Effect of nursing
Effect of nursing intervention on the Quality of life of
children undergoing hemodialysis
Ebtisam Elsayed*1,
Wafaa El-Soreety1, Thanaa Elawany1 and Faten Nasar2
1Pediatric Nursing Department,
Faculty of Nursing, Tanta University, Tanta, Egypt
2 Pediatric
Nursing Departments, Faculty of Nursing, Benha University, Benha, Egypt
Abstract: Renal
failure is a major health problem all over the world that significantly lessens Children'
s quality of life. Their care is a complex process requires multi
disciplinary systems and urgent attention when it is diagnosed. The aim of this
study was to assess the effect of nursing intervention on the Quality of life
of children undergoing hemodialysis. The study was conducted at pediatrics heamodialysis units of Tanta and Benha University hospitals.
A convenient sample of 70 children with chronic renal failure was included in
the study (30 of them from Tanta University hospital and 40 from Benha University hospital).
Their ages ranged from 8-18 years, with mean age 12.80years±3.43. Interviewing
questionnaire sheet and quality of life inventory scales were used to collect
the required data. Data were collected in four phases(Initial phase,
developmental phase, implementation phase and evaluation phase). The results of
the current study revealed that, most of children were males (56%). A
significant improvement in psychological domain score was found post
intervention, in comparison to that pre intervention with significant
decrease in categories of very poor quality of life(P=0.0001) ,and the
percentage increased with the average and high quality of life (P=0.008and 0.061
respectively).There was no significant improvement in physical , social
and school attendance domain score of quality of life post intervention in
comparison to that pre intervention .with significant improvement only in high
quality of life score of physical domain ( P= 0.002 ) .Regarding to
total score of quality of life, significant improvement was found regarding
very poor, average and high quality of life post intervention. .(p=0.0001.0.010and0.005)
respectively. Conclusion: Nursing intervention had positive effect on
all domains of quality of life, specially psychological domain,
which showed significant improvement. So it was recommended that, health
education sessions should be conducted in heamodialysis units to all nursing
staff as care providers, mothers and children to improve the
compliance to the prescribed treatment as well as to help them to adapt
with their limitation of the disease and its management.
[Ebtisam
Elsayed, Wafaa El-Soreety, Thanaa Elawany and Faten Nasar. Effect of
nursing intervention on the Quality of life of children undergoing
hemodialysis. Life Sci J 2012;9(1):77-86] (ISSN: 1097-8135). http://www.lifesciencesite.com.14
Keywords: Nursing intervention, Quality of life,
Hemodialysis, chronic kidney disease Full Text 14
