RESUMEN
Aims: Long-term use of hemodialysis affects all sides of hemodialysis patients and was caused disease and disturbances such as anxiety in them. This study aimed to determine the effect of multi-dimensional model of psychiatric rehabilitation care on anxiety in hemodialysis patients.
Methods: This study is a quasi-experimental study of two groups before and after hemodialysis on 35 patients of Razi hospital in Rasht [test group] and 35 hemodialysis patients from Bandar Anzali martyr Beheshti hospital [control group], in 1390 which were done on sampling method on purpose. Intervention was based psychiatric rehabilitation of multi-dimensional model in the form of a group and with the presence of a physician, nurse, psychologist and nutritionist and comprehensive client and family and with consideration of physical, mental, social and spiritual of patients, was carried out for three months. The tool includes a demographic questionnaire and Zung self-evaluation anxiety [SAS] which were measured three months before and after intervention. Then the data using SPSS 16 software and descriptive statistic, paired t-test, independent t-test, Chi-square and Fisher test were analyzed.
Results: Data analysis between the mean anxiety score of samples before [48/40 +/- 3/972] and after the intervention [42/57 +/- 6/331] showed significant difference [p<0/001].
Conclusion: The multi-dimensional model of psychiatric rehabilitation care caused a significant difference in anxiety scores in hemodialysis patients, so applying this model of care is associated with better living conditions in hemodialysis patients.