Year: 2026 | Month: July-September | Volume: 11 | Issue: 3 | Pages: 323-335
DOI: https://doi.org/10.52403/gijhsr.20260335
Effect of Peer-Led Intervention on Hope and Self-Management of Patients on Haemodialysis
Veena Mohan1, Saniya Jose2
1PG Nursing Student, Department of Medical Surgical Nursing, Lourdes College of Nursing Ernakulam, Kerala University of Health Sciences, India.
2Professor & HOD Department of Medical Surgical Nursing, Lourdes College of Nursing, Ernakulam, Kerala University of Health Sciences, India
Corresponding Author:Veena Mohan
ABSTRACT
Introduction: Haemodialysis patients frequently experience psychosocial distress due to the chronic nature of their illness, which may result in diminished hope and inadequate self-management. Peer-led interventions, wherein trained peers provide emotional, informational, and practical support, have the potential to improve these outcomes. This study aimed to evaluate the effectiveness of a peer-led intervention on hope and self-management among patients undergoing haemodialysis.
Materials and Methods: A pre-experimental one-group pretest–posttest design was used in a selected hospital in Ernakulam. Sixty haemodialysis patients were selected using non-probability convenience sampling and were divided into five groups led by trained peer leaders. The intervention included mindfulness-based activities and structured self-management strategies. Hope and self-management were assessed before and after the intervention using a Demographic Proforma, the Adult Hope Scale, and the Haemodialysis Self-Management Instrument-18. Data were analyzed using descriptive and inferential statistics with SPSS version 20 at a 0.05 level of significance.
Results: Pretest findings showed that 86.7% of participants had moderate hope and 13.3% had low hope, with no participants reporting high hope. Self-management levels were moderate in 60.0%, high in 38.3%, and low in 1.7%. Post-intervention, 78.3% demonstrated moderate hope and 21.7% high hope. Self-management improved markedly, with 96.7% achieving high and 3.3% moderate levels. Significant improvements were observed in hope (t = 4.34, p = 0.02) and self-management (t = 17.32, p = 0.00). Educational status was significantly associated with both variables.
Conclusion: The peer-led intervention significantly enhanced hope and self-management among haemodialysis patients, supporting its integration into routine dialysis care
Keywords: peer-led intervention, hope, self-management, patients on haemodialysis.