Faculty of Psychology and Educational Sciences, Central Tehran Branch, Islamic Azad University, Tehran, Iran , sarians72@gmail.com
Abstract: (304 Views)
Introduction: The lifestyle and dietary restrictions of kidney patients seriously affect their physical and mental functions, work ability and even their social relationships. The purpose of the present study was comparison of health-promoting lifestyle and psycho-social adaptation in patients undergoing hemodialysis, with kidney stones and healthy people.
Methods. The present research method is descriptive-comparative. The statistical population included all adult men and women under hemodialysis treatment, patients with kidney stones and healthy people living in Tehran. A sample of 2 groups, each group consisting of 60 people (120 people) of patients treated with hemodialysis and patients with kidney stones referred to Iranshahr Hospital located in Tehran in the summer and fall of 2023 and a healthy group including 60 people that according to their statements, they were free of kidney diseases and were selected to visit Iranshahr Hospital for outpatient treatment or as a patient's companion. Finally, 180 people were selected by convience sampling method. Demographic questionnaire, "Health-Promoting Life Style Profile II" and "Psychosocial Adjustment to Illness Scale" were used to collect data. For the validity of the instruments, previous researches were used and reliability was calculated using the internal consistency method by calculating Cronbach's alpha coefficient. Data analysis was done in SPSS. 26.
Results: The results of one-way analysis of variance and Tukey's test showed that there is a statistically significant difference between the health-promoting lifestyle in healthy people and patients undergoing hemodialysis treatment. So that the score of health-promoting lifestyle in healthy people is different by 16 points (t=15.91, P=0.001) from patients treated with hemodialysis. But the results did not show any significant difference between other groups in terms of health-promoting lifestyle. Also, there was a statistically significant difference between the psycho-social adjustment to the disease of healthy people and patients undergoing hemodialysis treatment and patients with kidney stones, and the score of psycho-social adjustment to the disease of healthy people was about 23 points (t=22/88, P=0/001). It is different compared to patients treated with hemodialysis and also significant difference was seen between other groups.
Conclusions: Healthy people have a better health-promoting lifestyle than patients treated with hemodialysis, and also healthy people have better psycho-social adjustment to the disease than patients treated with hemodialysis and patients with kidney stones. Therefore, therapists and counselors are suggested to pay more attention to increasing psycho-social adjustment to the disease and improving the lifestyle of this group of patients, and if necessary, consider training or treatment courses for these patients.
Saleh M, Baghdasarians A. Comparison of Health-Promoting Lifestyle and Psycho-Social Adjustment in Patients Undergoing Hemodialysis, with Kidney Stones and Healthy People. JHPM 2024; 13 (4) :132-144 URL: http://jhpm.ir/article-1-1770-en.html