Volume 16, Issue 10 (January 2023)
Qom Univ Med Sci J 2023, 16(10): 844-857 |
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Research code: 15082312869649702008162478019
Ethics code: IR.IAU.NAJAFABAD.REC.1400.165
Clinical trials code: IRCT20211102052943N1
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Kiani F, Salmani F, Azarbarzin M. Effect of an Intervention Based on the Family-centered Empowerment Model on the Resilience of Family Caregivers of Hemodialysis Patients: A Randomized Controlled Clinical Trial. Qom Univ Med Sci J 2023; 16 (10) :844-857
URL: http://journal.muq.ac.ir/article-1-3581-en.html
URL: http://journal.muq.ac.ir/article-1-3581-en.html
1- Department of Nursing, Nursing and Midwifery Sciences Development Research Center, Najafabad Branch,Islamic Azad University, Najafabad, Iran
2- Department of Nursing, Nursing and Midwifery Sciences Development Research Center, Najafabad Branch,Islamic Azad University, Najafabad, Iran ,f-salmani@iaun.ac.ir
2- Department of Nursing, Nursing and Midwifery Sciences Development Research Center, Najafabad Branch,Islamic Azad University, Najafabad, Iran ,
Abstract: (722 Views)
Background and Objectives: Chronic kidney disease is a debilitating disease that can also affect the family caregivers of patients. Increasing awareness and empowering caregivers can improve the physical and mental condition of patients and the resilience of caregivers. This study aims to evaluate the effect of an intervention based on the family-centered empowerment model (FCEM) on the resilience of family caregivers of hemodialysis patients.
Methods: This is a randomized controlled clinical trial. Sixty family caregivers of patients in the hemodialysis department of Imam Khomeini Hospital in Kermanshah, Iran were selected by a random sampling method using a random number table. Then, they were randomly divided into two groups of intervention (n=30) and control (n=30). The assessment tools were a demographic form and the Connor-Davidson resilience scale. Descriptive and inferential statistics were used to analyze the data in SPSS software, version 18.
Results: The results of independent t-test showed that the mean resilience score at baseline was not significantly different between the two groups (P=0.29). After the intervention, it was significantly increased in the intervention group compared to the control group (P<0.001). In addition, there was a statistically significant difference between pre- and post-intervention scores of resilience in the intervention group (P<0.001), but no significant difference was found in the control group (P=0.17).
Conclusion: The FCEM-based intervention increases the resilience of family caregivers of hemodialysis patients. Therefore, it is recommended that the planners in nursing education should make nurses aware of the importance of providing family-centered care to hemodialysis patients’ families for increasing their resilience.
Methods: This is a randomized controlled clinical trial. Sixty family caregivers of patients in the hemodialysis department of Imam Khomeini Hospital in Kermanshah, Iran were selected by a random sampling method using a random number table. Then, they were randomly divided into two groups of intervention (n=30) and control (n=30). The assessment tools were a demographic form and the Connor-Davidson resilience scale. Descriptive and inferential statistics were used to analyze the data in SPSS software, version 18.
Results: The results of independent t-test showed that the mean resilience score at baseline was not significantly different between the two groups (P=0.29). After the intervention, it was significantly increased in the intervention group compared to the control group (P<0.001). In addition, there was a statistically significant difference between pre- and post-intervention scores of resilience in the intervention group (P<0.001), but no significant difference was found in the control group (P=0.17).
Conclusion: The FCEM-based intervention increases the resilience of family caregivers of hemodialysis patients. Therefore, it is recommended that the planners in nursing education should make nurses aware of the importance of providing family-centered care to hemodialysis patients’ families for increasing their resilience.
