Poorgholami Farzad, Abdollahifard Sareh, Zamani Marzieh, Kargar Jahromi Marzieh, Badiyepeyma Jahromi Zohreh
Nursing & Para-Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
Glob J Health Sci. 2015 Nov 18;8(7):165-71. doi: 10.5539/gjhs.v8n7p165.
Chronic renal failure exposes patients to the risk of several complications, which will affect every aspect of patient's life, and eventually his hope. This study aims to determine the effect of stress management group training on hope in hemodialysis patients.
In this quasi-experimental single-blind study, 50 patients with renal failure undergoing hemodialysis at Motahari Hospital in Jahrom were randomly divided into stress management training and control groups. Sampling was purposive, and patients in stress management training group received 60-minute in-person training by the researcher (in groups of 5 to 8 patients) before dialysis, over 5 sessions, lasting 8 weeks, and a researcher-made training booklet was made available to them in the first session. Patients in the control group received routine training given to all patients in hemodialysis department. Patients' hope was recorded before and after intervention. Data collection tools included demographic details form, checklist of problems of hemodialysis patients and Miller hope scale (MHS). Data were analyzed in SPSS-18, using Chi-square, one-way analysis of variance, and paired t-test.
Fifty patients were studied in two groups of 25 each. No significant difference was observed between the two groups in terms of age, gender, or hope before intervention. After 8 weeks of training, hope reduced from 95.92±12.63 to 91.16±11.06 (P=0.404) in the control group, and increased from 97.24±11.16 to 170.96±7.99 (P=0.001) in the stress management training group. Significant differences were observed between the two groups in hope scores after the intervention.
Stress management training by nurses significantly increased hope in hemodialysis patients. This low cost intervention can be used to improve hope in hemodialysis patients.
慢性肾衰竭使患者面临多种并发症的风险，这些并发症会影响患者生活的方方面面，最终影响其希望。本研究旨在确定压力管理小组训练对血液透析患者希望的影响。
在这项半实验性单盲研究中，将贾赫罗姆市莫塔哈里医院50例接受血液透析的肾衰竭患者随机分为压力管理训练组和对照组。采用目的抽样法，压力管理训练组的患者在透析前由研究者进行60分钟的现场培训（每组5至8名患者），共5次课程，持续8周，在第一节课上为他们提供一本研究者制作的培训手册。对照组患者接受血液透析科所有患者接受的常规培训。在干预前后记录患者的希望水平。数据收集工具包括人口统计学详细信息表、血液透析患者问题清单和米勒希望量表（MHS）。在SPSS-18中使用卡方检验、单因素方差分析和配对t检验对数据进行分析。
两组各25例患者参与研究。两组在年龄、性别或干预前的希望水平方面无显著差异。经过8周的训练，对照组的希望水平从95.92±12.63降至91.16±11.06（P=0.404），而压力管理训练组的希望水平从97.24±11.16升至170.96±7.99（P=0.001）。干预后两组在希望得分上存在显著差异。
护士进行的压力管理训练显著提高了血液透析患者的希望。这种低成本的干预措施可用于提高血液透析患者的希望。
