traumatic stress disorder and mothers of children diagnosed with cancer At the same time different segments of society pregnant women married students etc In order to examine the effects of healthy individuals on mental health As a result of the practices that strengthen hope depression anxiety and stress levels decreased in individuals and their well-being was observed to increase The concept of hope is also an important concept in terms of psychiatric nursing care and practices Moore expresses hope as the heart of Psychiatric Nursing practices Hope which is accepted as a fundamental element of human existence is important in terms of preventive mental health in psychiatric nursing care and practices Therefore increasing patients hope has been accepted as an important intervention in medicine nursing and mental health In the Classification of Nursing Interventions NIC this intervention was included as the title of instilling hope and many interventions to increase and develop the hope of the individual within the scope of the intervention Bulechek et al Although there are descriptive studies aimed at evaluating hope in the studies conducted in the field of nursing intervention studies specifically aimed at increasing and developing hope are limited When the content of the limited number of studies was examined it was seen that the effectiveness of nursing interventions in different patient groups was evaluated Considering the psychosocial difficulties of individuals with CRF which is a chronic disease it is thought that conducting an intervention study with this patient group would be effective When psychiatric nursing practices and consultation-liaison psychiatric nursing roles are evaluated within the scope of their roles it is predicted that hope-oriented motivational interviewing can be effective in bringing and maintaining healthy life behaviors aimed at re-evaluating the lives of individuals protecting and improving their mental health In this context it was aimed to determine the effect of hope-oriented motivational interview on the depression anxiety stress and hope levels of individuals receiving hemodialysis treatment within the scope of the study It is thought that the results to be obtained from the research will contribute to the literature
According to Babur Abram grouped the reactions of individuals who received hemodialysis treatment treatment into five periods He named the first period as Uremic Period In this period the individual has not started dialysis yet and with the diagnosis of CRF hopelessness fear of death weakness etc findings indicate that it can be seen He defined the second period as the Anxiety Period Beginning of Dialysis The anxiety period is the period in which individuals experience concerns about treatment The third period was defined as the Honeymoon Period the first three weeks in dialysis and it was emphasized that the individual feels better apathy decreases and euphoria may be experienced with the regression of symptoms in this period The next period is the Depression Period It starts with the individual realizing the situation after 8-9 dialysis This period in which treatment compliance difficulties and depression are common usually lasts 3-12 months The last period has been defined as the Adaptation Period During this period the individual has gotten used to the dialysis machine and tries to return to his normal life There are forward plans and expectations When the characteristics of these five periods are evaluated although each period contains its own specific emotional and behavioral responses it is a situation that should be evaluated to develop strengthen hope and hope Snyder evaluated hope in two dimensions emotional and cognitive The first dimension agency is the desire to reach the goal and the feeling of strength to achieve the goal It includes being able to make successful decisions in achieving the past present and future goal The second dimension of hope is called pathway Pathway dimension includes the individuals belief that he or she can plan successfully to achieve his goals Both dimensions are related to each other and increase each others effects in a positive way It is a healing force that promotes well-being necessary for healthy coping Snyder stated that as a result of studies conducted with different ethnic groups hopeful thinking is not inherited it is learned from childhood Therefore he argued that hopeful thinking can be taught and enhanced Hope has been accepted as a basic personality trait and has been defined as a fundamental resource in human life In other words individuals with a high level of hope have goals they want to achieve and individuals strive to achieve these goals The high level of hope is important in increasing the life satisfaction of individuals
It is seen as an effective coping mechanism that makes the individual feel safe and relate to reality increases motivation prevents feelings of pessimism or helplessness in case of illness and contributes to compliance with treatment As they increase their compliance with treatment increases and as a result it can be effective in reducing the symptoms of the disease
Snyder defines it as the ability to produce ways to achieve desired goals and the motivation to use these paths They believe that if an individual has a high level of hope they can find many ways to achieve their goals This belief motivates the individual that good events will happen in the future In this direction motivational interview enables the individual to understand their problems and put them into action for change With motivational interview it will be easier for the individual to notice the obstacles that may occur in achieving his goal and he will be able to make expressions that will motivate himself about his anxiety desire desire for change and skill In this context it is predicted that with a hope-oriented motivational interview individuals will be able to recognize their goals more easily and determine their paths Studies involving hope-enhancing intervention are based on Snyders Hope Theory in positive psychology Diabetes hypertension depression CRF unstable angina In addition to individuals with chronic diseases hope-enhancing interventions were applied to individuals with caregiver roles such as caregivers of patients diagnosed with post-traumatic stress disorder and mothers of children diagnosed with cancer At the same time different segments of society pregnant women married students etc In order to examine the effects of healthy individuals on mental health As a result of the practices that strengthen hope depression anxiety and stress levels decreased in individuals and their well-being was observed to increase The concept of hope is also an important concept in terms of psychiatric nursing care and practices Moore expresses hope as the heart of Psychiatric Nursing practices Hope which is accepted as a fundamental element of human existence is important in terms of preventive mental health in psychiatric nursing care and practices Therefore increasing patients hope has been accepted as an important intervention in medicine nursing and mental health In the Classification of Nursing Interventions NIC this intervention was included as the title of instilling hope and many interventions to increase and develop the hope of the individual within the scope of the intervention Bulechek et al Although there are descriptive studies aimed at evaluating hope in the studies conducted in the field of nursing intervention studies specifically aimed at increasing and developing hope are limited When the content of the limited number of studies was examined it was seen that the effectiveness of nursing interventions in different patient groups was evaluated Considering the psychosocial difficulties of individuals with CRF which is a chronic disease it is thought that conducting an intervention study with this patient group would be effective When psychiatric nursing practices and consultation-liaison psychiatric nursing roles are evaluated within the scope of their roles it is predicted that hope-oriented motivational interviewing can be effective in bringing and maintaining healthy life behaviors aimed at re-evaluating the lives of individuals protecting and improving their mental health In this context it was aimed to determine the effect of hope-oriented motivational interview on the depression anxiety stress and hope levels of individuals receiving hemodialysis treatment within the scope of the study It is thought that the results to be obtained from the research will contribute to the literature
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None