The effectiveness of intervention based on the transactional model on improving coping efforts and stress moderators in hemodialysis patients in Tehran: a randomized controlled trial

BMC Nephrology

Mohtasham Ghaffari¹  Somayeh Alizadeh²  Mohammad Ali Morowatisharifabad³  Yadollah Mehrabi⁴  Mohammad Saeed Jadgal⁵ 

[1] Environmental and Occupational Hazards Control Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Health Department, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran;Health Department, School of Public Health, Yazd Shahid Sadoughi University of Medical Sciences, Yazd, Iran;School of public health and safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Tropical and communicable diseases research center, Iranshahr University of Medical Sciences and health services, Iranshahr, Iran;Department of Public Health, School of Nursing and Midwifery, Iranshahr University of Medical Sciences and Health Services, Iranshahr, Iran;

关键词: Coping efforts;    Moderators;    Education;    Transactional model;    Hemodialysis;   

DOI  :  10.1186/s12882-021-02592-8

来源: Springer

【 摘 要 】

BackgroundPresent study was conducted to determine the effect of training on coping efforts and stress moderators, based on transactional model of Lazarus and Folkman, in hemodialysis patients.MethodsThis is a randomized controlled clinical trial on 116 hemodialysis patients referred to dialysis centers in Tehran from May to August 2018. The patients were assigned to two experimental and control groups using a simple randomization method. The intervention included 6 training sessions in the form of coping efforts and moderators of transactional model. Data were collected before and 3 months after the intervention. Data were analyzed using SPSS 16.ResultsAfter 3 months training intervention, there was significant increase in the intervention group in the mean scores of coping efforts (P < 0.001), moderators and subscales of emotional regulation from 51.18 ± 20.42 to 64.87 ± 13.18 (P < 0.001), dispositional coping style from 45.56 ± 19.45 to 55.84 ± 18.03 and social support from 49.61 ± 20.14 to 55.55 ± 17.35 (P < 0.005).ConclusionThe training based on transactional model was successful in the increase of social support, dispositional coping style and emotional regulation in hemodialysis patients. Therefore, Nurses and healthcare providers can use this program to help hemodialysis patients to increase their adaptation to the illness and reduce stress.Trial registrationIRCT registration number: IRCT20180524039814N1; Registration date: 13-08-2018; Registration timing: retrospectively registered: Last update: 13-08-2018.

【 授权许可】

CC BY