Correlation of the Caring Behaviour of Nurses With the Motivation of Patients Undergoing Haemodialysis

  • Vivi Yosafianti Pohan Universitas Muhammadiyah Semarang
  • Arief Yanto Universitas Muhammadiyah Semarang
  • Satriya Pranata Universitas Muhammadiyah Semarang
Keywords: Motivation, Haemodialysis, Caring, Behaviour

Abstract


Background/Aim: There is a need to establish a satisfactory level of performance for nurses working in haemodialysis units, which will provide qualified competent nurses who will take care of patients. Thus, the purpose of this study was to analyse the caring behaviour of haemodialysis nurses with the motivation of patients undergoing haemodialysis.

Methods: The research design was a descriptive correlation approach. The subjects of this study were patients who were undergoing therapy in the haemodialysis room. Researchers collected data for 1 month in September 2023. The relationship between nurses' caring behaviour and haemodialysis patient motivation was determined by conducting a Spearman rank correlation analysis.

Results: Out of 118 patients, 48.7 % of patients thought nurses had poor caring behaviour. The research results also showed that patient motivation in undergoing haemodialysis was in the low motivation category (47.8 %). There was a significant relationship between nurses' caring behaviour and patient motivation in undergoing haemodialysis therapy (p = 0.0001). Based on the correlation coefficient value (r = 0.632), the two variables had a strong relationship.

Conclusion: Nurses' caring behaviour can increase patient motivation in undergoing haemodialysis therapy. Nurses' caring behaviour still needs to be optimised because the interaction between nurses and patients in the treatment process provides support to patients.

References

Sousa CN, Teles P, Sousa R, Cabrita F, Ribeiro OMPL, Delgado E, et al. Hemodialysis vascular access coordinator: Three-level model for access management. Semin Dial. 2024 Mar-Apr;37(2):85-90. doi: 10.1111/sdi.13153.

Wu HHL, Dhaygude AP, Mitra S, Tennankore KK. Home dialysis in older adults: challenges and solutions. Clin Kidney J. 2022;16(3):422-31. doi:10.1093/ckj/sfac220.

Utami SS, Erawati M, Dewi NS. Internal protective factors that affect the resilience of hemodialysis patients: scoping review. J Ber Ilmu Keperawatan. 2023;16(2):309-19. doi:10.23917/bik.v16i2.1738

Eghtedar S, Chalak Z, Parizad N, Alinezhad V. Training health-promoting behaviors based on pender’s model on psychological well-being to hemodialysis patients. Nurs Midwifery J. 2022;20(4):344-58. doi:10.52547/unmf.20.4.344.

Xie C, Zhou L, Sun C, Zhang Y, Li Y. The cross‐cultural adaptation and psychometric evaluation of a learned helplessness scale for maintenance hemodialysis patients in China (LHS‐MHD‐C). Res Nurs Health. 2023;46(2):251-62. doi:10.1002/nur.22298.

Kim H, Jeong IS, Cho MK. Effect of treatment adherence improvement program in hemodialysis patients: a systematic review and meta-analysis. Int J Environ Res Public Health. 2022;19(18):11657. doi:10.3390/ijerph191811657.

Abdel-Salam AA, Sharshour SM, Aziz SMAE. Effect of evidence based guidelines on nurses’ performance and attitude regarding care of children undergoing plasmapheresis. Tanta Sci Nurs J. 2023;31(4):192-221. doi:10.21608/tsnj.2023.328678.

Yuliawati AN, Ratnasari PMD, Maharani NLPS. Quality of life in end-stage renal disease patients undergoing hemodialysis and its affecting factors in a hemodialysis unit of general hospital denpasar. Borneo J Pharm. 2023;6(3):320-9. doi:10.33084/bjop.v6i3.3907.

Alshammari B, Noble H, McAneney H, Alshammari F, O’Halloran P. Caregiver burden in informal caregivers of patients in Saudi Arabia receiving hemodialysis: a mixed-methods study. Healthcare. 2023;11(3):366. doi:10.3390/healthcare11030366.

Kemnitz M, Antonini M, Delmas P. Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland. BMC Complement Med Ther. 2023;23(1):174. doi:10.1186/s12906-023-04001-z.

Huang M, Lv A, Yang F, Tang Y, Li Y, Hua Y, et al. Impacts of cognition of exercise on physical activity participation in hemodialysis patients. Semin Dial. 2023;36(5):366-73. doi:10.1111/sdi.13138.

Bellier-Teichmann T, Roulet-Schwab D, Antonini M, Brandalesi V, O’Reilly L, Cara C, et al. Transformation of clinical nursing practice following a caring-based educational intervention: a qualitative perspective. SAGE Open Nurs. 2022;8:23779608221078100. doi:10.1177/23779608221078100.

Powathil GG, Kr A. The experience of living with a chronic illness: a qualitative study among end-stage renal disease patients. J Soc Work End Life Palliat Care. 2023;19(3):190-208. doi:10.1080/15524256.2023.2229034.

