Email this article 
Hide
Show all
The Effect of Educational Intervention based on Social Support Theory on Improvement of Hemodialysis Patients’ Quality of Life
Abstract
This is a controlled quasi-experimental conducted in 2015 in Sari and with the participation of 100 hemodialysis patients that were randomly assigned to 2 groups. Prior to education, the patients were evaluated with demographic form, quality of life (WHOQOL-BREF) and social support (MOS-SSS) questionnaires. Then, an educational program was developed based on social support theory and implemented for the intervention group. The two groups were re-evaluated with the same questionnaires after 1 and 3 months and the data were analyzed in SPSS.
In the intervention group compared to the control group, the mean scores of quality of life and social support increased significantly after the intervention (p<0.001). There was a significant relationship between quality of life with education and income, and likewise between social support and income (p<0.05). There was no significant relationship between social support with education, age, gender, marital status, and duration of dialysis, or between QOL with age, gender, marital status, and duration of dialysis.
Educational intervention based on social support theory is effective in the improvement of hemodialysis patients’ quality of life. Accordingly, patients’ nursing care and education in terms of social support and its dimensions should be high on the agenda.
Keywords
References
Johnson CA, Levey AS, Coresh J, Levin A, Lau J, Eknoyan G. Clinical practice guidelines for chronic kidney disease in adults: Part I. Definition, disease stages, evaluation, treatment, and risk factors. American family physician. 2004;70(5):869-76.
Ye J-J, Zhou T-B, Zhang Y-F, Wang Q, Su Y-Y, Tang J-M, et al. Levels of vitamin D receptor and CYP24A1 in patients with end-stage renal disease. African health sciences. 2016;16(2):462-67.
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet. 2012;380(9859):2095-28.
Iranian Consortium of Dialysis. Comperhensive report of Condition of patients with Chronic kidney disease. 2017, March 20. Available: http://wwwicdgrouporg/Publicationshtml.
Zheng J, You L-M, Lou T-Q, Chen N-C, Lai D-Y, Liang Y-Y, et al. Development and psychometric evaluation of the Dialysis patient-perceived Exercise Benefits and Barriers Scale. International journal of nursing studies. 2010;47(2):166-80.
Horigan AE. Fatigue in hemodialysis patients: a review of current knowledge. Journal of pain and symptom management. 2012;44(5):715-24.
Rayner HC, Zepel L, Fuller DS, Morgenstern H, Karaboyas A, Culleton BF, et al. Recovery time, quality of life, and mortality in hemodialysis patients: the Dialysis Outcomes and Practice Patterns Study (DOPPS). American Journal of Kidney Diseases. 2014;64(1):86-94.
Kutner NG. Daily hemodialysis –selected topic: Quality of Life and Daily Hemodialysis. Seminars in dialysis. 2004. 17(2):92-98.
Hagren B, Pettersen IM, Severinsson E, Lützén K, Clyne N. Maintenance haemodialysis: patients’ experiences of their life situation. Journal of clinical nursing. 2005;14(3):294-00.
Santos PR. Correlation between coping style and quality of life among hemodialysis patients from a low‐income area in Brazil. Hemodialysis International. 2010;14(3):316-21.
Al-Arabi S. Quality of life: subjective descriptions of challenges to patients with end stage renal disease. Nephrology Nursing Journal. 2006;33(3):285-93.
Abolfathi, M., Pasdar, Y., Kheiri, M., Irandoost, S. F., & Darabi, F. The effect of consuming multivitamin/mineral supplements on elderly quality of life: Based on randomized control trial. Journal of Education and Health Promotion. 2021; 10(63):1-8.
Park K. Park's textbook of preventive and social medicine. Preventive Medicine in Obstet, Paediatrics and Geriatrics. 2005.
Tsay S-L, Healstead M. Self-care self-efficacy, depression, and quality of life among patients receiving hemodialysis in Taiwan. International Journal of Nursing Studies. 2002;39(3):245-51.
