Effectiveness of treatment based on commitment and acceptance on self-care behaviors and follow-up of treatment in hemodialysis patients

Document Type : Research Paper

Authors

1 Ph.D Student, Department of Health Psychology, Khoramshahr-Persian Gulf, International Branch, Islamic Azad University, khoramshahr, Iran

2 Department of Psychology, Dezfol Branch, Islamic Azad University, Dezfol, Iran

3 Associate Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

4 Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

Abstract

Introduction: Researches have shown that psychological dimensions play major role in the treatment of physical problems. Therefore, the aim of this study was to evaluate the effectiveness of treatment based on acceptance and commitment on self-care behaviors and follow-up of treatment in dialysis patients.
 
Methods: The research method is quasi-experimental and the research design is pre-test post-test with experimental and control groups. The statistical population of the study consisted of all dialysis patients in the dialysis ward of Bu Ali Hospital in Marivan. The number of subjects in the experimental group was 15 and the control group was 15. The experimental group underwent 8 sessions of acceptance and commitment treatment and the control group did not receive any treatment. Data collection tools were Madanloo treatment adherence questionnaire and self-care ability questionnaire (SCAS). Data were analyzed by SPSS software version 24 using analysis of covariance.
Results: The results showed that the difference between the mean scores of patients in the experimental group and the control group was due to the effect of the independent variable of acceptance and commitment therapy (ACT) on the variables of self-care, treatment diligence, willingness to participate in treatment, adherence to treatment, commitment to treatment and management in dialysis patients (P≤0.001). However, due to the lack of significant differences between the mean scores of patients in the control and the experimental groups in the effect of independent variable, acceptance and commitment therapy (ACT) is not effective on the ability to adapt to the disease and integrate therapy to life in dialysis patients (P≥0.001).
Conclusion: It seems that acceptance and commitment-based treatment approach is effective on self-care variables. However, it is suggested that more research be done in this field to increase the external credibility of the research.

Keywords

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Medical Journal of Mashhad university of Medical Sciences
Volume 63, Issue 3
July and August 2020
Pages 2324-2333

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