Document Type : Original Research
Authors
1
Student Research Committee, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
2
Critical Care Nursing Department, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
3
Nursing Management Department, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
Abstract
Background and Aim: One of the chronic diseases that has developed widely is chronic kidney disease. Hemodialysis is the most common treatment for patients with end-stage renal disease. The experience of hemodialysis and its problems affect people's resilience. Considering the chronic nature of the disease in hemodialysis patients and the need for continuous education and continuous care in these patients and the limited availability of articles, this study was conducted with the aim of determining the effect of the continuous care model on the resilience of hemodialysis patients.
Methods: This study was conducted as a clinical trial on 74 patients (37 experimental patients and 37 control patients) undergoing hemodialysis in 2023, at Shahid Chamran Hospital in Tehran. In this study, a simple randomization method with coin toss was used to allocate units in the experimental and control groups. Personal characteristics questionnaire and Connor and Davidson's resilience questionnaire were used to collect information. In the experimental group, in addition to routine care, the continuous care model was implemented in 4 stages (including four stages of orientation, sensitization, control, and evaluation) for one month. The resilience of the patients was measured before, immediately, and one month after the intervention. After collecting the data, it was entered into SPSS version 23 and analyzed.
Results: Before the intervention, there was no significant difference between the two groups in terms of individual characteristics and average resilience (P<0.05). Based on the results, the implementation of the continuous care model had improved the average resilience score (P<0.001). At the time of follow-up, this difference between the two groups was significant (P<0.001) and it was still higher in the endurance test group.
Conclusion: Hemodialysis patients are under high pressure and stress and need higher resilience. This study showed that the continuous care model is useful in promoting resilience and increasing tolerance of hemodialysis patients. Therefore, it is recommended to use continuous care model in hemodialysis patients.
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