Turkiye Klinikleri Journal of Nursing Sciences

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Hemodiyaliz Tedavisi Uygulanan Bireylerde Sıvı Alımına, Diyet ve İlaç Yönetimine Uyumda Motivasyonel Görüşmenin Etkisi: Sistematik Derleme
The Effect of Motivational Interviewing on Adherence to Fluid Intake, Diet and Drug Management in the Individuals Receiving Hemodialysis Treatment: Systematic Review
Şefika Tuğba YANGÖZa, Zeynep ÖZERa
aAkdeniz Üniversitesi Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği ABD, Antalya, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2020;12(3):419-29
doi: 10.5336/nurses.2020-74681
Article Language: TR
Full Text
ÖZET
 Bu sistematik derlemenin amacı, hemodiyaliz tedavisi uygulanan bireylerde sıvı alımı, diyet ve ilaç yönetimine uyumda motivasyonel görüşme yönteminin etkisini incelemektir. Bu sistematik derlemede, tarama yıl sınırlaması olmaksızın 'ScienceDirect, Web of Science, SpringerLink, Networked Digital Library of Theses and Dissertations, Ovid, CINAHL, PubMed, Cochrane Library, ProQuest, YÖK Ulusal Tez Merkezi, ULAKBİM' veri tabanlarında İngilizce dilinde 'hemodialysis', 'adherence', 'motivational interviewing' terimleri ve kombinasyonları kullanılarak Eylül 2019-Ekim 2019 tarihleri arasında yapılmıştır. Araştırmaların başlıkları ile özeti, 2 araştırmacı tarafından gözden geçirilmiş ve 5 çalışma sistematik derlemeye dâhil edilmiştir. Sistematik derleme, Cochrane kılavuzuna göre hazırlanmıştır. Derlemeye dâhil edilen çalışmaların 3'ü randomize kontrollü, 2'si nonrandomize çalışmadır. Üç çalışmada sıvı alımına uyum, 1 çalışmada diyet ve ilaç yönetimine uyum, 1 çalışmada sıvı alımı, diyet ve ilaç yönetimine uyum üzerine motivasyonel görüşmenin etkisi incelenmiştir. Motivasyonel görüşme, 2 çalışmada hemodiyaliz seansları sırasında uygulanmış ve diğer çalışmalarda uygulama zamanı belirtilmemiştir. Dâhil edilen çalışmalarda, motivasyonel görüşmenin seans sayısı 2-16, seans süresi ise 15-40 dk arasında değişmektedir. Bireylerin sıvı alımı, diyet ve ilaç yönetimine uyumları ise geçerli ve güvenilir ölçme araçları ile değerlendirilmiştir. Derlemenin sonucunda, motivasyonel görüşmenin sıvı alımı, diyet ve ilaç yönetimine uyum üzerinde olumlu bir etkiye sahip olduğu görülmüştür. Motivasyonel görüşmenin, hemodiyaliz tedavisi uygulanan bireylerde etkilerine ilişkin daha büyük örneklem grupları ile randomize kontrollü çalışmaların planlanması, bireylerde davranış değişikliği hedefleyen bir yöntem olduğu için hemşirelik bakım sürecinde yararlanılması önerilmektedir.

Anahtar Kelimeler: Hemodiyaliz; hemşirelik; motivasyonel görüşme; sistematik derleme; uyum
ABSTRACT
 The purpose of this systematic review was to examine the effect of the motivational interviewing on compliance to fluid intake, diet and drug management in individuals receiving hemodialysis treatment. Systematic searches were conducted in ScienceDirect, Web of Science, SpringerLink, Networked Digital Library of Theses and Dissertations, Ovid, CINAHL, PubMed, Cochrane Library, ProQuest, Council of Higher Education National Thesis Center, ULAKBIM databases in September 2019-October 2019 with using the 'hemodialysis, adherence, motivational interviewing' keywords. The eligible of studies was evaluated by 2 researchers and 5 studies were included. This systematic review was prepared according to the Cochrane handbook. Three of the studies included were randomized controlled trial and 2 were non-randomized. Three examined the effect of motivational interviewing on compliance to fluid intake, 1 to diet and drug management, and 1 to fluid intake, diet and drug management. The intervention was performed during hemodialysis sessions in 2 studies, and time of intervention was not specified in others. The number of sessions varied between 2-16 sessions, and the duration of intervention between 15-40 minutes. Adults' compliance to fluid intake, diet and drug management was evaluated with valid and reliable measurement tools. In this systematic review, it was seen that motivational interviewing had a positive effect on compliance to fluid intake, diet and drug management. The randomized controlled studies with larger sample groups regarding the effects of motivational interviewing on adults receiving hemodialysis treatment, and since this method aims at behavioral change in adults, using this in nursing care is recommended.

Keywords: Hemodialysis; nursing; motivational interviewing; systematic review; compliance
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