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Saudi Journal of Kidney Diseases and Transplantation
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Table of Contents   
LETTER TO THE EDITOR  
Year : 2020  |  Volume : 31  |  Issue : 5  |  Page : 1159-1160
The Effect of the Family-Centered Empowerment Model on Post-dialysis Fatigue in Hemodialysis Patients, Urmia, Iran


Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran

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Date of Web Publication21-Nov-2020
 

How to cite this article:
Aghakhani N, Baghaei R. The Effect of the Family-Centered Empowerment Model on Post-dialysis Fatigue in Hemodialysis Patients, Urmia, Iran. Saudi J Kidney Dis Transpl 2020;31:1159-60

How to cite this URL:
Aghakhani N, Baghaei R. The Effect of the Family-Centered Empowerment Model on Post-dialysis Fatigue in Hemodialysis Patients, Urmia, Iran. Saudi J Kidney Dis Transpl [serial online] 2020 [cited 2020 Dec 3];31:1159-60. Available from: https://www.sjkdt.org/text.asp?2020/31/5/1159/301191


To the Editor,

End-stage kidney disease, the final stage of chronic renal disease which results in many daily difficulties such as general muscle weakness, reduction of physical activity and functional capacity, which in turn effects on quality of life of the patients.[1]

Ultrafiltration, osmotic disequilibrium, blood membrane interactions, changes in blood pressure, and some psychological complications such as anxiety or depression are considered as contributory factors of incapacitating post-dialysis fatigue that reduces the quality of life of the patients who need to clinical and educational intervention.[2],[3]

Family-centered empowerment model (FCEM) is a dominant, dynamic, positive, interactive and social model to progress the quality of life in dialysis patients by emphasizing the client and other family members’ role to improve their health conditions, more satisfaction, prevention of complications of the disease, better reaction to treatment and reduction the costs of treatment and better interaction with their health-care providers.[4]

In a quasi-experimental study, we have tried to determine the effect of the FCEM on post-dialysis fatigue in hemodialysis patients in educational hospitals, Urmia, Iran.

A total of 72 female and male hemodialysis patients were selected and divided into two control and experimental group (n = 36). The age range of statistical society was 20–70 that at least one year have elapsed from their first hemodialysis. The mean age of the patients was 44.7 ± 9.1 years, and 36 (50%) of the patients were male. The mean duration of disease was 26.5 ± 9.7 months, and all of the patients were on three dialysis sessions/week.

Exclusion criteria were unwillingness to cooperate in each step and failure to correctly complete the questionnaires during the study.

The data collection tools were a demographic characteristics questionnaire and Fatigue Severity Scale, which is a self-report tool to assess the physical fatigue and its impact on the clients’ motivation, exercise, physical activity, carrying out duties and interaction with family, work, or social life. The range of scores is from 9 to 63. The higher score meant greater fatigue.[5]

For the experimental group, the FCEM was done in 4 steps (perceive the threat), (self-efficacy), (self-belief) and (assessment) based on discussions, demonstrations and cooperative leanings. The control group had trained the routine trainings. Data were recorded as a pretest, and after the intervention, it was completed again by a posttest tool by two groups and analyzed by Statistical Package for the Social Sciences software version 18.0 (SPSS Inc., Chicago, IL, USA) and using descriptive statistics and ANOVA methods.

According to the results, the patients with a low level of economic and education status, duration of illness, poor adherence of drugs or diet, diseases such as diabetes or hypertension suffered from more fatigue (P <0.05).

Fatigue severity scores in experimental and control groups before intervention were 44.12 (±9.66), 43.43 (±10.17), respectively, P <0.05). After intervention, the scores were 36.22 (±6.34) and 42.86 (±7.17), respectively, P <0.05).

Another study showed that the hemodialysis patients had a low self-efficacy pre empowerment by FCEM and had moderate and high levels of it post empowerment that reduces fatigue and enhances the quality of life.[6]

In conclusion, the current study revealed the positive effects of FCEM on the reduction of fatigue in hemodialysis patients. However, further studies in larger sample sizes are recommendable to confirm our results.

Conflict of interest: None declared.



 
   References Top

1.
Jhamb M, Pike F, Ramer S, et al. Impact of fatigue on outcomes in the hemodialysis (HEMO) study. Am J Nephrol 2011;33:515- 23.  Back to cited text no. 1
    
2.
Zyga S, Alikari V, Sachlas A, et al. Assessment of fatigue in end stage renal disease patients undergoing hemodialysis: Prevalence and Associated Factors. Med Arch 2015; 69:376-80.  Back to cited text no. 2
    
3.
Aghakhani N, Habibzadeh S. Self-care at home education impression on the quality of life in hemodialysis patients treated in Ardebil, Iran. Saudi J Kidney Dis Transpl 2018;29: 1247-8.  Back to cited text no. 3
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4.
Salahi S, Javanbakhtian R, Hasheminia A, Habibzadeh H. The effect of family-centered empowerment model on quality of life in hemodialysis patients. J Urmia Nurs Midwifery J. 2012;10(1):61-7.  Back to cited text no. 4
    
5.
Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989;46:1121-3.  Back to cited text no. 5
    
6.
Omebrahiem A. El-Melegy, Amaal M. Al-Zeftawy, Samia E. Khaton. Effect of family centered empowerment model on hemodialysis patients and their caregivers. J Nurs Educ Pract 2016;6:119-32.  Back to cited text no. 6
    

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Correspondence Address:
Rahim Baghaei
Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia
Iran
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DOI: 10.4103/1319-2442.301191

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