Stress management training program to address caregiver burden and perceived stress among family caregivers of patients undergoing hemodialysis: a randomized controlled trial study.

IF 2.2 4区 医学 Q2 UROLOGY & NEPHROLOGY
Ramisa Khouban-Shargh, Seyedmohammad Mirhosseini, Saeed Ghasempour, Mohammad Hasan Basirinezhad, Ali Abbasi
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引用次数: 0

Abstract

Background: The objective of the current study was to assess the effectiveness of stress management training, grounded in Lazarus and Folkman's stress management model, on reducing caregiving burden and perceived stress among family caregivers of patients on hemodialysis.

Methods: This two-group clinical trial study was conducted in parallel design among 60 family caregivers of patients on hemodialysis in 2023. The participants were divided into two groups of training and control using a random quadruple block allocation method. The intervention took place over two months, in six online group sessions of 35-45 min. Zarit Burden Inventory (ZBI) and Cohen's Perceived Stress Scale (PSS-14) were used to collect information before and two weeks after the intervention. The study data were analyzed using and analysis of covariance (ANCOVA), pair, and independent t-tests at a significance level of 0.05.

Results: At baseline, the two groups exhibited homogeneity in terms of mean scores for caregiving burden (Training group = 50.8 ± 4.9; Control group = 49.1 ± 6.0; P = 0.264) and perceived stress (Training group = 32.8 ± 4.7; Control group = 31.5 ± 2.4; P = 0.192). Nevertheless, following the intervention, there was a significant decrease in caregiving burden (Training group = 45.9 ± 4.1; Control group = 49.0 ± 5.8; P = 0.017) and perceived stress (Training group = 28.0 ± 4.4; Control group = 30.7 ± 3.5; P = 0.01) scores within the training group compared to the control group.

Conclusion: Based on the findings of the current study, given that family caregivers of patients on hemodialysis encounter psychological distress and contend with the negative aspects of care, it is advisable to implement psycho-educational interventions, such as stress management training. Incorporating these interventions into the care plan for hemodialysis could help mitigate these adverse consequences and provide valuable support for family caregivers.

Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20180728040617N6. Registered on 17/04/2023.

针对血液透析患者家庭护理人员的护理负担和感知压力的压力管理培训计划:随机对照试验研究。
研究背景本研究旨在评估以拉扎勒斯和福克曼的压力管理模式为基础的压力管理培训对减轻血液透析患者家庭照顾者的照顾负担和感知压力的效果:这项两组临床试验研究采用平行设计,在 2023 年血液透析患者的 60 名家属护理人员中进行。采用随机四区分配法将参与者分为训练组和对照组。干预为期两个月,共进行六次在线小组讨论,每次 35-45 分钟。采用扎里特负担量表(ZBI)和科恩感知压力量表(PSS-14)收集干预前和干预后两周的信息。研究数据采用方差分析(ANCOVA)、配对检验和独立 t 检验进行分析,显著性水平为 0.05:基线时,两组在护理负担(培训组 = 50.8 ± 4.9;对照组 = 49.1 ± 6.0;P = 0.264)和感知压力(培训组 = 32.8 ± 4.7;对照组 = 31.5 ± 2.4;P = 0.192)的平均得分方面表现出同质性。然而,干预后,与对照组相比,培训组的护理负担(培训组 = 45.9 ± 4.1;对照组 = 49.0 ± 5.8;P = 0.017)和感知压力(培训组 = 28.0 ± 4.4;对照组 = 30.7 ± 3.5;P = 0.01)得分显著下降:根据本研究的结果,鉴于血液透析患者的家庭护理人员会遇到心理困扰,并要应对护理工作中的负面因素,因此最好实施心理教育干预措施,如压力管理培训。将这些干预措施纳入血液透析的护理计划有助于减轻这些不良后果,并为家庭护理人员提供宝贵的支持:伊朗临床试验注册中心(IRCT),IRCT20180728040617N6。注册日期:2023 年 4 月 17 日。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Nephrology
BMC Nephrology UROLOGY & NEPHROLOGY-
CiteScore
4.30
自引率
0.00%
发文量
375
审稿时长
3-8 weeks
期刊介绍: BMC Nephrology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of kidney and associated disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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