Embed Size (px)
Citation preview
Using creative and therapeutic activities to improve dialysis patients’
depressed-mood and physical inactivity
Pedreira G., Vasco A., Herrera C., Martínez Y., Ho TM., Junyent E.
Nephrology Department, Hospital del Mar, Barcelona - Spain.
What we have done
• Initial assessment of HD patients’ status (January-May 2016).
• Variables studied:
Anxiety and depression (Hamilton and Goldberg scales).
Mental status (Mini-mental State examination).
Dependence (Barthel and Lawton-Brody scales).
HRQoL (SF-12 scale).
Treatment perception (ad hoc questionnaire).
• Implementation of a pilot programme of intradialysis activities.
• Reassessment of HD patients’ status (April - May 2017).
Mandalas drawings
Clown care
Festive celebrations
Festive celebrations
73
.17
%
68
.29
%
68
.29
%
78
.05
%
53
.66
%
92
.68
%
48
.78
%
58
.54
%
53
.63
%
78
.57
%
78
.57
%
57
.14
% 71
.43
%
57
.14
%
92
.86
%
42
.86
%
71
.43
%
50
%
92
.86
%
57
.14
% 71
.43
%
78
.57
%
57
.14
%
92
.86
%
50
%
71
.43
% 85
.71
%
DEPRESSION ANXIETY PHYSICAL
DEPENDENCE
(ADL)
PHYSICAL
DEPENDENCE
(IADL)
COGNITIVE
IMPAIRMENT
HRQOL
(PHYSICAL)
HRQOL
(MENTAL)
NEGATIVE
TREATMENT
PERCEPTION
WANT TO
PARTICIPATE
IN ACTIVI TIES
INITIAL RESULTS (n=41) INITIAL RESULTS (n=14) SECOND RESULTS (n=14)
CONCLUSIONS
IMPLICATIONS FOR PRACTICE
• Initial assessment: poor HRQoL in the patients.
• This pilot programme is promising in terms of patients’
satisfaction and improvement of anxiety.
• Creating interventions to address patients’ HRQoL is
important, although challenging.
• We plan to continue with the activities and include
others (psychological counselling and physiotherapy) to
help improve patients’ mental and physical status.
Anxiety and
depression Physical
dependence
Poor HRQoL We Care!!
