The Effects of Peer Support on Depression, Anxiety, and Stress Among Patients Receiving Hemodialysis

Irajpour, Alireza; Hashemi, Maryam; Abazari, Parvaneh; Shahidi, Shahrazad; Fayazi, Maryam

doi:10.5812/ircmj.66321

Cited by 5 publications

(3 citation statements)

References 38 publications

(44 reference statements)

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“…11 Peer support decreased anxiety, depression, and stress in hemodialysis patients, as well. 12 Along with social support, religion and spirituality also impacted individuals' lives and promoted their life quality. 13 Spirituality was effective in improvement of physical, mental, and social health in chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

<p>Psychosocial, Spiritual, and Biomedical Predictors of Hope in Hemodialysis Patients</p>

Rambod¹,

Pasyar²,

Mokhtarizadeh³

2020

IJNRD

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Background: Hemodialysis patients deal with some psychological and social problems. These problems may be the predictors of hope. This study aimed to determine the psychosocial, spiritual, and biomedical predictors of hope in hemodialysis patients. Methods: This cross-sectional study was conducted on 350 hemodialysis patients in hemodialysis centers affiliated to Shiraz University of Medical Sciences. Adult Hope Scale, Depression Anxiety Stress Scales, Personal Resources Questionnaire-85, Spiritual Well-Being Scale, and biomedical markers were used for data collection. The data were entered into the SPSS 22 software and were analyzed using Pearson's correlation coefficient and linear regression analysis. Results: The mean score of hope was 28.54 (SD=5.27). The mean scores of depression, anxiety, and stress were 17.87 (SD=7.62), 13.12 (SD=3.47), and 12.99 (SD=3.88), respectively. The mean scores of social support and spiritual well-being were 126.35 (SD=17.53) and 74.02 (SD=5.84), respectively. The means of biomedical markers including interdialytic weight gain, urea nitrogen, creatinine, phosphate, sodium, and potassium were 2.10 (SD=1.04), 51.55 (SD=13.10), 6.98 (SD=2.48), 4.71 (SD=1.08), 139.32 (SD=4.91), and 4.87 (SD=0.93), respectively. The results revealed a significant association between hope and depression, anxiety, stress, social support, and spiritual well-being (p<0.05). In addition, stress (β=−0.14, p=0.01), anxiety (β=−0.20, p=0.002), and social support (β=0.49, p<0.001) were the predictors of hope. Conclusion: The hemodialysis patients reported moderate levels of hope, social support, anxiety, and depression. In addition, most of them adhered to dietary and fluid restrictions. Considering the association between hope and social support, spiritual well-being, anxiety, depression, and stress, using some interventions regarding the mentioned variables might increase hope among hemodialysis patients.

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Section: Introductionmentioning

confidence: 99%

<p>Psychosocial, Spiritual, and Biomedical Predictors of Hope in Hemodialysis Patients</p>

Rambod¹,

Pasyar²,

Mokhtarizadeh³

2020

IJNRD

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“…The most common provider for the interventions were nurses, followed by multidisciplinary teams, and finally psychologists (Table 2 ). Only one study [ 45 ] used a peer (i.e., an expert patient) as the main provider for the intervention. When the interventions were coded (Table 2 ), the following categories were defined: psychoeducation, psychological support and relaxation-based therapy.…”

Section: Resultsmentioning

confidence: 99%

The effect of psychosocial interventions on depression, anxiety, and quality of life in hemodialysis patients: a systematic review and a meta-analysis

et al. 2022

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Purpose Hemodialysis has become a standard therapy for adults with end-stage renal diseases. Adults undergoing hemodialysis have to cope with unique psychological issues that make their care journey particularly fatiguing. In this systematic review and meta-analysis, we aimed to summarize and evaluate the effects of psychosocial interventions on the reduction of anxiety and depression in adults with HDs. Methods We included randomized controlled trials and quasi-experimental studies that measure change in depression, anxiety, and quality of life. Results We identify three categories of psychosocial interventions delivered to adults undergoing hemodialysis. Based on our analysis, there was a medium effect of psychosocial intervention on depression (SMD − 0.85, 95%CI − 1.17; − 0.52, I2 = 80%, p < 0.01) and anxiety (SMD − 0.99, 95%CI − 1.65; − 0.33, I2 = 88%, p < 0.01) in adults undergoing hemodialysis. Conclusions Psychosocial interventions, such as psychological support or relaxation-based therapy, seems all to reduce depression and anxiety in adults undergoing HD. Preliminary evidence suggests that there may be a benefit of psychosocial interventions on the quality of life for adults undergoing HD.

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“…In previous studies, peer support programs in HD patients had focused on psychological outcomes (Irajpour, Hashemi, Abazari, Shahidi, & Fayazi, 2018;Malek-Khahi, Milani, & Amiri, 2015), and carried out by health workers (Mahjubian, Bahraminejad, & Kamali, 2018). While health workers may not be able to provide 'real' knowledge that is derived from the real-life experience of HD patients, how it feels, and how self-management is implemented (Taylor, Gutteridge, & Willis, 2016), it is, therefore, important to investigate how peer support affects self-management in HD patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of Peer Support Program on Self-Management in Patients with End-Stage Renal Disease Undergoing Hemodialysis

Husain¹,

Kusuma

Johan

2020

Nurs. Med. J. Nursing

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Background: End-stage renal disease (ESRD) patients undergoing hemodialysis require essential self-management to lifestyle changes to minimize the risk of complications, morbidity, and mortality. Efforts made to improve self-management of hemodialysis patients in previous studies were carried out by health workers that may not provide 'real' knowledge, while peer support programs carried out by patients as peers to share their experiences may provide more benefits.Purpose: The purpose of this study was to determine the effects of peer support programs on improving self-management in patients with ESRD undergoing hemodialysis.Methods: This study employed a quasi-experimental design and involved a total of 33 patients in the control group and 32 patients in the intervention group, who met the inclusion and exclusion criteria. The samples were recruited consecutively. The intervention of peer support programs was implemented through information support, emotional support, and mutual reciprocity in groups of 10-12 people to share experiences related to their self-management. The intervention was given for six sessions; each lasted for 30-45 minutes. The data were collected using the Indonesian version of the hemodialysis self-management instrument (HDSMI) and analyzed using a paired-sample t-test and independent-sample t-test.Results: The results showed that after the intervention, the mean score of self-management in the intervention group increased from 79.47±7.919 to 90.75±7.089, and in the control group, the mean increased from 81.88±8.291 to 82.12±7.692. After the implementation of peer support programs, there was a significant difference in the score of self-management between the intervention and control groups (p<0.001).Conclusion: Peer support programs gave an effect on increasing self-management in patients with ESRD undergoing hemodialysis. Peer support programs should be introduced early to ESRD patients undergoing hemodialysis so that they can learn about self-management from other patients.

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The Effects of Peer Support on Depression, Anxiety, and Stress Among Patients Receiving Hemodialysis

Cited by 5 publications

References 38 publications

<p>Psychosocial, Spiritual, and Biomedical Predictors of Hope in Hemodialysis Patients</p>

<p>Psychosocial, Spiritual, and Biomedical Predictors of Hope in Hemodialysis Patients</p>

The effect of psychosocial interventions on depression, anxiety, and quality of life in hemodialysis patients: a systematic review and a meta-analysis

Effects of Peer Support Program on Self-Management in Patients with End-Stage Renal Disease Undergoing Hemodialysis

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