Bossola M, Pepe G, Antocicco M, Severino A, Di Stasio E. Interdialytic weight gain and educational/cognitive, counseling/behavioral and psychological/affective interventions in patients on chronic hemodialysis: a systematic review and meta-analysis. J Nephrol. 2022;35(8):1973-83. doi:10.1007/s40620-022-01450-6.

Monem RFA, Abdullah WH, Atallah HR, Henedy WM. Effect of nursing intervention on controlling interdialytic weight and vascular access complications among patients undergoing hemodialysis. Menoufia Nurs J. 2022;7(2):351-66. doi:10.21608/menj.2022.272898.

Sousa H, Ribeiro O, Costa E, Christensen AJ, Figueiredo D. Establishing the criterion validity of self-report measures of adherence in hemodialysis through associations with clinical biomarkers: A systematic review and meta-analysis. PLoS One. 2022;17(10):e0276163. doi:10.1371/journal.pone.0276163.

Alhamad A, Almulhim MY, Alburayh AA, Alsaad RA, Alhajji AM, Alnajjar JS, et al. Factors affecting adherence to hemodialysis therapy among patients with end-stage renal disease attending in-center hemodialysis in Al-Ahsa Region, Saudi Arabia. Cureus. 2023;15(10):e46701. doi:10.7759/cureus.46701.

Mailani F, Huriani E, Muthia R, Rahmiwati R. Self-management and relating factors among chronic kidney disease patients on hemodialysis: an Indonesian study. Nurse Media J Nurs. 2023;13(1):109-20. doi:10.14710/nmjn.v13i1.48708.

Nursalam N, Triharini M, Azza A, Chanif C, Wahyuni D, Machmudah M, et al. The relationship between spiritual quality and self- adaptation in cancer patients receiving chemotherapy. Scr Med. 2023;54(3):261-6. doi:10.5937/scriptamed54-44234.

Pranata S, Wu SFV, Purwadi H, Gede D, Putra S, Wulandari H. Exploring of self-management experience among health professional survivors from coronavirus disease 2019 in West Nusa Tenggara , Indonesia. 2021;9:19-27.doi:10.3889/oamjms.2021.6443.

Huda N, Nurchayati S, Pranata S, Sansuwito T. Religion and spirituality in coping with cancer : a literature review. 2022;14(October):40-45.doi:10.31674/mjn.2022.v14i02.025.

Gela D, Mengistu D. Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia. Int J Nephrol Renovasc Dis. 2018;11:329-36. doi:10.2147/IJNRD.S184671.

Havas K, Douglas C, Bonner A. Person-centred care in chronic kidney disease: a cross-sectional study of patients’ desires for self-management support. BMC Nephrol. 2017;18(1):1-9. doi:10.1186/s12882-016-0416-2.

Jung WH, Kim HY. Promoting foot self‐care in type 2 diabetes mellitus patients receiving hemodialysis based on the information‐motivation‐behavioral skills model. Nurs Health Sci. 2023;25(4):721-31. doi:10.1111/nhs.13067.

25. Hejazi SS, Hosseini M, Ebadi A, Majd HA. Motivations for providing care in family caregivers of hemodialysis patients: A qualitative content analysis study. Iran J Heal Educ Heal Promot. 2022;10(1):58-69. doi:10.52547/ijhehp.10.1.58.

Tusnia D, Priyanti RP, Satus AS. [The correlation of work load with nurse ’s caring behavior according to client ’s perception at Igd Rsud Jombang]. J Ilm Keperawatan. 2017;3(2):30-36. Indonesian.

Wang SL, Chiu YW, Kung LF, Chen TH, Hsiao SM, Hsiao PN, et al. Patient assessment of chronic kidney disease self-care using the chronic kidney disease self-care scale in Taiwan. Nephrology (Carlton). 2019 Jun;24(6):615-21. doi: 10.1111/nep.13475.

Li H, Jiang Y fang, Lin CC. Factors associated with self-management by people undergoing hemodialysis: A descriptive study. Int J Nurs Stud. 2014;51(2):208-16. doi:10.1016/j.ijnurstu.2013.05.012.

Lai PC, Wu SV, Alizargar J, Pranata S, Tsai JM, Hsieh NC. Factors influencing self-efficacy and self-management among patients with pre-end-stage renal disease (Pre-ESRD). Healthcare (Basel). 2021 Mar 2;9(3):266. doi: 10.3390/healthcare9030266.

Agarwal R, Andersen MJ. Correlates of systolic hypertension in patients with chronic kidney disease. Hypertension. 2005;46(3):514-20. doi: 10.1161/01.HYP.0000178102.85718.66.

Liu X, Wang X, Ma H, Zhang W. Mechanisms underlying acupuncture therapy in chronic kidney disease: A narrative overview of preclinical studies and clinical trials. Front Nephrol. 2022;2:1006506. doi:10.3389/fneph.2022.1006506.

