Effects of Health Coaching on Self-Management Ability in Patients Undergoing Maintenance Hemodialysis: A Quasi-Experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Self-Management Ability
研究概览
简要总结
This study is a quasi-experimental study designed to evaluate the effects of a health coaching intervention on self-management ability in patients undergoing maintenance hemodialysis. Patients receiving maintenance hemodialysis will be recruited from the hemodialysis center of the study hospital. Participants in the intervention group will receive a structured health coaching intervention in addition to routine care, while participants in the control group will receive routine care. The intervention aims to improve patients' self-management ability by providing individualized health education, goal setting, self-management guidance, follow-up support, and feedback. The main outcome of this study is self-management ability. Secondary outcomes may include self-efficacy, disease knowledge, and treatment adherence.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged ≥18 years who met the diagnostic criteria for ESRD according to the KDIGO 2012 Clinical Practice Guideline, namely a glomerular filtration rate of less than 15 mL/min/1.73 m².
- •Patients who have received regular maintenance hemodialysis for at least 3 months, with a dialysis frequency of three times per week.
- •Patients with a relatively stable clinical condition and no severe complications that may affect participation in the study.
- •Patients who are conscious, have normal communication ability, and are able to cooperate in completing the study procedures and questionnaires.
- •Patients who have no plan to change dialysis centers or travel for an extended period during the intervention period.
- •Patients who voluntarily agree to participate in this study and provide informed consent.
排除标准
- •Patients with severe cognitive impairment, mental disorder, or communication difficulties that prevent participation in the intervention or completion of questionnaires.
- •Patients with severe acute illness or unstable clinical condition.
- •Patients who are unable or unwilling to complete the 6-month intervention or follow-up.
- •Patients participating in another similar intervention study during the same period.
结局指标
主要结局
Self-Management Ability
时间窗: Baseline, 3 months after the intervention, and 6 months after the intervention
Self-management ability will be assessed using the Maintenance Hemodialysis Self-Management Scale at baseline, 3 months after the intervention, and 6 months after the intervention. The scale consists of 20 items and includes four dimensions: problem solving, self-care, partnership, and emotional management. Each item is scored on a 4-point Likert scale, ranging from 1 to 4. The total score ranges from 20 to 80, with higher scores indicating better self-management behavior. Changes in self-management ability across the three time points will be evaluated.
次要结局
- Disease Knowledge(Baseline, 3 months after the intervention, and 6 months after the intervention)
- Self-Efficacy(Baseline, 3 months after the intervention, and 6 months after the intervention)
- Treatment Adherence(Baseline, 3 months after the intervention, and 6 months after the intervention)
研究者
Sirong Zhao
Graduate Student
Anhui Medical University