“Effectiveness of a Comprehensive Nursing Intervention Program on Self-Efficacy and Quality of Life Among Chronic Renal Failure Patients: A Mixed-Methods Study”.
Keywords:
Hemodialysis, Self-efficacy, Quality of Life, Nursing Intervention, Mixed-Methods, Chronic Kidney Disease..Abstract
Background: Hemodialysis patients often experience diminished self-efficacy and quality of life due to ongoing physical, psychological, and social challenges. Structured nursing interventions may improve adaptation and well-being.
Purpose: To evaluate the effectiveness of a comprehensive nursing intervention program on self-efficacy and quality of life among patients undergoing hemodialysis using a mixed-methods sequential explanatory design.
Methods: A total of 189 hemodialysis patients were assigned to an experimental group (n=94) and a control group (n=95). Quantitative data were collected using validated self-efficacy and Kidney Disease Quality of Life (KDQOL) scales at pre-test and post-test. Paired and independent t-tests, chi-square, and correlation analyses were used. Qualitative data were collected from 15 participants using semi-structured interviews and thematically analyzed.
Results: The experimental group demonstrated significant improvement in self-efficacy (mean difference: 0.96; t=15.29; p<0.0001) and KDQOL (mean difference: 5.15; t=7.66; p<0.0001) after the intervention. No significant changes occurred in the control group. Qualitative findings revealed four themes: emotional distress and adaptation, physical symptom management, impact on work/social functioning, and coping strategies. Integration showed that improved coping and symptom management supported higher self-efficacy and quality of life
Conclusion: The comprehensive nursing intervention program significantly enhanced self-efficacy and QOL among hemodialysis patients. Mixed-method integration confirms that structured support, education, and coping strategies improve patient outcomes.
