Improving management of needle distress during the journey to dialysis through psychological education and training—the INJECT study feasibility pilot protocol

Pilot and Feasibility Studies

G. Radisic¹  F. Donnelly¹  S. Jesudason²  R. Le Leu²  S. McDonald²  L. Macauley²  E. Duncanson³  J. K. Turner⁴  A. Chur-Hansen⁵  K. L. Collins⁶  A. L. J. Burke⁶  K. Hill⁷ 

[1]Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, 5000, Adelaide, South Australia, Australia

[2]Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, 5000, Adelaide, South Australia, Australia

[3]School of Medicine, Faculty of Health and Medical Sciences, University of Adelaide, 5000, Adelaide, South Australia, Australia

[4]Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, 5000, Adelaide, South Australia, Australia

[5]School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, 5000, Adelaide, South Australia, Australia

[6]Psychology Department, Royal Adelaide Hospital, 5000, Adelaide, South Australia, Australia

[7]School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, 5000, Adelaide, South Australia, Australia

[8]School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, 5000, Adelaide, South Australia, Australia

[9]Psychology Department, Royal Adelaide Hospital, 5000, Adelaide, South Australia, Australia

[10]University of South Australia, 5000, Adelaide, South Australia, Australia

关键词: Haemodialysis;    Needle distress;    Psychology;    Education;    Training;   

DOI  :  10.1186/s40814-022-00989-2

来源: Springer

【 摘 要 】

BackgroundNeedle-related distress is a common yet poorly recognised and managed problem among haemodialysis (HD) patients. The aim of this pilot study is to test the feasibility and acceptability of the INJECT Intervention—an innovative psychology-based intervention to empower patients to self-manage needle distress with the support of dialysis nurses.MethodsThis investigator-initiated, single-arm, non-randomised feasibility study will take place in a large dialysis service in Adelaide, Australia. Participants will include patients aged ≥ 18 years, commencing or already receiving maintenance HD, recruited through dialysis physicians and nursing staff as individuals believed to be at risk of needle distress. They will be screened for inclusion using the Dialysis Fear of Injection Questionnaire (DFIQ) and enrolled into the study if the score is ≥ 2. The multi-pronged intervention encompasses (i) psychologist review, (ii) patient self-management program and (iii) nursing education program. The primary aim is to evaluate feasibility and acceptability of the intervention from patient and dialysis nurse perspectives, including recruitment, retention, engagement with the intervention and completion. Secondary exploratory outcomes will assess suitability of various tools for measuring needle distress, evaluate acceptability of the nursing education program and measure cannulation-related trauma and vascular access outcomes.ConclusionThe results will inform the protocol for larger trials addressing needle distress in HD patients.Trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12621000229875, approved 4 April 2021, https://www.anzctr.org.au/.

【 授权许可】

CC BY