Effect of Psycho Education on Depression and Anxiety Symptoms in Patients on Hemodialysis

Abstract

Background:Hemodialysis as a solution for patients with chronic renal failure is a stressful process. Anxiety and depression after hemodialysis could have negative impacts on quality of life, treatment and prognosis of the disease. Some studies indicated that educating patients prior to hemodialysis could enhance patients’ quality of life and increase the likelihood of their survival.Objectives:This study investigated psychological impacts of psycho education on anxiety and depression symptoms in patients under dialysis.Patients and Methods:This was a prospective, experimental intervention study with pretest and post-test. Eligible patients (n = 60) were selected randomly from dialysis center of Imam Khomeini Hospital in Sari in 2009. Hospital Anxiety Depression Scale (HADS) score of patients were eight or greater. They were divided into two matched groups. In one group, patients were given psycho education during three sessions of one-hour, while patients in the control group did not receive any education. HADS was completed for both groups before dialysis and one month after the end of educational sessions. The data were compared and analyzed using paired t-test and Chi-square test.Results:Psycho education decreased depression score (P < 0.001) and the HADS (P = 0.008) significantly. These decreases were not significant for anxiety scores of patients (P = 0.185).Conclusion:This research indicated that psycho education based on the designed protocol decreased the scores of depression and total scores of HADS.

Effect of Perceived Social Support on the Levels of Anxiety and Depression of Hemodialysis Patients

“…Indeed, in 2009, half of Canadian patients initiating renal replacement were over 65 years old (1). According to estimates, incidence of chronic renal failure is 242 individuals per one million worldwide (2) while over $1 trillion is spent for end-stage renal disease care, globally (3). …”

“…Though, hemodialysis consists the most common treatment method for kidney failure, however, it is a stressful procedure that affects all dimensions of patients’ lives (1, 2, 3). …”

Tinjauan Sistematik: Kecemasan Pasien Penyakit Ginjal Kronik Dengan Tindakan Hemodialisis

“…Analisis data dilakukan secara deskriptif statistik. Menilai pernyataan positif, instrument ini memberi skor 1 sangat tidak setuju, 3 skor untuk netral, dan 5 skor untuk sangat setuju, dan sebaliknya untuk penilaian pada pernyataan negatif yang didapat data dikelompokkan menjadi tiga kategori : 15 -35 kategori kecemasan kematian rendah, 36 -55 kategori kecemasan kematian sedang, dan 56 -75 kategori kecemasan kematian tinggi (Dewina. A, 2017) Kuesioner lain yang digunakan untuk mengukur kecemasan kecemasan pasien penyakit ginjal kronik dengan tindakan hemodialisis adalah (BAI) Beck's Anxiety Inventory (n=1).…”

“…Gagal ginjal kronis adalah salah satu penyakit kronis yang dapat menurunkan kualitas hidup dan memicu kecemasan yang dibentuk oleh pemikiran negatif, termasuk memikirkan kematian. (Dewina. A, 2017) Pasien yang menjalani hemodialisis kemungkinan akan mengalami kurangnya kontrol dalam aktivitas kehidupan sehari-hari dan sosial, kehilangan kebebasan, pensiun dini, tekanan keuangan, gangguan dalam kehidupan keluarga, perubahan citra tubuh, dan berkurang harga diri.…”

“…Petugas kesehatan, terutama perawat dapat mengatasi peningkatan gejala kecemasan yang dirasakan secara fisiologis, yang dapat mempengaruhi tingkat kecemasan akan kematian Di Indonesia perlu ditetapkan suatu intervensi manajemen kecemasan sehingga kecemasan akan kematian bisa dikendalikan. salah satu terapi yang bisa dilakukan oleh perawat adalah terapi spiritual dan kognitif untuk mengatasi persepsi negatif tentang kematian (Dewina. A, 2017).…”