Seyed Javad Hosseini, Parvin Aziznejadroshan, Mahmoud Hajiahmadi , Soghra Goliroshan , Monireh Sadat Mousavi,
Volume 15, Issue 1 (2-2018)
Abstract
Background: Depression is the most common psychological problem in patients with chronic renal failure, which has a negative effect on the outcome of treatment and life quality. The aim of this study was to compare the symptoms of depression in patients referring to the Kidney Transplant Unit of Babol Shahid Beheshti Hospital before transplantation, at discharge and three months after transplantation.
Methods: This descriptive analytical study was conducted on 51 patients receiving renal transplant from November 2014 to February 2015 in Babol Shahid Beheshti Hospital. The non-random sampling method was used. Data were collected using demographic questionnaire and Beck Depression Inventory distributed in three stages. Descriptive and inferential statistics and SPSS18 were used to analyze the data. P=0.05 was considered significant level.
Results: Before, at and three months after renal transplantation, 70.6%, 56.9% and 52.9% of the patients had mild to very severe depression, respectively. Mean scores of depression were 19.25 ± 11.99, 14.78 ± 11.45 and 12.82 ± 9.96 before transplantation, at discharge and three months after transplantation, respectively. Paired t-test showed a significant difference between the mean scores of depression before transplantation and at discharge after transplantation (P=0.006), before and three months after kidney transplantation (P = 0.000). There was no significant difference between the time of discharge and three months after transplantation (P=0.135). In addition, no significant difference was found between the scores of depression with gender, marital status, education, occupation and income (p = 0.391).
Conclusion: The results indicated a lower incidence of depression in kidney transplanted patients. It is recommended that the patients awaiting transplantation and subsequently their depression status should be intermittently examined and drug or non-drug treatment should be designated for these patients based on the results.
Leila Rafiee-Vardanjani , Farahnaz Mohammadi-Shahboulaghi , Hamidreza Khankeh, Kain Norouzi-Tabrizi,
Volume 21, Issue 4 (12-2024)
Abstract
Background: Treatment adherence (AT) can enhance hemodialysis patients' quality of life and life expectancy. Nurses in the healthcare system can benefit from understanding this concept, its attributes, antecedents, and consequences. This study aims to clarify the concept of AT in hemodialysis patients.
Methods: A three-phase concept analysis was conducted utilizing a hybrid model. In the theoretical phase (first phase), a literature review was conducted using PubMed, Web of Science, ProQuest, EBSCO, Scopus, Google Scholar, SID, and Magiran search engines. In the fieldwork phase (second phase), semi-structured interviews were conducted with eight patients and nurses. The final analysis (third phase) combined the results from the previous phases.
Results: The characteristics of treatment adherence include being process-oriented, actively participating in therapy, being patient-centered, accepting responsibility for treatment, and being committed to the treatment process. To understand this concept, antecedents related to the patient, society, and the health care system must be considered. As a result of the emergence of this concept, patients' quality of life has been improved, and healthcare costs have been reduced.
Conclusion: This study provides insight into the characteristics of adherence to treatment and the factors that influence its proper implementation. This program will assist healthcare providers in better understanding this concept and improving their clinical practices for hemodialysis patients.
