The Effect of Emotional Disclosure by Writing on the Depression of Hemodialysis Patients in Iran: A Randomized Clinical Trial.

Journal of Caring Sciences Pub Date : 2021-10-23 eCollection Date: 2021-11-01 DOI:10.34172/jcs.2021.035
Fereshteh Khaleghi, Batool Pouraboli, Leila Abadian, Mahlegha Dehghan, Sakineh Miri
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Abstract

Introduction: Depression is the most common psychological problem in patients with renal failure, and it can lead to mortality in severe cases. Effective interventions are required to promote mental health in patients on hemodialysis with various types of mental disorders. The current study aimed to evaluate the effect of emotional disclosure by writing on depression of patients on hemodialysis in Iran. Methods: This clinical trial study was carried out on 140 patients undergoing hemodialysis in hemodialysis centers of Kerman. Patients were randomly assigned into two groups of intervention and control after signing the written consent forms and completing the Depression Anxiety Stress Scale (DASS 21). The intervention group was requested to write daily the deepest emotions and intrusive thoughts within 15 to 20 minutes in four consecutive days. The control group received routine care. Then, the questionnaire was recompleted two weeks later. Finally, the data were analyzed by SPSS (version 13) using independent t-test and paired t-test. Results: The mean depression score was either moderate or high. While depression scores seemed to decrease in the intervention group after the intervention, the depression scores continued to rise following the intervention in the control group. The difference in depression scores was statistically significant between the two groups before and after the intervention. Conclusion: Emotional disclosure by writing can be effective on the level of depression in patients on hemodialysis.Simus adi omnimodipsa sam fugita dolenistiae inveles est doluptat.

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伊朗血液透析患者写作情绪表露对抑郁的影响:一项随机临床试验。
导读:抑郁是肾衰竭患者最常见的心理问题,严重者可导致死亡。需要有效的干预措施来促进患有各种类型精神障碍的血液透析患者的精神健康。本研究旨在评估伊朗血液透析患者写作情绪表露对抑郁的影响。方法:对克尔曼血透中心140例血液透析患者进行临床试验研究。在签署书面同意书并填写抑郁焦虑压力量表(DASS 21)后,将患者随机分为干预组和对照组。干预组被要求连续四天,每天在15到20分钟内写下最深的情绪和侵入性的想法。对照组接受常规护理。然后,两周后重新填写问卷。最后,采用SPSS (version 13)软件对数据进行独立t检验和配对t检验。结果:平均抑郁评分为中等或较高。干预组的抑郁得分在干预后似乎有所下降,而对照组的抑郁得分在干预后继续上升。干预前后两组抑郁评分差异有统计学意义。结论:书面情绪表露对血液透析患者抑郁程度有一定的改善作用。Simus是全方位的,同样的fugita白云化也涉及到est dolupa。
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