Abstract

Introduction: Improving health-related quality of life (HRQoL) among patients with end-stage kidney disease (ESKD) undergoing continuous ambulatory peritoneal dialysis (CAPD) has an important outcome of nursing care, but the strategies for promoting HRQoL and tools have not been conclusive. Purpose: To examine the intervention strategies, instruments and outcomes in studies in order to improve HRQoL in patients with ESKD undergoing CAPD. Method An integrative review following the guidelines of Whittemore and Knafl (2005). Results: Five studies met the criteria used to determine the eligibility of studies to be used in this review. The intervention strategies were discharge plans, patient education, telephone follow-up, peer support, home visits, and cognitive behaviour therapy. The instruments for measuring HRQoL were SF-36 and KDQOL. All interventions could improve HRQoL. Conclusion: The promotion of HRQoL in patients with ESKD undergoing CAPD should combine more than one strategy in the intervention. The findings can be used as a reference for nurses to develop nursing interventions or caregiving protocols for ESKD patients undergoing CAPD to improve HRQoL.

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