| Popis: |
Hemodialysis treatment is long-lasting, exhausting, and has many side effects. Patients need to be taught how to cope with stress, fear, anxiety that may arise during the hemodialysis session. Psychological and educational support is oriented at increasing patients’ tolerance to the hemodialysis session and correcting patients’ psychological state during the hemodialysis session. It can be provided with the help of audiotherapy (listening to special combinations of music, nature sounds, and further discussion of their psychological state with the specialist). The objective of the study is to evaluate the therapeutic effect of audiotherapy on anxiety and the attitude to dialysis sessions (as a part of adherence) in hemodialysis patients in comparison with the patients who receive standard care. A total of 90 patients took part in the research (the experimental group consisted of 43; the control group consisted of 47 patients). Patients from the experimental group received 20-min audiotherapy-influence during each hemodialysis session. They were also taught how to use the results of audiotherapy listening (not only listen to it passively but also study to realize the feeling that arose and how to consolidate the results obtained). After audiotherapy that lasted for 3 months a statistically significant decrease in state anxiety in the experimental group was found. No statistically significant differences were found in trait anxiety when comparing experimental and control groups. The analysis of the interview results showed that the patients had a positive experience during the playlists listening. |
