A STUDY TO EVALUATE THE EFFECTIVENESS OF NURSING INTERVENTION STRATEGIES ON PHYSIOLOGICAL PROBLEMS AMONG CHRONIC KIDNEY PATIENTS IN A TERTIARY CARE HOSPITAL OF SHERE KASHMIR INSTITUTE OF MEDICAL SCIENCES SOURA SRINAGAR KASHMIR

Wani Dilshada, Koul Pity

Abstract


As chronic kidney disease progress, the patients develop distressing problems like oliguria, anemia edema, sleep disturbances, fatigue, restless leg syndrome and hypertension which is both the main physiological cause and sign of the chronic kidney disease.These problems 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 being advised and exposed to various nursing intervention strategies such as: dietary control, massaging, muscle relaxation techniques and deep breathing exercises in addition to drug adherence.Hence the present study was conducted to evaluate the effectiveness of nursing intervention strategies on physiologicalproblems such as:anemia, hypertension, edema, insomnia, fatigue and restless leg syndrome among patients with chronic kidney diseaseinnephrology ward of a tertiary care hospital of Shere Kashmir Institute of Medical Sciences, Soura Srinagar, Kashmir. A quasi-experimental non-equivalent two group pre-test post-test design was used to conduct study on 200 adult chronic kidney disease patients who were randomly selected and assigned to experimental and control groups (experimental=100; control= 100) The study subjects 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, whereas study subjects in the control group received the routine care.The findings revealed that the study subjects in experimental group,who received nursing intervention strategies and prescribed treatment showed a significant reduction (p ≤ 0.05) in magnitude of 5 physiological problems such as: systolic blood pressure, edema of feet, insomnia, fatigue and restless leg syndrome. Whereas the control group subjects who received only routine care and prescribed treatment showed a significant reduction (p ≤ 0.05) in only 3 physiological problems such as: systolic blood pressure, insomnia and fatigue.Based on the study findings it can be concluded that nursing intervention strategies such as : Dietary advice, progressive muscle relaxation, deep breathing, leg massaging , leg elevation and talk therapy were effective in minimizing the magnitude of physiological problems among chronic kidney disease patients. However the long term efficacy of these strategies needs to be investigated.
Key words
Chronic Kidney Disease, Nursing Intervention Strategies, Physiological Problems

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How to cite this article:

Wani Dilshada1, Koul Pity; A study to evaluate the effectiveness of nursing intervention strategies on physiological problems among chronic kidney patients in a tertiary care hospital of Shere Kashmir institute of medical sciences Soura Srinagar Kashmir; International Journal of Nursing and Medical Science 2018; 7 (4), 44-65.


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