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DEVELOPING LIFE SKILLS IN HAEMODIALYSIS USING THE GUIDED SELF-DETERMINATION METHOD: A QUALITATIVE STUDY.
Jeanette Finderup1, Tina Bjerre2, Aase Soendergaard3
1Department of Renal Medicine, Aarhus University Hospital, Aarhus N, Denmark.
Journal of Renal Care
|December 29, 2015
Summary
Guided Self-Determination for Haemodialysis (GSD-HD) improved patients’ life skills and self-management of end-stage renal disease (ESRD). The intervention fostered deeper relationships and enhanced decision-making abilities, showing promise for ESRD patient care.
Area of Science:
- Nephrology
- Psychology
- Patient Education
Background:
- Guided Self-Determination (GSD) effectively improves glycaemia control and life skills in diabetic patients.
- A pilot study indicated GSD's potential for haemodialysis (HD) patients.
- A full-scale GSD intervention for HD patients (GSD-HD) was developed.
Purpose of the Study:
- To evaluate the impact of GSD-HD on patient-nurse relatedness.
- To assess GSD-HD's effect on patients' ability to live well with end-stage renal disease (ESRD).
Main Methods:
- GSD-HD was developed using participatory research.
- A qualitative evaluation was conducted at five Danish dialysis units.
- Semi-structured interviews with 13 patients were analyzed using thematic analysis.
Main Results:
- A process of developing life skills was identified in all participants.
- Changes included improved personal relationships, self-understanding, and self-management of ESRD.
- Themes highlighted enhanced self-determination and decision-making skills.
Conclusions:
- GSD-HD shows potential for improving ESRD patients' quality of life.
- Positive changes in life skills and self-management were observed.
- Further testing of GSD-HD in ESRD patients is warranted.
Keywords:
EmpowermentGuided self-determinationHaemodialysisPatient involvementSelf-determinationSelf-management/self-careShared decision makingMore Related Videos
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