Type of Study: Original Article |
Subject:
پرستاری-روانپرستاری
Received: 2022/09/30 | Accepted: 2022/11/26 | Published: 2023/01/1
Received: 2022/09/30 | Accepted: 2022/11/26 | Published: 2023/01/1
References
1. Sajadi SA, Ebadi A, Moradian ST. Quality of life among family caregivers of patients on hemodialysis and its relevant factors: A systematic review. Int J Community Based Nurs Midwifery. 2017; 5(3):206-18. [PMID] [PMCID]
2. Mofard M, Shiri H . [Principles of intensive care in ICU-CCU and dialysis (Persian)]. Tehran: Noor Danesh Publications; 2015. [Link]
3. Baghcheghi N, Koohestani HR. [Comparison of depression and quality of life between patients on hemodialysis and their spouses (Persian)]. Avicenna J Nurs Midwifery Care. 2020; 28(2):136-43. [DOI:10.30699/ajnmc.28.2.136] [DOI:10.30699/ajnmc.28.2.136]
4. Mortazavi G, Tabkhi N, Azizi T, Haqshen H. [Iran's dialysis perspective in 2021 (Persian]. Dialysis Monthly, 2021. [Link]
5. Cagan O, Unsal A, Celik N, Yilmaz AT, Culha I, Eren HK. Care burden of caregivers of hemodialysis patients and related factors. Int J Caring Sci. 2018; 11(1):279-84. [Link]
6. Salar A , Kermansaravi F , Navidian A, Taheri B. [The effect of a family-centered empowerment model on quality of life in dialysis patients (Persian)]. Payesh. 2018; 17(2):179-90. [Link]
7. Rafati F, Mashayekhi F, Dastyar N. Caregiver burden and spiritual well-being in caregivers of hemodialysis patients. J Relig Health. 2020; 59(6):3084-96. [DOI:10.1007/s10943-019-00939-y] [PMID] [DOI:10.1007/s10943-019-00939-y]
8. Khiali Z, khani M, Dehghan A. [Survey of caregiver burden and its related factors in caregiver of hemodialysis patients referring to Shahid Mohammadi Hospital in Bandar Abbas, 2016 (Persian)]. Nurs J Vulnerable. 2018; 5(16):35-46. [Link]
9. salehi Tali S, Zarea K, Hasanpour A. [Victim of situation: Experience familial caregiver with hemodialysis patient. A qualitative study (Persian)]. J Clin Nurs Midwifery. 2018; 4(3):158-69. [Link]
10. Rabiei L, Eslami AA, Abbasi M, Afzali SM, Hosseini SM, Masoudi R. Evaluating the effect of family-centered intervention program on care burden and self-efficacy of hemodialysis patient caregivers based on social cognitive theory: A randomized clinical trial study. Korean J Fam Med. 2020; 41(2):84-90. [DOI:10.4082/kjfm.18.0079] [PMID] [PMCID] [DOI:10.4082/kjfm.18.0079]
11. Oyegbile YO, Brysiewicz P. Family caregiver's experiences of providing care to patients with end-stage renal disease in south-west Nigeria. J Clin Nurs. 2017; 26(17-18):2624-32. [DOI:10.1111/jocn.13689] [PMID] [DOI:10.1111/jocn.13689]
12. Yeung WJJ, Li H. Educational Resilience among asian children in challenging family environment. Soc Indic Res. 2021; 153:675-85. [DOI:10.1007/s11205-019-02143-7] [DOI:10.1007/s11205-019-02143-7]
13. Ryan L, Caltabiano ML. Development of a new resilience scale: The Resilience in Midlife Scale (RIM Scale). Asian Soc Sci. 2009; 5(11):39-51. [DOI:10.5539/ass.v5n11p39] [DOI:10.5539/ass.v5n11p39]
14. Kukihara H, Yamawaki N, Ando M, Nishio M, Kimura H, Tamura Y. The mediating effect of resilience between family functioning and mental well-being in hemodialysis patients in Japan: a cross-sectional design. Health Qual Life Outcomes. 2020; 18(1):233. [DOI:10.1186/s12955-020-01486-x] [PMID] [PMCID] [DOI:10.1186/s12955-020-01486-x]
15. Nagasawa H, Sugita I, Tachi T, Esaki H, Yoshida A, Kanematsu Y, et al. The relationship between dialysis patients' quality of life and caregivers' quality of life. Front Pharmacol. 2018; 9:770. [DOI:10.3389/fphar.2018.00770] [PMID] [PMCID] [DOI:10.3389/fphar.2018.00770]
16. Alhani F. [Design and evaluation of the family-oriented prevention of iron deficiency Anemia (Persian)] [PhD dissertation]. Tehran: Tarbiat Modares Uni-versity; 2003.
