The effects of artistic and social activities during hemodialysis on the life quality, pain perception, anxiety status of the patients and intradialytic complications

Abstract

Introduction: We aimed to investigatethe effects of social and artistic activity support on quality of life, painperception, and anxiety status in hemodialysis (HD) patients and the relationbetween occupational therapy and frequent complications of HD.Methods: Volunteer instructors trained 22patients participated in this study for wood painting for 4 hours/day, 2-3 daysa week for six months. The State-Trait Anxiety Inventory (STAI I and STAI II)and Visual Analog Scale were applied before the social activity and at the 6thmonth. The quality of life evaluated with Short Form-36.Results: The patients who participated in the socialactivity more than 25 hours formed the study group (n=9), and thoseparticipated less than 25 hours made control group (n=13). There weresignificant differences in initial and 6th month values in both STAI I and STAIII scores of the study group, and only in STAI II score in the control group(p=0.008, p=0.015, p=0.003, respectively). In the study group, while STAI I andII mean was 49.9 and 52.8 in the first month, respectively, it decreased to30.0 and 38.8 in 6th month, respectively. In the control group, in the firstmonth mean of STAI II score was 56.9 and it decreased to 45.3 in the sixthmonth. The mean of physical function capacity from SF-36 parameters increasedfrom 73.9 to 84.4 (p=0.026) in the study group and from 47.7 to 75.8 (p=0.002)in the control group. The difference between study and control group wasstatistically significant (p = 0.029).Conclusions: Our results support that social and artisticactivities during HD have positive effects on chronic HD patients in terms ofphysical functioning level.

Keywords

• kidney failure chronic
• quality of life
• test anxiety scale
• böbrek yetmezliği kronik
• yaşam kalitesi
• anksiyete değerlendirme ölçeği