The Impact of Educational or Behavioural Interventions on Fatigue in Adults Receiving Haemodialysis: A Systematic Review and Meta-Analysis.
Qingshu Zhang, Tiqiong Gong, Yansheng Ye
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In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness of self-management education, exercise training, and cognitive behavioural therapy on fatigue in adults undergoing haemodialysis. Among 30 studies, self-management education significantly reduced fatigue (SMD = 0.98, 95% CI [0.69, 1.28], p < 0.001), while exercise training also showed a significant effect (SMD = 0.82, 95% CI [0.44, 1.20], p < 0.001).
Key findings
- Self-management education significantly reduced fatigue with an SMD of 0.98.
- Exercise training also showed a significant effect on fatigue with an SMD of 0.82.
- Cognitive behavioural therapy did not demonstrate a significant effect on fatigue.
- The evidence for self-management education was rated as moderate certainty.
Why it matters
Fatigue is a prevalent issue in patients on haemodialysis, impacting their quality of life. Understanding effective non-pharmacological interventions can help clinicians improve patient outcomes and enhance overall well-being.