Hercz D, Jiang SH, Webster AC. Interventions for itch in people with advanced chronic kidney disease. Cochrane Database Syst Rev. 2020;2020(12):cd011393. doi:10.1002/14651858.CD011393.pub2.

Tsai MH, Hsu CY, Lin MY, Yen MF, Chen HH, Chiu YH, et al. Incidence, prevalence, and duration of chronic kidney disease in Taiwan: results from a community-based screening program of 106,094 individuals. Nephron. 2018;140(3):175-84. doi:10.1159/000491708.

Saffer T, Mesiwala A. Systematic CKD care approaches: a potential solution for the costly ESRD Program. Kidney Med. 2022;5(2):100581. doi:10.1016/j.xkme.2022.100581.

Soesanto E, Yanto A, Irani N, Pranata S, Rejeki S, Sasmito P. Job satisfaction among primary health care nurses. Int J Public Heal Sci. 2022;11(4):1416-23. doi:10.11591/ijphs.v11i4.21529.

Bjørk IT, Hamilton GA. Clinical decision making of nurses working in hospital settings. Nurs Res Pract. 2011;2011:1-8. doi:10.1155/2011/524918.

Wade R. Embedding the A-EQUIP model of restorative supervision in a critical care unit by professional nurse advocates. Br J Nurs. 2023;32(15):744-7. doi: 10.12968/bjon.2023.32.15.744.

Ahmed FR, Timmins F, Dias JM, Al‐Yateem N, Gamil R, Subu MA, et al. Floating to intensive care units: Nurses' messages for instant action to promote patient safety. Nurs Crit Care. 2023 Nov;28(6):902-12. doi: 10.1111/nicc.12907.

Fallahnezhad T, Aghaie B, Norouzadeh R, Ebadi A, Abbasinia M. The challenges of nursing presence at the patient’s bedside from the perspective of nurses: a qualitative study. Ethiop J Health Sci. 2023;33(2):281-90. doi:10.4314/ejhs.v33i2.13.

Le A, Lee MA, Wilson J. Nursing handoff education: An integrative literature review. Nurse Educ Pract. 2023;68:103570. doi:10.1016/j.nepr.2023.103570.

Wilson G, Ferrer J. 2005. Assessment and management of patients with vascular disorders and problems of peripheral circulation. In: Farrell M, Smeltzer SC, Bare BG, eds. Smetzer & Bare's textbook of medical-surgical nursing: First Australian/New Zealand Edition. Broadway, NSW, Australia: Lippincott Williams & Wilkins. pp. 819-857.

Sharifirad G, Azadbakht L, Feizi A, Kargar M, Mohebi S. Review the key role of self-efficacy in diabetes care. J Educ Health Promot. 2013;2(1):36. doi:10.4103/2277-9531.115827.

Sankar Raj VM, Patel P. The Role of a clinical psychologist in pediatric nephrology. Pediatr Clin North Am. 2022;69(5):941-9. doi:10.1016/j.pcl.2022.05.007.

Sharma S, Alexander KE, Green T, Wu ML, Bonner A. Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): protocol for a cluster randomised control trial. BMJ Open. 2022;12(2):e056544. doi:10.1136/bmjopen-2021-056544.

Kalantar-Zadeh K, Lockwood MB, Rhee CM, Tantisattamo E, Andreoli S, Balducci A, et al. Patient-centred approaches for the management of unpleasant symptoms in kidney disease. Nat Rev Nephrol. 2022;18(3):185-98. doi:10.1038/s41581-021-00518-z.

Camedda C, Bici G, Magi CE, Guzzon A, Longobucco Y. The therapeutic nurse–patient relationship in hemodialysis: a pilot mixed-method study on the perceived quality of nurses’ attitudes and caring behaviors. Nurs Reports. 2023;13(3):990-1003. doi:10.3390/nursrep13030087.

Sawma T, Sanjab Y. The association between sense of coherence and quality of life: a cross-sectional study in a sample of patients on hemodialysis. BMC Psychol. 2022;10(1):100. doi:10.1186/s40359-022-00805-9.

Murea M, Highland BR, Yang W, Dressler E, Russell GB. Patient-reported outcomes in a pilot clinical trial of twice-weekly hemodialysis start with adjuvant pharmacotherapy and transition to thrice-weekly hemodialysis vs conventional hemodialysis. BMC Nephrol. 2022;23(1):322. doi:10.1186/s12882-022-02946-w.

Asra A, Susila A, Rochman D, Rahayu TG, Lestari M. Adherence to hemodialysis therapy, self-efficacy and quality of life of chronic kidney disease patients in the hemodialysis room. KnE Soc Sci. 2023;8(14):16–24. doi:10.18502/kss.v8i14.13812.

Published
2024/04/18
Section
Original article