Educational or behavioural interventions for symptoms and health-related quality of life in adults receiving haemodialysis: A systematic review

Article


Sharma, Sita, Green, Theresa, Alexander, Kimberly E. and Bonner, Ann. 2020. "Educational or behavioural interventions for symptoms and health-related quality of life in adults receiving haemodialysis: A systematic review." Journal of Renal Care. 46 (4), pp. 233-249. https://doi.org/10.1111/jorc.12329
Article Title

Educational or behavioural interventions for symptoms and health-related quality of life in adults receiving haemodialysis: A systematic review

ERA Journal ID40129
Article CategoryArticle
AuthorsSharma, Sita, Green, Theresa, Alexander, Kimberly E. and Bonner, Ann
Journal TitleJournal of Renal Care
Journal Citation46 (4), pp. 233-249
Number of Pages17
Year2020
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN1019-083X
1755-6678
1755-6686
Digital Object Identifier (DOI)https://doi.org/10.1111/jorc.12329
Web Address (URL)https://onlinelibrary.wiley.com/doi/abs/10.1111/jorc.12329
Abstract

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.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
Public Notes

The accessible file is the accepted version of the paper. Please refer to the URL for the published version.

Byline AffiliationsQueensland University of Technology
University of Queensland
Metro North Health, Australia
Royal Brisbane and Women’s Hospital, Australia
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