Investigating the effects of peer education on depression, anxiety, stress،quality of life and adherence among patients receiving dialysis

This study conduct to investigate the effects of peer education on depression, anxiety, stress,quality of life and adherence among dialysis patients.

In this research, 76 eligible patients referring to Ali- Asghar dialysis center were chosen purposefully and were randomly divided into two groups of control and intervention.Due to the characteristics of the study intervention, blinding and allocation concealment are not applicable for this study.

Study population consist of all 130 dialysis patients who referee in 2017 to Ali Asghar teaching hospital, Isfahan, Iran.Due to the characteristics of the study intervention, blinding and allocation concealment are not applicable for this study.

Eligibility criteria are definite diagnosis of renal failure, a history of receiving dialysis for more than three months, no history of cognitive problems such as memory impairment, and no simultaneous participation in peer education programs. Recruit patients are excluded if they voluntarily chose to withdraw from the study, incompletely filled out study questionnaire, hospitalized in hospital, or underwent kidney transplant surgery during the study.

Patients in the intervention group provide with peer education, while their counterparts in the control group solely receive routine care services which include no education by peers. For peer education, some patients need to be mentors for patients in the intervention group. Accordingly, patients with close treatment adherence and good self-management were identified by the head nurse, staff nurses, and attending nephrologists of the study setting. Then, eight 1.5-hour training sessions hold for mentors in order to improve their knowledge. Sessions hold thrice a week in days in which they did not receive dialysis. After these eight training sessions for mentors, patients in the intervention group divide into five six-patient groups . Grouping of patients is done based on their age, gender, marital status, income level, educational status, and weekly dialysis plan. In other words, patients in each group are almost homogeneous in terms of their age, gender, marital status, income level, educational status, and weekly dialysis plan. Then, peer education sessions are hold by mentors in the days of their allocated patients’ dialysis, either before or after dialysis. Each mentor hold two 120-minute peer education sessions per week for eight successive weeks—sixteen sessions in total. During sessions, each mentor and his/her group members discuss and share their experiences and opinions about their problems, treatment regimens, dietary regimens, coping strategies, vascular access line care, and pre and post-transplantation care.

Depression,Anxiety,Stress,Quality of life,Adherence

Patients receive dialysis either in odd or even days of the week,select in this study. In order to prevent the leakage of peer education information from the intervention group to the control group, patients who receive dialysis in even days randomly allocate to the intervention group, while patients who receive dialysis in the odd days randomly allocate to the control group. Random allocation do via the coin tossing method by a nurse who is external to the study. Sampling do randomly in the following steps. Initially, the name of each patient who receive dialysis in even days write on a card. Then, all cards mix and place in a bag. After that, one card randomly draw from the bag and the intended patient recruit to the intervention group. The card then return to the bag and a new card select for the next patient. The same process repeat until the determined number of patients recruit. Patients for the control group also recruit through the same process. Due to the characteristics of the study intervention, blinding and allocation concealment not applicable for this study.

Researcher that work in academic and scientific institutes can access to demographic variable and main outcome such as depression, anxiety,stress, adherence, quality of life of this study.

Academic and scientific researcher access to data, 6 months after publication result.

Researcher that work in academic and scientific institutes can access to data.

you can analyse data with SPSS but you do not access to confidential patient data.

if you need to access to data,you can call with me or send email for me. Call number:00989134118910 Email: maryamhashemi956@gmail.con

After I receive your request,I send them after 10 -30 days.