Empowerment of patients with end-stage renal disease--a randomized controlled trial

Int J Nurs Stud. 2004 Jan;41(1):59-65. doi: 10.1016/s0020-7489(03)00095-6.


The purpose of the study is to investigate the effectiveness of an empowerment program on empowerment level, self-care self-efficacy and depression in patients with end-stage renal disease. The study was a randomized controlled trial; qualified patients in two dialysis centers of major hospitals in southern Taiwan were randomly assigned into an empowerment group (n=25) and a control group (n=25). The empowerment program included identification of problem areas for self-management; exploration of emotions associated with these problems; development of a set of goals and strategies to overcome these problems to achieve these goals; creation and implementation of behavioral change plans; and stress management. The outcomes measured were the Empowerment Scale, the Strategies Used by People to Promote Health and the Beck Depression Inventory. Data were collected at baseline and 6 weeks following intervention. Primary statistical analysis was by means of t-test and analysis of covariance. The results indicated that scores of the empowerment (t(48)=6.54, p<0.001), self-care self-efficacy (F(1,47)=10.82, p=0.002) and depression (t(48)=2.49, p=0.03) in the empowerment group have a significantly greater improvement than the control group.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analysis of Variance
  • Attitude to Health*
  • Depression / diagnosis
  • Depression / etiology
  • Depression / prevention & control*
  • Depression / psychology
  • Female
  • Health Promotion
  • Humans
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / psychology*
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Models, Educational
  • Models, Psychological
  • Outcome Assessment, Health Care
  • Patient Education as Topic / organization & administration*
  • Power, Psychological*
  • Program Evaluation
  • Prospective Studies
  • Psychiatric Status Rating Scales
  • Quality of Life
  • Renal Dialysis
  • Self Care / psychology
  • Self Efficacy
  • Taiwan