Kring DL, Crane PB. Factors affecting quality of life in persons on hemodialysis. Nephrology Nursing Journal. 2009;36(1):15-27.
Tovbin D, Gidron Y, Jean T, Granovsky R, Schnieder A. Relative importance and interrelations between psychosocial factors and individualized quality of life of hemodialysis patients. Quality of Life Research. 2003;12(6):709-17.
Ersoy-Kart M, Güldü Ö. Vulnerability to stress, perceived social support, and coping styles among chronic hemodialysis patients. Dialysis & transplantation. 2005;34(10):662-71.
Earnshaw VA, Lang SM, Lippitt M, Jin H, Chaudoir SR. HIV stigma and physical health symptoms: Do social support, adaptive coping, and/or identity centrality act as resilience resources? AIDS and Behavior. 2015;19(1):41-49.
Schaffer M. Social support. Middle range theories: Application to nursing research. 2004:179-02.
Yu HD, Petrini MA. The HRQoL of Chinese patients undergoing haemodialysis. Journal of clinical nursing. 2010;19(5‐6):658-65.
Kimmel PL. Psychosocial factors in adult end-stage renal disease patients treated with hemodialysis: correlates and outcomes. American Journal of Kidney Diseases. 2000;35(4):S132-40.
Plantinga LC, Fink NE, Harrington-Levey R, Finkelstein FO, Hebah N, Powe NR, et al. Association of social support with outcomes in incident dialysis patients. Clinical Journal of the American Society of Nephrology. 2010;5(8):1480-88.
Szeto C-C, Chow K-M, Kwan BC-H, Law M-C, Chung K-Y, Leung C-B, et al. The impact of social support on the survival of Chinese peritoneal dialysis patients. Peritoneal Dialysis International. 2008;28(3):252-58.
Rambod M, Rafii F. Perceived Social Support in Hemodialysis Patients. Iran Journal of Nursing. 2009;22(58):99-10. (In Persian)
Tavakkoli L, Dehghan A. Compare the quality of life in type 2 diabetic patients with healthy individuals (application of WHOQOL-BREF). Zahedan Journal of Research in Medical Sciences. 2017;19(2):e5882.
Sherbourne CD, Stewart AL. The MOS social support survey. Social science & medicine. 1991;32(6):705-14.
Tamannaeifar MR, Mansourinik A. The relationship between personality characteristics, social support and life satisfaction with university students’ academic performance. Quarterly Journal of Research and Planning in Higher Education. 2014;20(1):149-66. (In Persian)
Baraz S, Zarea K, Dashtbozorgi B. Comparing the effect of two educational programs on the quality of life of hemodialysis patients in Iran. Iranian Red Crescent Medical Journal. 2014;16(8):e19368.
Fujisawa M, Ichikawa Y, Yoshiya K, Isotani S, Higuchi A, Nagano S, et al. Assessment of health-related quality of life in renal transplant and hemodialysis patients using the SF-36 health survey. Urology. 2000;56(2):201-06.
Levendoğlu F, Altintepe L, Okudan N, Uğurlu H, Gökbel H, Tonbul Z, et al. A twelve week exercise program improves the psychological status, quality of life and work capacity in hemodialysis patients. Journal of nephrology. 2004;17(6):826-32.
Vázquez I, Valderrábano F, Jofré R, Fort J, López-Gómez JM, Moreno F, et al. Psychosocial factors and quality of life in young hemodialysis patients with low comorbidity. Journal of nephrology. 2003;16(6):886-94.
Farahani H, Sahebalzamani M, Afshari Azad S. Investigating the relationship between depression and social support in hemodialysis patients referred to educational Hospitals of Mazandaran Uuiversity of Medical Sciences in 2015. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch. 2017;27(1):71-75. (In Persian)
Haririan HR, Aghajanlo A, Ghafurifard M. Evaluation of social support level among hemodialysis patients in the hospitals of Zanjan. Medical Sciences Journal. 2013;23(1):74-80. (In Persian)
Patel SS, Peterson RA, Kimmel PL. Psychosocial factors in patients with chronic kidney disease: The Impact of Social Support on End‐Stage Renal Disease. Seminars in dialysis. 2005;18(2):98-02.
