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S 13 Parallel session
S 13 Psychosocial care
Saal 2, 27th September, 14:00 – 15:30
Programme of the session:
GS: Victoria Alikari (Greece)
Identification of stress in dialysis patients: The role of the nurse
O 24
Challenges arising under haemodialysis: Sexuality and holistic nursing care
Virginia Henriques (Portugal)
O 25
Impacts of the belief factors on patients’ adaptation to the treatment
Zubeyde Mazman (Turkey)
O 26
Depression, stress, anxiety and health-related quality of life in Vietnamese people receiving haemodialysis
Ann Bonner (Australia)
O 27
The effects of music therapy on anxiety, anger and physiologic measurements of hemodialysis patients
Handan Golgeli (Turkey)
Abstracts
GUEST SPEAKER
Identification of stress in dialysis patients: The role of the nurse
V. Alikari1, S. Zyga1
1Department of Nursing, University of Peloponnese, Sparta, Greece
Background: Heamodialysis and peritoneal dialysis are the most frequent renal replacement therapies. Patients undergoing hemodialysis or peritoneal dialysis have multiple problems, such as sodium and water retention, hypertension, anemia, heart disease, pain and fear of death. End stage renal disease patients experience multiple stressors which influence their quality of life as well as physical and psychosocial dimensions of their life.
Objectives: To investigate the stressors experienced by dialysis patients and the nursing role.
Methods:Literature review of relevant articlesin the databases Pubmed, Scopus, Cinahl and Google Scholar was carried out. The search covers the period 2005-2014 and the words used were: dialysis, physiological stressors, psychosocial stressors, multidisciplinary team, nursing role. Results: The most frequently physiological stressors reported are fatigue, pain, muscle cramps, itching, nausea and vomiting. Regarding the psychosocial stressors, fluid and food restrictions, changes in body appearance, fear of death, increased dependence, uncertainty about the future, role loss, marital relationships, changes in life style, and unemployment are referred. The role of renal nurses is focused on preventive care, education and empowerment in the process of rehabilitation and self-management.
Conclusion/Application to practice: Renal nurses play an important role in providing patients with effective psychological support. Early identification and knowledge of factors affecting stressors will assist nurses in developing strategies for promoting optimum wellness. Effective communication, counseling and active listening are the strategies that renal nurses can facilitate as members of the dialysis multidisciplinary team.
Disclosure: No conflict of interest declared
BIOGRAPHY OF THE GUEST SPEAKER
O 24
Challenges arising under haemodialysis: Sexuality and holistic nursing care
V. Henriques1, F. Vieira1, J. Fazendeiro Matos2, M.T. Parisotto3
1NephroCare Braga, Fresenius Medical Care, Braga, Portugal; 2NephroCare Portugal, Fresenius Medical Care, Porto, Portugal; 3NephroCare Coordination, Fresenius Medical Care, Bad Homburg, Germany
Background: Sexuality is a central aspect of being human throughout life and encompasses many facets, such as: Sexual intercourse, gender, identity roles, sexual orientation, eroticism, pleasure, intimacy, and reproduction. Within the remit of being a chronic patient on renal replacemnet therapy , this important component of life is structured and organised in different dimensions covering social interactions, relationship, as well as libido and sex life.
Objectives: To explore perceptions of sexuality for women undergoing haemodialysis as a treatment of end-stage renal disease (ESRD). We try to understand the possible influence of chronic diseases and treatments, such as haemodialysis and perceptions of sexuality and related adaptive psychosocial behaviours.
Methods: The research was conducted in 2012 in seven private dialysis clinics, in the north of Portugal. The sample study is the female population >18 years undergoing haemodialysis. The study utilised qualitative descriptive phenomenology to explore subjective experiences of women in haemodialysis, especially stressors they experienced and coping strategies they employed.
Results: Haemodialysis and chronic renal failure disease cause changes in the patient’s intimacy and sexual behaviour, ranging from loss of interest in sex to excessive sexual behaviour. These changes can be challenging for caregivers. Spouses and partners often have to adjust their attitudes and actions to maintain a sense of intimacy.
Conclusion/Application to practice: A list of resources can help both family and professional caregivers better understand and respond to various sexual behaviours in dialysis patients.
Disclosure: No conflict of interest declared
O 25
Impacts of the belief factors on patients’ adaptation to the treatment
Z. Mazman1, S. Sari1
1Hemodialysis, RTS Antalya Dialysis Center, Antalya, Turkey
Background: Religion - Religion has impacts not only on the individuals’ conscious or unconscious psychological mood but also on their communication with the environment, and other observable actions.
