The Efficacy of Integrated Care Protocol on Improving Health-Related Quality of Life among Patients Undergoing Hemodialysis

Abstract

Background: Hemodialysis is considered the most effective modality for sustaining the lives of patients with end-stage renal disease, as it plays a critical role in replacing essential kidney functions. However, despite its life-saving nature, hemodialysis is associated with a negative impact on various domains of health-related quality of life (HRQoL). Often result in a significant decline across physical, psychological, and social dimensions. Therefore, it is imperative to address these challenges and develop effective strategies, ensuring they can lead a dignified and balanced life through comprehensive care. Evidence supporting the effectiveness of integrated care in improving patient outcomes is weak.

Study Aim: To determine the effectiveness of integrated care protocol on improving HRQoL among patients undergoing hemodialysis.

Methods and Results: A randomized controlled trial (RCT) was conducted on 70 patients randomly and equally assigned into two groups (experimental and control group); a non-probability (purposive sample) was included in the present study for patients under hemodialysis. The study results indicated the implementation of the integrated care protocol led to significant improvements in HRQoL across multiple domains for the experimental group compared with those participants in the control group. The discussion of the results focused on the implications of the findings for clinical practice.

Conclusion: The study has concluded that the integrated care protocol implementation is an effective approach to enhanced HRQoL among patients undergoing hemodialysis. The study recommends future research should continue to explore the efficacy and impact of other protocols on these populations to further inform best nursing practices in the management of negative outcomes of Hemodialysis.