17. Nasiri S, Heydari N, Rafiee S, Paran M. [Effect of family-centered education on patient's self-care (Persian)]. Sadra Med J. 2020; 8(3):311-20. [DOI:10.30476/smsj.2020.81889.1009]
18. Torabi M, Hemmati Maslak Pak M, Radfar M, Alinejad V. The impact of care-center group discussion on hemodialysis patients caregiver burnout. Nurs Midwifery J. 2017; 15(3):187-98. [Link]
19. Hoang VL, Green T, Bonner A. Informal caregivers' experiences of caring for people receiving dialysis: A mixed-methods systematic review. J Ren Care. 2018; 44(2):82-95. [DOI:10.1111/jorc.12235] [PMID] [DOI:10.1111/jorc.12235]
20. Mohammadi M, Jazayeri AR, Rafie AH, Joukar B, Pourshahbaz A. Resilience factors in individuals at risk for substance abuse. J Modern Psycho Res. 2006; 3(1):203-24. [Link]
21. Jafari Z, Abdollah Zargar S, Abdolreza Gharebagh Z. [Investigation of resilience status among mothers of children undergoing dialysis referred to selected hospitals of Medical Sciences Universities of Tehran (Persian)]. Med Sci. 2022; 32(1):83-91. [DOI:10.52547/iau.32.1.83] [DOI:10.52547/iau.32.1.83]
22. Ye ZJ, Guan HJ, Wu LH, Xiao MY, Luo DM, Quan XM. Resilience and psychosocial function among Mainland Chinese parents of children with cancer: A cross-sectional survey. Cancer Nurs. 2015; 38(6):466-74. [DOI:10.1097/NCC.0000000000000220] [PMID] [DOI:10.1097/NCC.0000000000000220]
23. Abbasi A, Asayesh H, Rahmani H, Shariati A, Hosseini SA, Rouhi G, et al . [The burden on cargivers from hemodialysis patients and related factors (Persian)]. J Res Dev Nurs Midw. 2011; 8(1):26-33. [Link]
24. Rayyani M, Salsali M, Abbaszadeh A. [Coping strategies in renal transplants recipients: A qualitative study (Persian)]. J Qualitative Res Health Sci. 2013; 2(3):208-20. [Link]
25. Germin-Petrović D, Mesaros-Devcić I, Lesac A, Mandić M, Soldatić M, Vezmar D, et al. Health-related quality of life in the patients on maintenance hemodialysis: The analysis of demographic and clinical factors. Coll Antropol. 2011; 35(3):687-93. [PMID]
26. Tsay SL, Hung LO. Empowerment of patients with end-stage renal disease--a randomized controlled trial. Int J Nurs Stud. 2004; 41(1):59-65. [DOI:10.1016/S0020-7489(03)00095-6] [PMID] [DOI:10.1016/S0020-7489(03)00095-6]
27. Sotoudeh R, Pahlavanzadeh S, Alavi M. The effect of a family-based training program on the care burden of family caregivers of patients undergoing hemodialysis. Iran J Nurs Midwifery Res. 2019; 24(2):144-50. [DOI:10.4103/ijnmr.IJNMR_93_18] [PMID] [PMCID] [DOI:10.4103/ijnmr.IJNMR_93_18]
28. Salahi SH, Javanbakhtian R, Hasheminia AM, Habibzadeh H. [The effect of family-centered empowerment model on quality of life of hemodialysis patients (Persian)]. J Urmia Nurs Midwifery. 2012; 10(1):62-7. [Link]
29. Moradi Z, Madani Y, Sadeghi M. [Studying the effectiveness of integrating spiritual and cognitive counseling on resiliency and self-efficacy of hemodialysis patients (Persian)]. J Clin Nurs Midwifery. 2019; 8(3):423-35. [Link]
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