What is the clinical evidence from this study?

Study design: RCT. Population: Advanced chronic renal disease treated with hemodialysis (n=60). Intervention: Nurse-led telephone follow-ups (tele-nursing) vs. Routine care (no telephone follow-up). Primary outcome: Depression score (DASS scale) after intervention (p=0.05).

July 26, 2015Open Access

Effect of Nurse-Led Telephone Follow ups (Tele-Nursing) on Depression, Anxiety and Stress in Hemodialysis Patients

Q: What does this research mean for the field?

Nurse-led telephone follow-ups significantly reduce depression, anxiety, and stress scores compared to routine care in patients undergoing hemodialysis. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

MJMarzieh Kargar JahromiGerash University of Medical Sciences SJShohreh JavadpourJahrom University LTLeila TaheriQom University of Medical Science and Health Services

Key Result

Nurse-led telephone follow-ups significantly reduced depression, anxiety, and stress scores compared to routine care in patients undergoing hemodialysis.

Study Design

Type

RCT (n=60)

Blinding

Double-blind

Randomization

Randomized

Multicenter

Structured PICO

Does nurse-led telephone follow-up reduce depression, anxiety, and stress in hemodialysis patients?

Population

60 patients with advanced chronic renal disease treated with hemodialysis (age 18-65 years, mean age 69.13) at a single center in Iran.

Intervention

Nurse-led telephone follow-up (tele-nursing) 30 days after dialysis shift, in addition to conventional treatment. Sessions lasted up to 30 minutes.

Comparator

Routine care in the hospital with no telephone follow-up.

Outcome

Depression, anxiety, and stress scores measured by the Depression Anxiety and Stress Scales (DASS-21) after completion of the study.patient reported

Nurse-led telephone follow-up significantly improves self-reported depression, anxiety, and stress in patients undergoing hemodialysis.

Main Result

Absolute Event Rate: 8.96% vs 16.2%

p-value: p=0.05

Limitations

Small sample size
Single-center study
Patient attrition during the study

Abstract

INTRODUCTION: Depressive and anxious patients on hemodialysis have a higher risk of death and hospitalizations. The aim of this study was to evaluate the effect of nurse-led telephone follow ups (tele-nursing) on depression, anxiety and stress in hemodialysis patients. METHOD & MATERIAL: The subjects of the study who were selected based on double blind randomized clinical trial consisted of 60 patients with advanced chronic renal disease treated with hemodialysis. The patients were placed in two groups of 30 individuals. Before the intervention, a questionnaire was completed by patients. There was no telephone follow up in the control group and the patients received only routine care in the hospital. The participants allocated to the intervention group received telephone follow-up 30 days after dialysis shift, in addition to conventional treatment. Every session lasted 30 minutes, as possible. Then the DASS scale was filled out by the patients after completion of study by two groups. RESULT: Significant differences were observed between the two groups in the posttest regarding the dimensions scores of DASS scale. CONCLUSION: The result of this trial is expected to provide new knowledge to support the effective follow-up for hemodialysis patient in order to improve their emotional and health status.

Ask AI

Helpful

Bookmark

View Full Paper