Abstract
BackgroundPresent study was conducted to determine the effect of training on coping efforts and stress moderators, based on transactional model of Lazarus and Folkman, in hemodialysis patients.MethodsThis is a randomized controlled clinical trial on 116 hemodialysis patients referred to dialysis centers in Tehran from May to August 2018. The patients were assigned to two experimental and control groups using a simple randomization method. The intervention included 6 training sessions in the form of coping efforts and moderators of transactional model. Data were collected before and 3 months after the intervention. Data were analyzed using SPSS 16.ResultsAfter 3 months training intervention, there was significant increase in the intervention group in the mean scores of coping efforts (P < 0.001), moderators and subscales of emotional regulation from 51.18 ± 20.42 to 64.87 ± 13.18 (P < 0.001), dispositional coping style from 45.56 ± 19.45 to 55.84 ± 18.03 and social support from 49.61 ± 20.14 to 55.55 ± 17.35 (P < 0.005).ConclusionThe training based on transactional model was successful in the increase of social support, dispositional coping style and emotional regulation in hemodialysis patients. Therefore, Nurses and healthcare providers can use this program to help hemodialysis patients to increase their adaptation to the illness and reduce stress.Trial registrationIRCT registration number: IRCT20180524039814N1; Registration date: 13-08-2018; Registration timing: retrospectively registered: Last update: 13-08-2018.
Highlights
Chronic renal failure is a global public health problem which has raised many concerns worldwide [1]
Dialysis is the common treatment for chronic renal failure, and this disease is unique in terms of treatment since the only way to postpone the death is tracking of this debilitating disease [4]
The present study is one of the few studies in which an educational program based on coping efforts and moderators of transactional model was used to enhance compatibility and reduce stress in hemodialysis patients
Summary
Chronic renal failure is a global public health problem which has raised many concerns worldwide [1]. Patients with end-stage renal disease (ESRD) experience a lot of changes in their lives. These changes are due to their dependence on hemodialysis apparatus, which is associated with many difficulties such as physiological and Ghaffari et al BMC Nephrology (2021) 22:377. It was classified among 18 causes of death worldwide in 2010 [3]. The effects of chronic renal failure, lack of treatment, and the effect of the treatment on lifestyle and welfare are considered as sustainable stress sources in the lives of these people [5, 6]. Present study was conducted to determine the effect of training on coping efforts and stress moderators, based on transactional model of Lazarus and Folkman, in hemodialysis patients
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