Effects of applying continuous care model (CCM) on stress, anxiety and depression in hemodialysis patients

Despite an improvement in dialysis care during the past decade, the number of hemodialysis patient with kidney failure has doubled and they are suffering from mental disorders, anxiety and depression. This paper aimed to determine the effects of applying continuous care model, (CCM), on stress, anxiety and depression in hemodialysis patients.

Thirty eight hemodyalysis, (HD) patients were selected through simple randomized sampling and all were assigned to one group. Each case was his or her own control, classified as control ‘before’ intervention and as a ‘case’ after intervention. Data collection tools included DASS21 and demographic questionnaires. In the first phase, (before intervention), the research team organized orientation sessions for all partcipants and completed the questionnaires. Immediately after this intervention was started in the form of CCM for all cases. SPSS Software V(13) was uilized for data analysis descriptive statistics, Paired t-test and Chi-square statistical test were used as required.

Data analysis shows that there is a significant relationship between application of Continuous care model and levels of stress, anxiety and depression in HD patients (p=0/0001).

According to these findings, applying CCM causes significant difference in the levels of stress, anxiety and depression HD patients consequently, applying this caring model can promote HD patient's quality of life.