Objectives: Our aim in performing this study has been to utilize belief factors in training the dialysis patients with chronic renal failure, and thus, demonstrate that these factors could help them to adapt to their new lives and dialysis treatments much quicker, and to reveal based on the psychological and clinical data that these training play a significant role in the adaptation.
Methods: A total of 25 patients took part in the study – 9 women (average age: 45), and 16 men (average age: 55). All being Muslims, these patients were delivered speeches on God’s love for the human beings, significance of science in Islam, patients’ place in Islam, and coping with diseases.
Results: Average depression score for men was 16.19 before the training whereas it decreased to 6.5 after the training; likewise, average depression score for women dropped from 23.22 to a level of 10.16. Before the dialysis treatment, the excess liquid as per the dry weight (DW) was DW + 2581 ml for men, and it dropped to DW + 1943 ml after training; this level dropped from DW + 2711 ml to DW + 2477 ml for women.
Conclusion/Application to practice: As per the result of our study, use of the belief factor –when necessary– in training the dialysis patients yields positive results especially with regards to depression and clinical adaptation to the treatment.
Disclosure: No conflict of interest declared
O 26
Depression, stress, anxiety and health-related quality of life in Vietnamese people receiving haemodialysis
A. Bonner1, 2, 3, L.A. Nguyen2, H.A. Ha Phan4, 5, K. Havas1
1School of Nursing, Queensland University of Technology, Brisbane, Australia; 2Faculty of Nursing & Midwifery, Hanoi Medical University, Hanoi, Vietnam; 3Kidney Health Services, Metro North Hospital and Health Service District, Brisbane, Australia; 4Kidney Disease and Dialysis Department, Viet Duc Hospital, Hanoi, Vietnam; 5International Cooperation, Hanoi Medical University, Hanoi, Vietnam
Background: In Western countries people receiving haemodialysis (HD) face many additional stressors above and beyond those of everyday life and, as such, frequently suffer from mental health issues but there is limited knowledge about the mental health of patients in developing countries such as Vietnam.
Objectives: The aim of this study is determine to the levels of depression, anxiety, and stress amongst haemodialysis patients in Hanoi, Vietnam, and to determine if there was an association between depression, anxiety or stress and quality of life (QoL).
Methods: Using an observational design, a convenience sample of 140 people completed self-report questionnaires - the Depression, Anxiety and Stress Scale and the Health-Related Quality of Life (SF-36) survey.
Results: Participants were mostly male (62%), mean age of 46.1 years with a median monthly income of 2,460,000VND (€102). Median length of time on HD was 48 months. More participants reported moderate to severe levels of anxiety (56.6%) than depression (35.6%) or stress (27.5%). Those aged over 45 years were significantly more depressed than those under 45 (M=6 vs 3, p=.012), while women were more anxious than men (M=6.5 vs 6, p=.04). In relation to QOL, physical functioning was significantly higher in men (p=.017) where as social function was significantly higher in women (p=.013).
Conclusion/Application to practice: The burden of HD also leads to mental health complications. Education to reduce the stigma about mental health and to conduct mental health assessments by Vietnamese nurses is urgently required. Early assessment would enable timely nursing interventions to optimise mental health and patient well-being.
Disclosure: No conflict of interest declared
O 27
The effects of music therapy on anxiety, anger and physiologic measurements of hemodialysis patients
H. Golgeli1
1Hemodilaysis, RTS Yasam Dialysis Center,Turkey, Eskisehir, Turkey
Background: Music has positive effects on pain and anxiety, and it enhances life qualities of both sick and healthy. Moreover, music reduces blood pressure, heart rate, body temperature, breath rate and provides relaxation.
Objectives: This experimental study was designed to investigate the effects of music over anger, anxiety and physiologic parameters that has been observed on dialysis patients. 40 patients who were convenient to the scope of the study, have no hearing impairment and who accepted to take part in this study were chosen. Patients were divided into two as experimental and control groups. Medical counseling data collecting instruments of our headquarters, data collection form, State-Trait Anxiety Inventory, songs of tune Hejaz and Neva were administered.
Methods: Experimental group patients listened to the songs for 20 minutes for two weeks after the first hour of dialysis sessions through the central music system and earphones. The patients in the control group did not listen to the music. Two weeks later the same instruments were administered to both groups. Numbers, percentage, mean deviation and independent samples t test, ANOVA were used. It was found statistically significant that the music therapy before or during the session reduced anxiety, breathing and heart rates.
Results: Those in the experimental group generally found music beneficial during their treatment process and music provided them a relaxed and serene atmosphere. Moreover, they also reported that music helped them to feel drawn away from the treatment and the dialysis atmosphere.
Conclusion/Application to practice: Music therapy has no significant difference on anger and blood pressure.
Disclosure: No conflict of interest declared