RESULTS
• 41 HD patients were assessed initially (28 males and 13 females)
with a median age of 67.3 ± 14.1 years.
• Depression, anxiety, dependence, cognitive impairment,
depression, poor perception of HRQoL, negative treatment
perceptions and inactivity during HD prevailed in these patients.
• After a year, 14 patients remained in the programme. The other
29 patients abandoned due to transplant, transfer or death.
• Patients’ willingness to perform intradialysis activities increased
from 55.8% to 85.7% (p=0.019).
• Anxiety improvement was reported, albeit without statistical
significance. The remaining variables showed no improvement.
• Patients rated positively this programme: very good 78.1% and
good 21.9%.
METHODS
• Initially (January-May 2016), all our patients on chronic HD
treatment were assessed.
• Thereafter a pilot programme of intradialysis activities was
implemented and directed by HD nurses (see Illustrations below).
• April to May 2017, reassessment of patients’ status was
performed.
• Variables included: anxiety and depression (Hamilton and
Goldberg scales), mental status (Mini-mental State examination),
dependence (Barthel and Lawton-Brody scales), HRQoL (SF-12
scale) and treatment perception (ad hoc questionnaire).
• Data were analysed using SPSS software programme and level of
significance was set to p <0.05.
INTRODUCTION
• Haemodialysis (HD) has a great impact on
health-related quality of life (HRQoL).
• Humour, physical exercise and emotional
support have been widely used with good
results to boost patients’ mood and
overcome sedentary behaviour.
OBJECTIVES
• To present our Activity Programme aiming to
lessen the considerable psychological and
physical burden experienced by HD patients.
Using creative and therapeutic activities
to improve dialysis patients’ depressed-mood and physical inactivityPedreira G., Vasco A., Herrera C., Martínez Y., Ho TM., Junyent E.
Nephrology Department, Hospital del Mar, Barcelona - Spain.
Contact mail: [email protected]
CONCLUSIONS
IMPLICATIONS FOR PRACTICE
• Our initial assessment showed poor HRQoL in
our HD patients.
• Although recently implemented, this pilot
programme of intradialysis activities 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.
Graph 1. Comparison between the initial and second results of the variables assessed
Mandalas drawings
Clown care
Festive celebrations
73.1
7%
68.2
9%
68.2
9%
78.0
5%
53.6
6%
92.6
8%
48.7
8%
58.5
4%
53.6
3%
78.5
7%
78.5
7%
57.1
4% 71.4
3%
57.1
4%
92.8
6%
42.8
6%
71.4
3%
50%
92.8
6%
57.1
4% 71.4
3%
78.5
7%
57.1
4%
92.8
6%
50%
71.4
3% 85.7
1%
DEPRESSION ANXIETY PHYSICAL
DEPENDENCE
(ADL)
PHYSICAL
DEPENDENCE
(IADL)
COGNITIVE
IMPAIRMENT
HRQOL
(PHYSICAL)
HRQOL
(MENTAL)
NEGATIVE
TREATMENT
PERCEPTION
WANT TO
PARTICIPATE
IN ACTIVITIES
INITIAL RESULTS (n=41) INITIAL RESULTS (n=14) SECOND RESULTS (n=14)