Effect of Empowerment Program on Quality of Life, Adherence, Clinical Outcomes and Care Giver Burden of Patients Undergoing Hemodialysis: A Systematic Review”

Abstract

Background: Over a million people worldwide die from chronic kidney failure each year, and the number of people with the condition is rising quickly. Patients that go through the empowerment process learn how to manage their families well, which enhances their lifestyle and quality of life.  Aim: This systematic review's objectives were to summarise the impact of empowerment programmes on patients receiving hemodialysis's quality of life, adherence, clinical outcomes, and caregiver burden, identify the most frequently used tools, and report on the results of these programmes' effects on both patients and caregivers. Method: We conducted a PRISMA-compliant search for papers using the terms "empowerment programme" and "hemodialysis" or "quality of life AND adherence" or "clinical outcomes AND care giver burden" in conjunction with other terms in the PubMed, Psyc INFO, Web of Science, and CINAHL databases. Results: Five empirical studies were discovered to be relevant to our research. The effect of an empowerment programme on the patients quality of life, adherence, clinical results, and caregiver burden of hemodialysis patients is evaluated using a variety of methods. We discovered that there were substantial differences between the groups in terms of changes in haemoglobin and hematocrit levels, interdialytic weight gain, and changes in both systolic and diastolic blood pressure before and after the intervention. Prior to the empowerment, all caregivers had high levels of anguish; however, following the empowerment, 66% of caregivers experienced mild to moderate levels. After six weeks, the patients in the empowerment group had a higher score for quality of life. Conclusions: Empowering hemodialysis patients and their caregivers can improve adherence and clinical results while easing caregivers' distress, as this review emphasizes. In order to minimise the deterioration of their health issues and quality of life, it is important to consider empowering persons with renal insufficiency.