1- Islamic Azad University, Ardabil branch
Abstract: (72 Views)
Background and Objective: Based on the researches, several psychological interventions are effective on anxiety and stress in dialysis patients. Chronic kidney failure is one of the chronic diseases that cause many problems in the lives of patients, and it seems that one of the factors that can affect the mental health of kidney patients is anxiety and stress in the treatment process, and these two are closely related. And anxiety and stress are among the most common mental disorders that occur after the emergence of stressful events in life and especially chronic diseases, and basically, hemodialysis patients experience a high level of mental tension, anxiety and depression, and this leads to an increase in malaise, frequent visits To the hospital, the costs and the mortality of the patients will increase. In this regard, this research was conducted with the aim of comparing the effectiveness of positive thinking and happiness training on anxiety and stress in dialysis patients.
Method: The research method was semi-experimental with a pre-test-post-test design with a control group. The research population was all the dialysis patients of Parsabad city in 1402, with the purposeful sampling method and in compliance with health protocols, 45 eligible subjects from among the total dialysis patients voluntarily entered the study and were randomly divided into two experimental groups (positive thinking and happiness) and a control group, 15 people each. In order to comply with the principle of ethics in the research, the principle of secrecy and confidentiality of the participants' information was observed. First, Beck's anxiety questionnaire and Cohen's perceived stress questionnaire were implemented in all three groups in accordance with health protocols, and then one experimental group received positive thinking training in eight sessions and the other experimental group received happiness training in eight sessions, and an intervention was performed for the control group. and then the questionnaires were administered again as a post-test in three groups, the intervention was not performed in the control group. Beck's anxiety questionnaire (Beck and Steer, 1988) and Cohen's perceived stress questionnaire (1983) were used to collect data. The data were analyzed using covariance analysis and SPSS version 22 statistical software, and its defaults were checked before performing this test. A significance level of 0.05 was considered for all tests.
Results: By controlling the effects of the pre-test, the effect of the groups was significant, and in the two test groups, in the post-test, compared to the control group, the mean scores of anxiety (P<0.001), stress (P<0.001) were significantly reduced. In other words, positive skills training Thought and happiness have been able to lower these indicators. Also, no significant difference was observed in the average scores of the mentioned variables between the test groups. In general, it can be concluded that teaching positive thinking and happiness in order to strengthen and improve positive communication with oneself, positive communication with others increases self-esteem and reduces anxiety and stress. Therefore, positivity and happiness help people to have a realistic understanding of their efficiency by focusing on their capabilities and positive aspects.
Conclusion: Based on the findings of this research, teaching positivity and happiness was effective on anxiety and stress in dialysis patients, and teaching positivity and happiness with the aim of strengthening positive communication with oneself, positive communication with others, increases self-esteem and decreases anxiety and stress. Therefore, positive thinking and happiness help people to have a realistic perception of their capabilities and efficiency by fully focusing attention on their positive capabilities and dimensions, and use effective strategies to deal with challenges and problem-oriented strategies, and this causes less stress. to experience and when faced with stressful events by maintaining positive emotions and thinking and coping adaptively and problem-oriented to improve their mental health and ability to cope with the challenges of life, positive thinking and happiness have a supportive and protective role against high stress and can reduce the negative effects reduce stress, so it can be concluded that these trainings can improve anxiety and stress in dialysis patients, and the positive thinking and happiness training program can be used as a suitable program to reduce the problems of dialysis patients.
Method: The research method was semi-experimental with a pre-test-post-test design with a control group. The research population was all the dialysis patients of Parsabad city in 1402, with the purposeful sampling method and in compliance with health protocols, 45 eligible subjects from among the total dialysis patients voluntarily entered the study and were randomly divided into two experimental groups (positive thinking and happiness) and a control group, 15 people each. In order to comply with the principle of ethics in the research, the principle of secrecy and confidentiality of the participants' information was observed. First, Beck's anxiety questionnaire and Cohen's perceived stress questionnaire were implemented in all three groups in accordance with health protocols, and then one experimental group received positive thinking training in eight sessions and the other experimental group received happiness training in eight sessions, and an intervention was performed for the control group. and then the questionnaires were administered again as a post-test in three groups, the intervention was not performed in the control group. Beck's anxiety questionnaire (Beck and Steer, 1988) and Cohen's perceived stress questionnaire (1983) were used to collect data. The data were analyzed using covariance analysis and SPSS version 22 statistical software, and its defaults were checked before performing this test. A significance level of 0.05 was considered for all tests.
Results: By controlling the effects of the pre-test, the effect of the groups was significant, and in the two test groups, in the post-test, compared to the control group, the mean scores of anxiety (P<0.001), stress (P<0.001) were significantly reduced. In other words, positive skills training Thought and happiness have been able to lower these indicators. Also, no significant difference was observed in the average scores of the mentioned variables between the test groups. In general, it can be concluded that teaching positive thinking and happiness in order to strengthen and improve positive communication with oneself, positive communication with others increases self-esteem and reduces anxiety and stress. Therefore, positivity and happiness help people to have a realistic understanding of their efficiency by focusing on their capabilities and positive aspects.
Conclusion: Based on the findings of this research, teaching positivity and happiness was effective on anxiety and stress in dialysis patients, and teaching positivity and happiness with the aim of strengthening positive communication with oneself, positive communication with others, increases self-esteem and decreases anxiety and stress. Therefore, positive thinking and happiness help people to have a realistic perception of their capabilities and efficiency by fully focusing attention on their positive capabilities and dimensions, and use effective strategies to deal with challenges and problem-oriented strategies, and this causes less stress. to experience and when faced with stressful events by maintaining positive emotions and thinking and coping adaptively and problem-oriented to improve their mental health and ability to cope with the challenges of life, positive thinking and happiness have a supportive and protective role against high stress and can reduce the negative effects reduce stress, so it can be concluded that these trainings can improve anxiety and stress in dialysis patients, and the positive thinking and happiness training program can be used as a suitable program to reduce the problems of dialysis patients.
Type of Study: Original Research Article |
Subject:
Psychology
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