Altern Ther Health Med. 2024 Jul;30(7):58-64.
This study was conducted to evaluate the effect of telehealth education and art therapy on diet-fluid restriction and anxiety in hemodialysis patients during the COVID-19 pandemic.
This randomized controlled study included 60 hemodialysis patients (30 in the intervention group and 30 in the control group). Data were collected using the Patient Information Form, Dialysis Diet and Fluid Non-Adherence Questionnaire, Beck Anxiety Inventory, and Modified Morisky Scale. Patients were educated about diet and fluid restriction according to their needs. The forms were applied to the patients at the first interview 6th week, and 12th week. Additionally, training on diet and fluid restriction was given at the first meeting, and an educational booklet was distributed to the patients. Thereafter, the patients were video-called one day a week for 12 weeks and the follow-up evaluation form was applied via telephone. The academician, who works at the University's Faculty of Education, Department of Fine Arts, assisted patients in drawing via video conference. Patients' drawing time is 60 minutes in total, two days a week, 30 minutes each time.
Following the education and drawing activity, systolic blood pressure, diastolic blood pressure, hemodialysis admission weight, creatinine values, frequency and degree of dietary non-compliance, frequency of non-compliance with fluid restriction, and anxiety levels of patients in the intervention group receiving hemodialysis treatment decreased (P < .05) and their compliance with treatment increased.
Telehealth applications and art therapy are effective in improving compliance with diet and fluid restriction and controlling anxiety among hemodialysis patients. Since the use of telehealth methods to meet the educational needs of patients and integrative methods such as art therapy ensures the continuity of care services for patients during epidemic periods, it is recommended to be used in COVID-19 and other possible epidemics in the future.
本研究旨在评估远程健康教育培训和艺术治疗对 COVID-19 大流行期间血液透析患者饮食-液体限制和焦虑的影响。
这是一项随机对照研究，纳入了 60 名血液透析患者（干预组 30 名，对照组 30 名）。使用患者信息表、透析饮食和液体不遵守问卷、贝克焦虑量表和改良 Morisky 量表收集数据。根据患者的需求对其进行饮食和液体限制教育。在第一次访谈、第 6 周和第 12 周对患者进行问卷调查。此外，在第一次会议上进行饮食和液体限制培训，并向患者发放教育手册。之后，患者每周通过视频通话联系一次，持续 12 周，并通过电话进行随访评估。该大学教育学院美术系的学者通过视频会议协助患者进行绘画。患者绘画时间总共 60 分钟，每周两次，每次 30 分钟。
接受血液透析治疗的干预组患者的收缩压、舒张压、血液透析入院体重、肌酐值、饮食不遵守频率和程度、液体限制不遵守频率以及焦虑水平均降低（P<0.05），治疗依从性提高。
远程健康应用和艺术治疗可有效提高血液透析患者饮食和液体限制的依从性，控制其焦虑水平。由于利用远程健康方法满足患者的教育需求以及整合艺术治疗等方法在疫情期间为患者提供连续的护理服务，因此建议在 COVID-19 和未来可能的疫情中使用这些方法。
