The effectiveness of intervention based on the transactional model on improving coping efforts and stress moderators in hemodialysis patients in Tehran: a randomized controlled trial

Abstract

Background Present study was conducted to determine the effect of training on coping efforts and stress moderators, based on transactional model of Lazarus and Folkman, in hemodialysis patients. Methods This is a randomized controlled clinical trial on 116 hemodialysis patients referred to dialysis centers in Tehran from May to August 2018. The patients were assigned to two experimental and control groups using a simple randomization method. The intervention included 6 training sessions in the form of coping efforts and moderators of transactional model. Data were collected before and 3 months after the intervention. Data were analyzed using SPSS 16. Results After 3 months training intervention, there was significant increase in the intervention group in the mean scores of coping efforts (P < 0.001), moderators and subscales of emotional regulation from 51.18 ± 20.42 to 64.87 ± 13.18 (P < 0.001), dispositional coping style from 45.56 ± 19.45 to 55.84 ± 18.03 and social support from 49.61 ± 20.14 to 55.55 ± 17.35 (P < 0.005). Conclusion The training based on transactional model was successful in the increase of social support, dispositional coping style and emotional regulation in hemodialysis patients. Therefore, Nurses and healthcare providers can use this program to help hemodialysis patients to increase their adaptation to the illness and reduce stress. Trial registration IRCT registration number: IRCT20180524039814N1; Registration date: 13-08-2018; Registration timing: retrospectively registered: Last update: 13-08-2018.

Identification of Maslow's Hierarchy Needs in Patients Undergoing Hemodialysis in The Hemodialysis Room: Scoping Review

“…Meditation-guided make patient hemodialysis could improve quality of life with achievement confidence, clarity of mind, control of anger, feeling inspired to manage illness/ Resume routine work, reduction of laziness Ghaffari, MA, et al (2021) The effectiveness of an intervention based on the transactional model on improving coping efforts and stress moderators in hemodialysis patients in Tehran: a randomized controlled trial Based on results study show that the average patient aged hemodialysis over 50 years will have an influence on its physiology, so the patient will experience physiological function if not guarded (Suriyong et al, 2022). Based on the results study by Zainordin et al (2021a), in part, big patient hemodialysis manifold sex men (58%) and women (42%) as well skinned white (67%) and skinned black (33%) (Pike et al, 2020).…”

“…Kidneys also need to practice breathing, such as exercising deep breathing and progressive relaxation. Exercise breathing this proven could lower stress levels and regulate emotions in patients undergoing Hemodialysis (Ghaffari, Morowatisharifabad, et al, 2021).…”

“…Research conducted by (Ghaffari, Morowatisharifabad, et al, 2021) Assessment of the transactional model will influence the coping strategy of individuals in overcoming stressors. In the study stages, this normal is called primary appraisal, secondary appraisal, and mediation coping strategy between stressors and consequences of stress on the patient hemodialysis.…”

“…Strategy used patient Hemodialysis to deal with the stress of playing a role urgent in health physical, mental, and related vulnerabilities with an understanding of stress and its sources cause of stress. This is one set method adapted to experienced patients who failed kidney chronic (Ghaffari, Morowatisharifabad, et al, 2021). Research conducted by Jie et al (2022) uses intervention management team nursing, Including an explanation of failed kidney chronic using audio and visual, awarding programs with personalized medicine and diet in accordance with changes in the mood and behavior of the patient, as well as the patient explaining necessary things watch, guide the family patient to come along active and participating in care patient, as well guide patient in control negative emotions, mental, and willing cooperate in treatment.…”

Chain Mediation Model of Perceived Stress, Resilience, and Social Support on Coping Styles of Chinese Patients on Hemodialysis During COVID-19 Pandemic Lockdown

“…Previous research has shown that patients on hemodialysis were dealing with many psychological tensions in addition to the problems related to treatment [ 5 ]. In dialysis treatment, patients receiving MHD deal with significant stresses due to the aggravation of chronic renal failure, and since the treatment of this disease is a long-term process, it affects the patients’ psychosocial function [ 6 , 7 ]. Many psychiatric disorders are seen in patients on MHD, such as stress, depression, and anxiety.…”