Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran.
Department of Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
BMC Nephrol. 2024 Oct 14;25(1):350. doi: 10.1186/s12882-024-03795-5.
The objective of the current study was to assess the effectiveness of stress management training, grounded in Lazarus and Folkman's stress management model, on reducing caregiving burden and perceived stress among family caregivers of patients on hemodialysis.
This two-group clinical trial study was conducted in parallel design among 60 family caregivers of patients on hemodialysis in 2023. The participants were divided into two groups of training and control using a random quadruple block allocation method. The intervention took place over two months, in six online group sessions of 35-45 min. Zarit Burden Inventory (ZBI) and Cohen's Perceived Stress Scale (PSS-14) were used to collect information before and two weeks after the intervention. The study data were analyzed using and analysis of covariance (ANCOVA), pair, and independent t-tests at a significance level of 0.05.
At baseline, the two groups exhibited homogeneity in terms of mean scores for caregiving burden (Training group = 50.8 ± 4.9; Control group = 49.1 ± 6.0; P = 0.264) and perceived stress (Training group = 32.8 ± 4.7; Control group = 31.5 ± 2.4; P = 0.192). Nevertheless, following the intervention, there was a significant decrease in caregiving burden (Training group = 45.9 ± 4.1; Control group = 49.0 ± 5.8; P = 0.017) and perceived stress (Training group = 28.0 ± 4.4; Control group = 30.7 ± 3.5; P = 0.01) scores within the training group compared to the control group.
Based on the findings of the current study, given that family caregivers of patients on hemodialysis encounter psychological distress and contend with the negative aspects of care, it is advisable to implement psycho-educational interventions, such as stress management training. Incorporating these interventions into the care plan for hemodialysis could help mitigate these adverse consequences and provide valuable support for family caregivers.
Iranian Registry of Clinical Trials (IRCT), IRCT20180728040617N6. Registered on 17/04/2023.
本研究旨在评估基于 Lazarus 和 Folkman 的压力管理模型的压力管理培训对减轻血液透析患者家属的照顾负担和感知压力的有效性。
本研究为平行设计的 2 组临床试验，于 2023 年招募了 60 名血液透析患者的家属。参与者采用随机四重区组分配法分为培训组和对照组。干预持续两个月，共进行 6 次 35-45 分钟的在线小组会议。采用 Zarit 负担量表（ZBI）和 Cohen 的感知压力量表（PSS-14）在干预前和干预后两周收集信息。采用协方差分析（ANCOVA）、配对和独立 t 检验对研究数据进行分析，检验水准为 0.05。
在基线时，两组在照顾负担的平均得分方面表现出同质性（培训组=50.8±4.9；对照组=49.1±6.0；P=0.264）和感知压力（培训组=32.8±4.7；对照组=31.5±2.4；P=0.192）。然而，干预后，培训组的照顾负担（培训组=45.9±4.1；对照组=49.0±5.8；P=0.017）和感知压力（培训组=28.0±4.4；对照组=30.7±3.5；P=0.01）显著降低，而对照组无明显变化。
根据本研究的结果，鉴于血液透析患者的家属面临心理困扰和应对照顾的负面方面，建议实施心理教育干预，如压力管理培训。将这些干预措施纳入血液透析的护理计划中，可以帮助减轻这些不良后果，并为家属提供有价值的支持。
伊朗临床试验注册中心（IRCT），IRCT20180728040617N6。注册于 2023 年 4 月 17 日。
