The Effect of Comfort Theory-Based Nursing Care on Intolerance of Uncertainty and Comfort Levels in Individuals Undergoing Hemodialysis: A Randomized Controlled Trial

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dc.contributor.authorGumustekin, Kubra
dc.contributor.authorGuvener, Yasemin Ozyer
dc.date.accessioned2026-04-25T14:20:24Z
dc.date.available2026-04-25T14:20:24Z
dc.date.issued2025
dc.departmentSinop Üniversitesi
dc.description.abstractBackground and Purpose: Chronic renal failure is a common public health problem worldwide, and hemodialysis has become the standard treatment. During this long and exhausting process, it is extremely important that individuals undergoing hemodialysis receive effective and high-quality nursing care so that accurate prognoses can be made and complications prevented. This study aimed to determine the effect of comfort theory-based nursing care on intolerance to uncertainty and comfort levels in hemodialysis patients. Methods: The sample of this randomized controlled study consisted of individuals receiving hemodialysis at a private dialysis center. The sample comprised a total of 60 patients, 30 in the experimental group and 30 in the control group. Patients in the experimental group received training during an 8-week dialysis period using nursing care interventions based on Katharine Kolcaba's comfort theory for health care needs. The training content covered holistic nursing care and consisted of physical, psychospiritual, sociocultural, and environmental dimensions in order to reduce uncertainty and increase comfort levels in the individuals receiving dialysis. This care was based on Kolcaba's comfort theory. A Personal Information Form including the individuals' descriptive, disease, and treatment characteristics, the Intolerance of Uncertainty Scale (IUS), and the General Comfort Questionnaire (GCQ) were used for data collection. Independent two-sample comparisons were performed using the chi(2) test for qualitative variables and the t test for quantitative variables. Results: In the comparison of the groups, there were significant results for the total GCQ and its subdimensions except for the relief subdimension (p < 0.05). The scores for the total IUS and its subdimensions were significant (p < 0.01). Implications for Practice: It was determined that comfort theory-based nursing care interventions were effective in reducing the level of intolerance of uncertainty and increasing the comfort level. It is recommended that comfort theory-based nursing care guidelines should be used to reduce the sense of uncertainty and increase the comfort levels of individuals receiving hemodialysis.
dc.identifier.doi10.1891/RTNP-2024-0114
dc.identifier.endpage316
dc.identifier.issn1541-6577
dc.identifier.issn1945-7286
dc.identifier.issue2
dc.identifier.pmid39971328
dc.identifier.scopus2-s2.0-105010736480
dc.identifier.scopusqualityQ4
dc.identifier.startpage299
dc.identifier.urihttps://doi.org/10.1891/RTNP-2024-0114
dc.identifier.urihttps://hdl.handle.net/11486/8534
dc.identifier.volume39
dc.identifier.wosWOS:001538550700008
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Publishing Co
dc.relation.ispartofResearch and Theory for Nursing Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260420
dc.subjecthemodialysis
dc.subjecttraining
dc.subjectcomfort theory
dc.subjectnursing care
dc.subjectintolerance of uncertainty
dc.titleThe Effect of Comfort Theory-Based Nursing Care on Intolerance of Uncertainty and Comfort Levels in Individuals Undergoing Hemodialysis: A Randomized Controlled Trial
dc.typeArticle

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