SOLUTION-FOCUSED COMMUNICATION TOWARDS HAEMODIALYSIS PATIENTS
Mark Beyebach, lecturer and researcher in the Department of Health Sciences of the Public University of Navarre (NUP/UPNA), has conducted a pilot study demonstrating the positive impact of solution-focused communication by nurses towards their patients on haemodialysis so that the patients can manage to reduce their liquid intake contributing towards the satisfactory course of their treatment.
The study, published recently in the Journal of Advanced Nursing, has been conducted over a period of six months with a group of 36 patients in the Haemodialysis Unit of the General University Hospital of Alicante and three nurses who had received training in solution-focused communication.
The main question that the research aims to address is how to facilitate the reduction in the intake of liquid (and food) of certain patients on haemodialysis who have problems in achieving this, “something that the majority find tremendously difficult and uncomfortable, in particular during these hot months,” said Beyebach.
Various pieces of research have shown that in that way not only is the comfort of the haemodialysis sessions increased, the life quality of the patients is improved, and their survival extended. Ensuring that the patient’s weight gain between one session and the next should be the indispensable minimum and that, therefore, the work of the machine that is purifying the blood should take the shortest possible time to improve the life quality of the patients, and to extend their survival period.
In order to achieve results changing the communicative style is the best way.
"It is a pilot study, not controlled and carried out on a small sample, but which explores an innovative alternative that no one has studied until now and which is pointing to some promising results,” stressed the researcher. Normally, as he explained, to get the patient to reduce his/her intake, techniques such as the therapy or psychoeducation of the patients themselves are tried but they often fail to achieve the desired results. “It is necessary to empathise with the difficulties facing the patients and to reinforce positive behaviour, each patient’s own resources,” he said. “You also have to bear in mind that many of these patients have been waiting for a transplant for years and their moods are close to depression, so merely instructive communication is of no use whatsoever,” he said.
Erudite Nursing Institute™ encourages nurses to deliver effective communication towards their patients promoting bond and affection, easing the course of their treatment and improving the way they perceive their condition as well.
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