How effective is an energy conservation intervention in managing symptoms and improving health-related quality of life in people receiving haemodialysis?

Paper


Sharma, Sita, Bonner, Ann, Wu, Min-Lin (Winnie), Alexander, Kimberly E. and Green, Theresa. 2022. "How effective is an energy conservation intervention in managing symptoms and improving health-related quality of life in people receiving haemodialysis?" 2022 Renal Society of Australasia (RSA) Annual Conference . Darwin, Australia 16 - 18 Jun 2022 Australia.
Paper/Presentation Title

How effective is an energy conservation intervention in managing symptoms and improving health-related quality of life in people receiving haemodialysis?

Presentation TypePaper
AuthorsSharma, Sita, Bonner, Ann, Wu, Min-Lin (Winnie), Alexander, Kimberly E. and Green, Theresa
Journal or Proceedings TitleRenal Society of Australasia Journal
Journal Citation18 (Supplement - June), pp. 12-12
Number of Pages1
Year2022
Place of PublicationAustralia
ISSN1832-3804
Web Address (URL) of Paperhttps://www.renalsociety.org/journal/previous-issues/
Web Address (URL) of Conference Proceedingshttps://www.renalsociety.org/education/2022-conference/
Conference/Event2022 Renal Society of Australasia (RSA) Annual Conference
Event Details
2022 Renal Society of Australasia (RSA) Annual Conference
Delivery
In person
Event Date
16 to end of 18 Jun 2022
Event Location
Darwin, Australia
Event Venue
Darwin Convention Centre
Abstract

Background: Multiple symptoms occur in people with kidney failure receiving haemodialysis (HD) that adversely affects health-related quality of life (HRQoL). Energy conservation strategies have been shown to maintain the expected level of energy, reduce the symptom severity, which eventually improves HRQoL in cancer multiple sclerosis populations; however, evidence specific to the HD population is lacking.

Aim: To assess the efficacy of energy conservation intervention in managing symptoms and improving HRQoL in people receiving HD.

Methods: A cluster randomised controlled trial compared an energy conservation education program (12-weeks structured program) with usual care. A total of 126 participants with kidney failure receiving HD were recruited and cluster randomised based on HD shifts (intervention group, n = 63; control group, n = 63). Symptoms were measured using the integrated palliative care outcome scale renal version (IPOS-renal) while HRQoL was measured using the SF-36 questionnaire. Data were collected at baseline and week-12. Intention-to-treat analysis was used.

Results: There were no significant differences in socio-demographic, clinical characteristics, symptoms, and HRQoL score between groups at baseline. A significant improvement in weakness, pain, mobility, depression, anxiety, and IPOS-renal total score was observed in the intervention group from baseline to week-12 compared to the control (all p<.001). Both HRQoL physical and mental component summary scores were also significantly improved for the intervention compared to the control group (p<.001).

Conclusion: Energy conservation strategies could be valuable in managing symptoms and improving HRQoL in people receiving HD. Education about these strategies can be delivered by nurses during HD sessions.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
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Byline AffiliationsGriffith University
Queensland University of Technology
University of Queensland
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