Salar A, KermanSaravi F, Navidian A, Taheri B. The effect of a family-centered empowerment model on quality of life in dialysis patients. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2018;17(2):179-90. (In Persian)
Soltani nejad S, Abbasi dolatabadi Z, Mahmoudi M. The effect of quality of life training on self-efficacy in patients under hemodialysis treatment. Medical - Surgical Nursing Journal. 2013;2(1-2):33-38.
Salehi S, Ghahfarokhi J, Hasheminia SA, Habibzadeh H. The effect of family–centered empowerment model on quality of life of hemodialysis patients. Nursing and Midwifery Journal. 2012;10(1):61-67. (In Persian)
Dehghani Y. The Effectiveness of Acceptance and Commitment Group Therapy on Depression and Quality of Life in Women with Dialysis Patients. Journal of Clinical Psychology. 2016;8(3):1-10. (In Persian)
Cukor D, Ver Halen N, Asher DR, Coplan JD, Weedon J, Wyka KE, e t al. Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis. Journal of the American Society of Nephrology. 2014;25(1):196-06.
Fatehi Z, Ravari A, Khodadadi A, Hydari S. The effect of coping strategies training on hemodialysis patients' quality of life. Evidence Based Care. 2013;2(4):75-83. (In Persian)
Shahgholian N, Eshghinezhad A, Mortazavi M. The effect of tai chi exercise on quality of life in hemodialysis patients. Iranian journal of nursing and midwifery research. 2014;19(2):152-58.
Rambod M, Rafii F, Khabaz Shirazi M, Ghodsbin F, Heydari ST. Comparison of the Quality of Life in Elderly With Young and Middle Age Chronic Renal Failure Patients. Iranian Journal of Ageing. 2011;6(1):52-58. (In Persian)
Namadi M, Movahdpoor A. Quality of Life in Patients after Renal Transplantation in Comparison with Intermittent Hemodialysis. Journal of Ardabil University of Medical Sciences. 2009;9(2):171-79. (In Persian)
Suet‐Ching WL. The quality of life for Hong Kong dialysis patients. Journal of advanced nursing. 2001;35(2):218-27.
Ghahfarokhi Javanbakhtian R, Abbaszadeh A. The relationship between quality of life and demographic variables in hemodialysis patients. Journal of Jahrom University of Medical Sciences. 2012;10(3):1-6.
Namdar A, Beigizadeh S, Najafipour S. Health- related quality of life in dialysis patients. Pars of Jahrom University of Medical Sciences. 2012;10(4):19-27.
Mousavi Sardashti M, Keshavarz H, Ansari E, Hosseinpour K. Study of the Relationship of Emotional Support and Quality of Life of the Elderly in Shahr-e-Kord. Journal of Health System Research. 2014;10(1):58-66. (In Persian)
Bayoumi M, Al Harbi A, Al Suwaida A, Al Ghonaim M, Al Wakeel J, Mishkiry A. Predictors of quality of life in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation. 2013;24(2):254-59.
Untas A, Thumma J, Rascle N, Rayner H, Mapes D, Lopes AA, et al. The associations of social support and other psychosocial factors with mortality and quality of life in the dialysis outcomes and practice patterns study. Clinical Journal of the American Society of Nephrology. 2011;6(1):142-52.
Taghizadeh Afshari A GAR, Kazem Nejad A. The effect of renal transplantation on improving the quality of life of dialysis patients referring to Urmia treatment centers. Urmia Medical Journal. 2006;17(3):9-15. (In Persian)
Iranian Journal of Health, Safety and Environment e-ISSN: :2345-5535 Iran university of Medical sciences, Tehran, Iran