title: Empowerment of patients with end-stage renal disease--a randomized controlled trial.
abstract: The purpose of the study is to investigate the effectiveness of an empowerment program on empowerment level, self-care self-efficacy and depression in patients with end-stage renal disease. The study was a randomized controlled trial; qualified patients in two dialysis centers of major hospitals in southern Taiwan were randomly assigned into an empowerment group (n=25) and a control group (n=25). The empowerment program included identification of problem areas for self-management; exploration of emotions associated with these problems; development of a set of goals and strategies to overcome these problems to achieve these goals; creation and implementation of behavioral change plans; and stress management. The outcomes measured were the Empowerment Scale, the Strategies Used by People to Promote Health and the Beck Depression Inventory. Data were collected at baseline and 6 weeks following intervention. Primary statistical analysis was by means of t-test and analysis of covariance. The results indicated that scores of the empowerment (t(48)=6.54, p<0.001), self-care self-efficacy (F(1,47)=10.82, p=0.002) and depression (t(48)=2.49, p=0.03) in the empowerment group have a significantly greater improvement than the control group.
authors.affiliation: Graduate Institute of Nursing, National Taipei College of Nursing, 365 Ming Te Road, Pei-Tou, Taipei, Taiwan. sltsay@ntcn.edu.tw
authors.forename: Shiow-Luan
authors.initials: SL
authors.lastname: Tsay
authors.forename: Li-Oer
authors.initials: LO
authors.lastname: Hung
mesh_terms: D000704:Analysis of Variance; D001294:Attitude to Health; D003863:Depression / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006293:Health Promotion; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000523:psychology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D017145:Models, Educational; D008960:Models, Psychological; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration*; D011209:Power, Psychological; D015397:Program Evaluation; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D006435:Renal Dialysis; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy; D013624:Taiwan