Evaluating an activity intervention with Hemodialysis patients in Israel
Evaluating an activity intervention with Hemodialysis patients in Israel
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DOI：
10.1300/j010v35n01_05
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发表时间：
2002-01-01
影响因子：
2.2
通讯作者：
Buchs, A
中科院分区：
文献类型：
--
作者：
Auslander, GK;Buchs, A
作为一种危及生命和潜在致残性疾病，终末期肾病及其治疗会给患者及其家人带来压力以及其他心理社会问题。本文探讨了一种创新的活动为基础的干预，旨在减少血液透析的一些心理社会影响的结果。采用改良的退出/逆转设计，在两个时间点比较参与干预的患者和未参与干预的患者。研究结果证实，透析患者一般有相对较高的心理困扰水平，难以坚持治疗方案和自我评估的健康状况较差。参与小组活动的患者比非参与者更焦虑，透析间期体重增加水平较低。干预结束后，治疗组患者的心理困扰、敌意和恐怖焦虑水平下降，而他们的体重增加继续低于非参与患者。这些研究结果的影响，以及在这种类型的研究所带来的方法上的困难进行检查。(C)出版社：The Haworth Press，Inc. All rights reserved.
As a life-threatening and potentially disabling disease, End Stage Renal Disease and its treatment cause stress as well as other psychosocial problems for patients and their families. This paper examines the results of an innovative activity-based intervention aimed at reducing some of the psychosocial repercussions of hemodialysis. A modified withdrawal/reversal design was employed to compare patients participating in the intervention and those who did not, at two points in time. The findings confirmed that dialysis patients in general have relatively high levels of psychological distress, difficulty adhering to the treatment regimen and poor self-rated health. Patients participating in the group activity were more anxious and had lower levels of interdialytic weight gain than the non-participants. After the intervention WAS terminated, levels of psychological distress, hostility and phobic anxiety among patients in the treatment group dropped, while their weight gain continued to be less than that of non-participating patients. The implications of these findings as well as the methodological difficulties entailed in this type of study are examined. (C) 2002 by The Haworth Press, Inc. All rights reserved.