Jing Wang1, Peng Yue2, Jing Huang3, Xiaodong Xie4, Yunhua Ling5, Li Jia5, Yunjin Xiong6, Fang Sun4. 1. Patient Service Center, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China. 2. School of Nursing, Department of Basic Nursing, Capital Medical University, Beijing, China. 3. Urology Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China. 4. Kidney Internal Medicine, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China. 5. Blood Purification Section, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China. 6. Kidney Internal Medicine, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing, China.
Abstract
BACKGROUND: Dialysis is imperative for patients with end-stage renal disease (ESRD); however, compliance ensures its efficacy. Nursing intervention has been considered to improve compliance. This meta-analysis is aimed at exploring the effects of nursing intervention on dialysis compliance. METHODS: A search was performed in the PubMed, Cochrane, and Embase databases for relevant original research articles. Studies were included or excluded based on the simultaneous consideration of quality as ranked by Jadad score and the compliance with predefined selection criteria. RESULTS: A total of 817 participants were included. The results showed that nursing intervention led to significantly higher compliance with dialysis than in standard care. A pilot analysis evidenced that different intervention strategies, including educational, cognitive, and behavioral approaches, had limited effects on dialysis compliance. CONCLUSION: Nursing intervention is beneficial for raising dialysis compliance, providing evidence of the need to strengthen nursing care for ESRD patients administered with dialysis in daily clinical practice.
BACKGROUND: Dialysis is imperative for patients with end-stage renal disease (ESRD); however, compliance ensures its efficacy. Nursing intervention has been considered to improve compliance. This meta-analysis is aimed at exploring the effects of nursing intervention on dialysis compliance. METHODS: A search was performed in the PubMed, Cochrane, and Embase databases for relevant original research articles. Studies were included or excluded based on the simultaneous consideration of quality as ranked by Jadad score and the compliance with predefined selection criteria. RESULTS: A total of 817 participants were included. The results showed that nursing intervention led to significantly higher compliance with dialysis than in standard care. A pilot analysis evidenced that different intervention strategies, including educational, cognitive, and behavioral approaches, had limited effects on dialysis compliance. CONCLUSION: Nursing intervention is beneficial for raising dialysis compliance, providing evidence of the need to strengthen nursing care for ESRDpatients administered with dialysis in daily clinical practice.