Abstract
BackgroundIn 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.MethodsThe 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).ResultsThe 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).ConclusionIn general, educational and supportive group therapy can expand the interpersonal relationships of hemodialysis patients and positively affect their quality of life.
Highlights
The prevalence of end stage renal disease (ESRD) is growing along with population growth and the expansion of urban life [1]
The study was completed with 60 patients, 88.33% men and 11.67% women
The two groups are identical in terms of sex, marital status, education, job, domicile, and average monthly income (p > 0.05)
Summary
The prevalence of end stage renal disease (ESRD) is growing along with population growth and the expansion of urban life [1]. Patients under HD have different physiological experiences, such as fatigue, limited physical activity, decreased. Studies have shown that 65% of renal patients under HD suffer at least one oral lesion such as dry mouth, bad taste in the mouth, degraded taste faculty, increased teeth decay rate, and gum bleeding. These problems affect the different aspects of QOL [12]. Physical and social performance disorders decrease the QOL of HD patients [13, 14]. Mental, and social condition, ESRD and hemodialysis affect the quality of life of patients as well. The effect of educational and supportive group therapy on the quality of life (QOL) of hemodialysis patients was examined
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