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Published on: October 2, 2020
Using Creative Activities to Improve Treatment Perceptions of Patients on Hemodialysis
Guillermo Pedreira-Robles1, Ana Vasco-Gómez1, Yaiza Martínez-Delgado2
1Registered Nurse, Nephrology Department, Hospital del Mar, Barcelona, Spain.
Insights
This study introduced recreational intradialysis activities for hemodialysis patients, showing increased willingness to participate. While anxiety slightly decreased, the program shows promise for improving patient engagement during treatment.
Area of Science:
- Nephrology
- Patient Care
- Quality of Life Studies
Background:
- Hemodialysis (HD) significantly impacts patients' health-related quality of life (HRQoL).
- Chronic HD patients often experience boredom and inactivity during treatment sessions.
- Assessing mental and physical status is crucial for understanding HD patient well-being.
Purpose of the Study:
- To evaluate the impact of intradialysis recreational and therapeutic activities on the mental and physical status of chronic hemodialysis patients.
- To assess patient acceptance and willingness to participate in novel intradialysis therapies.
- To explore potential improvements in HRQoL through structured patient engagement.
Main Methods:
- An observational study involving 41 patients undergoing chronic HD.
- Implementation of a program of recreational and therapeutic intradialysis activities.
- Reassessment of patients' mental and physical status after a 12-month intervention period.
Main Results:
- All patients positively rated the initial introduction of recreational activities.
- Willingness to participate in activities increased significantly from 50.00% to 85.71% (p=0.019).
- A non-significant decrease in anxiety was observed; other variables showed no improvement.
Conclusions:
- The implemented intradialysis activity program is a promising initiative for hemodialysis patients.
- Positive patient reception and increased participation suggest the program's potential for enhancing well-being.
- Further development and inclusion of additional therapies are planned to consolidate the program's success.
Abstract:
Hemodialysis (HD) has a significant impact on health-related quality of life (HRQoL). We performed an observational study to assess the mental and physical status of 41 patients on chronic HD treatment. We planned and launched a program of recreational and therapeutic intradialysis activities to reduce patients' boredom due to inactivity. Patients' mental and physical status was reassessed at 12 months. Our initial attempt to introduce these recreational activities as intradialysis therapy has been rated positively by all patients. After one year, anxiety decreased (without statistical significance) and willingness to participate in activities increased from 50.00% to 85.71% (p=0.019). No improvement was observed on the remaining studied variables. This preliminary initiative is promising. We plan to maintain these successful therapies and include others to help consolidate this program.
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