Abstract
IntroductionDialysis causes many psychological and social problems, such as stress and inefficiency in patients, which should be considered in health promotion interventions. Therefore, this study aimed to determine the impact of stress management training on stress coping strategies and the self-efficacy of these patients in southeastern Iran.MethodsThis quasi-experimental study was a randomized controlled clinical trial was conducted on hemodialysis patients from December 2019 to January 2020. Patients who met inclusion criteria were selected with the convenience sampling method and divided into the two groups of intervention (n = 30) and control (n = 30) by using the block randomization method. Participants in the intervention group were trained in a stress management training program in 8 one-and-a-half-hour sessions, held twice a week. Data were measured with stress coping strategies and general self-efficacy questionnaires before, immediately, and 1 month after the intervention. SPSS18 was used for data analysis.ResultsThe study results showed that the scores of stress coping strategies and the self-efficacy score in all their dimensions were significantly different between the intervention and control groups (P < 0.001).ConclusionThe present study results showed that stress management training programs promoted stress coping strategies and self-efficacy in hemodialysis patients. Health planners and nurses are recommended to use these easy, feasible, and inexpensive interventions to reduce stress and increase self-efficacy.Trial registration Iranian Registry of Clinical Trials (IRCT): IRCT20160914029817N10. Date of registration: October 7, 2021. URL: https://en.irct.ir/trial/58540. Registration timing: a retrospective.
Highlights
Dialysis causes many psychological and social problems, such as stress and inefficiency in patients, which should be considered in health promotion interventions
The results showed only that variable of the group was the cause of differences in the score of self-efficacy
The results of the study showed that the score of stress coping strategies was significantly different between the two groups in dimensions of coping with cognitive evaluation, problem-solving, excitement, social support, and Discussion This study aimed to investigate the effect of stress management training on stress coping strategies and selfefficacy in hemodialysis patients, and the results of the present study demonstrated the effect of this training method on the scores of stress coping strategies and selfefficacy
Summary
Dialysis causes many psychological and social problems, such as stress and inefficiency in patients, which should be considered in health promotion interventions. The primary treatment for end-stage renal disease is dialysis and kidney transplantation [1]. Hemodialysis is the most common treatment for patients with end-stage renal disease [3]. Dialysis is a stressful process with many psychological and social problems that can lead to mental. In addition to chronic disease, these patients face many stressors, including problems related to treatment, pain, feeling of restlessness, food and fluid limitations, fatigue, weakness, stress, and feeling of inefficiency [5]. Paying attention to the mental stressors of these patients is very important because they lead to reduced adherence to therapeutic regimens and increased mortality and admission [7]. Recognition of stress and its factors is essential [8]
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