The ımportance of art therapy ın the qualıty of lıfe ın hemodıalysıs patıents

DOI: https://doi.org/10.31450/ukrjnd.1(69).2021.04
Keywords: hemodialysis, anxiety, art therapy

Abstract

Dialysis causes many psycho-social problems in patients with chronic renal failure and decreases their quality of life by increasing their anxiety. We aimed to determine the influence of artistic activities on quality of life and reducing or eliminating dialysis anxiety.

Methods. Among 180 hemodialysis patients, 8 patients were randomly selected as a study group and 8 patients as a control group. We performed our theater rehearsals in 16 sessions, two hours per week. State-Trait Anxiety Inventory (STAI), STAII and  Social Anxiety Scales (SAS) were employed in both groups before and after the play.

Results. The means of the eighth-month SAS fear and avoidance measures of the study group were found to be significantly lower than the control group and significantly lower than the baseline. The mean difference of the initial eighth-month SAS fear and avoidance in the study group was statistically significantly higher than the control group.Initial and eighth month SAS fear and avoidance difference averages of the study group were found statistically significantly higher than the control group.

Conclusions. We determined that the therapies to be done with art have an important place in relieving or reducing anxiety in hemodialysis patients. In addition, it was the opinion that our patients would make positive contributions to their quality of life. However, further studies are needed to demonstrate whether theater rehearsals reduce anxiety in hemodialysis patients.

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References

Menezes FG, Abreu RM, Itria A. Cost-effectiveness analysis of paricalcitol versus calcitriol for the treatment of SHPT in dialytic patients from the SUS perspective. J Bras Nefrol. 2016 ; 38(3):313-9. doi: 10.5935/0101-2800.20160048.

Jha V, Garcia-Garcia G, Iseki K, Li Z, Naicker S, Plattner B. et al. Chronic kidney disease: global dimension and perspectives. Lancet. 2013; 382(9888): 260-72. doi: 10.1016/S0140-6736(13)60687-X.

Carswell C, Reid J, Walsh I. et al. Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol. BMC Pilot and Feasibility Studies 2019; 5:1. doi.org/10.1186/s40814-018-0389-y.

Raj R, Ahuja KDK, Frandsen M, Jose M. Symptoms and their recognition in adult haemodialysis patients: interactions with quality  of life. Nephrology. 2017; 22: 228–33. doi.org/10.1111/nep.12754.

Melo G, Rodrigues A,  Firmeza M ET AL. Musical intervention on anxiety and vital parameters of chronic renal patients: a randomized clinical trial. Rev. Latino-Am. Enfermagem 2018; 26: e2978. doi: 10.1590/1518-8345.2123.2978.

Liebman S, Li N-C, Lacson E. Change in quality of life and one-year mortality risk in maintenance dialysis patients. Qual Life Res. 2016; 25: 2295–306. doi: 10.1007/s11136-016-1257-y.

Goh ZS, Griva K. Anxiety and depression in patients with end-stage renal disease: impact and management challenges - a narrative review. Int J Nephrol Renovasc Dis. 2018; 11: 93–102. doi: 10.2147/IJNRD.S126615.

Barros A, da Costa BE, Mottin CC, D’Avila DO. Depression, quality of life, andbody composition in patients with end-stage renal disease: a cohort study. Rev Bras Psiquiatr. 2016; 38: 301–6. doi: 10.1590/1516-4446-2015-1681.

Pompili M, Venturini P, Montebovi F, Forte A, Palermo M, Lamis D a, et al. Suicide risk in dialysis: review of current literature. Int J Psychiatry Med. 2013; 46: 85–108. doi: 10.2190/PM.46.1.f.

Ossareh S, Tabrizian S, Zebarjadi M. Prevalence of depression in maintenance hemodialysis patients and its correlation with adherence to medications. Iran J Kidney Dis. 2014; 8: 467–75. PMID:25362222.

Loosman WL, Rottier MA, Honig A, Siegert CEH. Association of depressive and anxiety symptoms with adverse events in Dutch chronic kidney disease patients: a prospective cohort study. BMC Nephrol. 2015; Sep 21; 16: 155.  doi: 10.1186/s12882-015-0149-7.

Cohen SD, Cukor D, Kimmel PL. Anxiety in patients treated with hemodialysis. Clin J Am Soc Nephrol. 2016; 11: 2250–5. doi: 10.2215/CJN.02590316.

Evans D. The effectiveness of music as an intervention for hospital patients: a systematic review. J Adv Nurs. 2002; 37: 8–18. doi: 10.1046/j.1365-2648.2002.02052.x.

Yinger OS, Gooding LF. A systematic review of music-based interventions for procedural support. J Music Ther. 2015; 52: 1–77. doi: 10.1093/jmt/thv004.

All-Party Parliamentary Group on Arts Health and Wellbeing. Creative health: the arts for health and wellbeing. The short report. 2017. Availiable from:  https://www.artshealthandwellbeing.org.uk/appg-inquiry/Publications/Creative_Health_Inquiry_Report_ 2017.pdf

Boyce M, Bungay H, Munn-Giddings C, Wilson C. The impact of the arts in healthcare on patients and service users: a critical review. Heal Soc Care Community. 2017; 26: 1–16. doi: 10.1111/hsc.12502.

Spielberger CD. Theory and research on anxiety. Anxiety and behavior. New York: Academic Press. 1966.

Liebowitz MR. Social Phobia. Mod Probl Pharmacopsychiatry. 1987; 22: 141-173. doi: 10.1159/000414022.

Rajan EJE, Subramanian S. The effect of depression and anxiety on the performance status of end-stage renal disease patients undergoing hemodialysis. Saudi J Kidney Dis Transpl.  2016; 27(2): 331-4.  doi: 10.4103/1319-2442.178555.

Kargar Jahromi M, Javadpour S, Taheri L, Oorgholami F. Effect of nurse-led telephone follow ups (Tele-Nursing) on depression, anxiety and stress in hemodialysis patients. Glob J Health Sci.   2016; 8(3): 168-73. doi: 10.5539/gjhs.v8n3p168.

Mohammadi A, Ajorpaz N. M, Torabi M, Mirsane A, Moradi F. Effects of music listening on preoperative state anxiety and physiological parameters in patients undergoing general surgery: a randomized quasi-experimental trial. Cent Eur J Nurs Midw. 2014; 5(4): 156-60. doi: 10.15452/CEJNM.2014.05.0011.

Jiménez-Jiménez M, García-Escalona A, Martín-López A, De Vera-Vera R, De Haro J. Intraoperative stress and anxiety reduction with music therapy: A controlled randomized clinical trial of efficacy and safety. J Vasc Nurs. 2013; 31(3): 101-6. doi: 10.1016/j.jvn.2012.10.002.

Nguyen TN, Nilsson S, Hellstrom AL, Bengtson A. Music therapy to reduce pain and anxiety in children with cancer undergoing lumbar puncture: arandomized clinical trial. J Pediatr Oncol Nurs. 2010; 27: 146–55.  doi: 10.1177/1043454209355983.


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Published
2020-10-18
How to Cite
Parmaksız, E., & Demirbilek, H. (2020). The ımportance of art therapy ın the qualıty of lıfe ın hemodıalysıs patıents. Ukrainian Journal of Nephrology and Dialysis, (1(69), 27-33. https://doi.org/10.31450/ukrjnd.1(69).2021.04
Issue
No 1(69) (2021): Ukrainian Journal of Nephrology and Dialysis
Section
Original Papers