Educational supportive group therapy and the quality of life of hemodialysis patients
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RESEARCH
Open Access
Educational supportive group therapy and the quality of life of hemodialysis patients Sajad Mansouri1, Amir Jalali2* , Mahmoud Rahmati1 and Nader Salari3
Abstract Background: In addition to physical, mental, and social condition, ESRD and hemodialysis affect the quality of life of patients as well. Psychotherapy and non-pharmaceutical interventions are effective measures to add meaning to life, create a goal and motivation in life, and improve the quality of life in chronic patients. The effect of educational and supportive group therapy on the quality of life (QOL) of hemodialysis patients was examined. Methods: The study was carried out as an interventional quasi-experimental study with the participation of 64 patients who were selected through convenience sampling and based on the patient’s hemodialysis days (Saturday, Monday, and Wednesday patients as an experimental group and Sunday, Tuesday, and Thursday patients as a control group). There were 32 patients in each group. The experimental group received eight 50 min sessions including two sessions per week. The control group received the normal interventions. The participants were assessed using a demographics form and Kidney Disease Quality of Life Short Form before, immediately after, and 1 month after the intervention. The collected data was analyzed using SPSS (v.24). Results: The mean QOL scores of the experimental group before, immediately after, and 4 weeks after the intervention were 36.99, 43.3, and 44.9 respectively. Those of the control group were 36.39, 37.2, and 37.1 respectively. There was no significant difference between the two groups before the intervention (P > 0.05); however, the difference between the two groups was significant immediately after and 4 weeks after the intervention (P = 0.0001). The trend of score change in the experimental group was also significant (p < 0.05), and Tukey ad-hoc test showed significant differences between the scores before intervention and those immediately after and 4 weeks after the intervention (p < 0.05). Conclusion: In general, educational and supportive group therapy can expand the interpersonal relationships of hemodialysis patients and positively affect their quality of life. Keywords: Quality of life, ESRD, Group therapy
Introduction The prevalence of end stage renal disease (ESRD) is growing along with population growth and the expansion of urban life [1]. In addition, chronic kidney disease (CKD) has become a serious public health issue due to the increase in the prevalence and mortality rate of the disease [2]. One of the main challenges of health systems * Correspondence: [email protected] 2 Substance Abuse Prevention Research Center, Research Institute for Health, Kermanshah University of Medical Sciences, Kermanshah, Iran Full list of author information is available at the end of the article
in the twenty-first century is that there will be1,200 ESRD patients in each million population by 2020 [3]. The number of HD patients is increasing by 15% each year in Iran [
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