An Outcome of Nursing Intervention Strategies on Health Problems among Chronic Kidney Patients in A Tertiary Care Hospital of Shere Kashmir Institute of Medical Sciences Soura Srinagar Kashmir
Journal Title: INDIAN JOURNAL OF HOLISTIC NURSING - Year 2018, Vol 9, Issue 3
Abstract
Chronic kidney disease (CKD) is a global threat to health in general and for developing countries in particular, because therapy is expensive and life-long. It is considered as a devastating medical, social and economic problem for patients and their families. The clinical manifestations of chronic kidney disease occur due to overt metabolic derangements resulting from inability of failed kidney to regulate electrolyte, fluid and acid-base balance as well as due to accumulation of toxic products of amino acid metabolism in the serum which leads to various health problems such as: poor appetite, lassitude, pruritus, drowsiness, dyspnea, bone and joint pain, dryness and ulceration in the mouth, muscle cramps, poor concentration, dry skin, constipation and so on. As chronic kidney disease progress, these problems become worsened and lead to anxiety, irritability and depression, thereby gradually deteriorating the quality of life. Such problems can be curtailed in intensity and life of CKD patients can be improved if they are educated to practice various nursing intervention strategies such as: dietary control, massaging, muscle relaxation techniques and deep breathing exercises in addition to treatment. Hence the present study was undertaken to assess the outcome of nursing intervention strategies on health problems such as: - oliguria, poor appetite, vomiting, joint pain, breathlessness, muscle cramps, mouth ulceration, itching and irritability among chronic kidney disease patients admitted in nephrology ward of a tertiary care hospital of Shere Kashmir Institute of Medical Sciences, Soura Srinagar, Kashmir from 5th March 2012 to 31st July 2013. A quasi-experimental non-equivalent two group pre-test post-test design was used to conduct study on 200 adult chronic kidney disease (CKD) patients who were randomly selected and assigned to experimental and control groups (experimental = 100; control = 100). The CKD patients in the experimental group received the ‘Nursing Intervention Strategies’ including: dietary advice, progressive muscle relaxation therapy, deep breathing exercises, leg massaging therapy, leg elevation therapy and talk therapy, while as those in the control group received the routine care. The findings revealed that the patients in experimental group, who received ‘Nursing intervention strategies’ in addition to their treatment showed improvement due to substantial reduction (p ≤0.05) in all the 9 health problems (oliguria, poor appetite, vomiting, joint pain, breathlessness, muscle cramp, mouth ulcer, itching and irritability). Whereas the control group subjects who received only routine care and prescribed treatment reported a considerable reduction in 6 health problems (oliguria, poor appetite vomiting, joint pain, breathlessness and muscle cramp). Hence, it can be concluded from the results of the study that ‘Nursing intervention strategies’ such as: Dietary advice, progressive muscle relaxation, deep breathing, leg massaging, leg elevation and talk therapy were effective in minimizing health problems among chronic kidney disease patients. However, the long-term efficacy of these strategies needs to be investigated.
Authors and Affiliations
Wani Dilshada,
Keywords
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- EP ID EP473044
- DOI 10.24321/2348.2133.201804
- Views 101
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