Abstract
Introduction: Improving self-management of the patients undergoing hemodialysis is an effective way to reduce complications and to improve the quality of life of them. The current study aims to assess the effects of group discussion on the promotion of self-management behaviors in hemodialysis patients. Methods: In this quasi -experimental clinical trial study (with experimental and control groups) 60 patients were arranged in two experimental and control groups through using convenience sampling with random allocation. Self-management interventions were conducted on the experimental group during 3 to 4 sessions of group discussion. The control group received routine interventions. The data were collected through Li and colleagues' self-management standard questionnaire before and 3 months after the intervention. The data were analyzed via SPSS software version 13 and chi-square, t-test, Mann-Whitney, and Wilcoxon test. Results: The results showed that the mean scores of four dimension of self-management including participation with the medical team, problem solving, self-care and emotional management after the implementation of group were significantly different between the experimental and control groups. Conclusion: Based on the findings, group discussion was an effective educational method to promote self-management of chronic hemodialysis patients. Therefore, holding group discussion to reinforce the self- management behaviors in patients undergoing hemodialysis is recommended.
Highlights
Improving self-management of the patients undergoing hemodialysis is an effective way to reduce complications and to improve the quality of life of them
A total of 60 chronic hemodialysis patients participated in this study
The results of the study showed that group discussions improved self-management in all four dimensions of partnership with medical team, problem solving, selfcare and emotional management in the experimental group compared to the control group
Summary
Improving self-management of the patients undergoing hemodialysis is an effective way to reduce complications and to improve the quality of life of them. The patients with ESRD need renal replacement therapy (RRT), including dialysis or kidney transplantation to continue living.[1] The prevalence of the ESRD is currently increasing worldwide[2,3,4] so that 8% is being added to the population of the disease annually.[5] According to the US annual report, the incidence of the chronic kidney disease (CKD) has risen from 12% (1988-1994) to 13.6 % 2007-2012.6 According to published statistics until the end of 2015 in Iran, the population of ESRD patients treated with renal replacement therapy has reached more than 55,000 people.[7] According to the available data, 1200 to 1600 people annually suffer from the ESRD disease in Iran.[8,9] This disease is one of the major health problems and imposes heavy economical costs on the community.[10]
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