Mansouri Sajad, Jalali Amir, Rahmati Mahmoud, Salari Nader
Department of Geriatric and Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Substance Abuse Prevention Research Center, Research Institute for Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Biopsychosoc Med. 2020 Oct 15;14:27. doi: 10.1186/s13030-020-00200-z. eCollection 2020.
In addition to physical, mental, and social condition, ESRD and hemodialysis affect the quality of life of patients as well. Psychotherapy and non-pharmaceutical interventions are effective measures to add meaning to life, create a goal and motivation in life, and improve the quality of life in chronic patients. The effect of educational and supportive group therapy on the quality of life (QOL) of hemodialysis patients was examined.
The study was carried out as an interventional quasi-experimental study with the participation of 64 patients who were selected through convenience sampling and based on the patient's hemodialysis days (Saturday, Monday, and Wednesday patients as an experimental group and Sunday, Tuesday, and Thursday patients as a control group). There were 32 patients in each group. The experimental group received eight 50 min sessions including two sessions per week. The control group received the normal interventions. The participants were assessed using a demographics form and Kidney Disease Quality of Life Short Form before, immediately after, and 1 month after the intervention. The collected data was analyzed using SPSS (v.24).
The mean QOL scores of the experimental group before, immediately after, and 4 weeks after the intervention were 36.99, 43.3, and 44.9 respectively. Those of the control group were 36.39, 37.2, and 37.1 respectively. There was no significant difference between the two groups before the intervention ( > 0.05); however, the difference between the two groups was significant immediately after and 4 weeks after the intervention ( = 0.0001). The trend of score change in the experimental group was also significant ( < 0.05), and Tukey ad-hoc test showed significant differences between the scores before intervention and those immediately after and 4 weeks after the intervention ( < 0.05).
In general, educational and supportive group therapy can expand the interpersonal relationships of hemodialysis patients and positively affect their quality of life.
除生理、心理和社会状况外，终末期肾病（ESRD）和血液透析也会影响患者的生活质量。心理治疗和非药物干预是为生活增添意义、树立生活目标和动力以及提高慢性病患者生活质量的有效措施。本研究考察了教育支持性团体治疗对血液透析患者生活质量（QOL）的影响。
本研究为一项干预性准实验研究，64例患者通过便利抽样入选，根据患者血液透析日期分组（周六、周一和周三进行透析的患者作为实验组，周日、周二和周四进行透析的患者作为对照组）。每组32例患者。实验组接受为期8周、每周两次、每次50分钟的治疗。对照组接受常规干预。在干预前、干预结束后即刻以及干预后1个月，使用人口统计学表格和肾脏病生活质量简表对参与者进行评估。收集的数据使用SPSS（v.24）进行分析。
实验组干预前、干预结束后即刻和干预后4周的平均生活质量得分分别为36.99、43.3和44.9。对照组的相应得分分别为36.39、37.2和37.1。干预前两组之间无显著差异（>0.05）；然而，干预结束后即刻和干预后4周两组之间差异显著（=0.0001）。实验组得分变化趋势也具有显著性（<0.05），Tukey事后检验显示干预前得分与干预结束后即刻及干预后4周得分之间存在显著差异（<0.05）。
总体而言，教育支持性团体治疗可以拓展血液透析患者的人际关系，并对其生活质量产生积极影响。
