THE EFFECT OF GROUP DISCUSSION ON PARTNERSHIP WITH MEDICAL TEAM IN HEMODIALYSIS PATIENTS

Mahjubian, A and Kamali, K and Bahraminezhad, N (2017) THE EFFECT OF GROUP DISCUSSION ON PARTNERSHIP WITH MEDICAL TEAM IN HEMODIALYSIS PATIENTS. The J Urmia Nurs Midwifery Fac, 15 (5). pp. 357-367.

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Abstract

To improve the quality of care provided to patients with chronic renal failure undergoing hemodialysis, patients’ partnership with medical team is essential. Patients' involvement approaches and generally, the patient-centered approaches are resulted in the increase of patient satisfaction, costs reduction and results improvement. Due to the importance of partnership with medical team in patients undergoing hemodialysis treatment, the current study aims to assess the effects of group discussion on partnership with medical team in hemodialysis patient Materials & Methods: In this study of quasi -experimental clinical trial (with two groups of experimental and control) 60 patients with inclusion criteria through convenience sampling with random allocation were arranged in two experimental and control groups. In the experimental group, the educational intervention to promote partnership with medical team was made in 4 sessions by group discussion. The control group received routine interventions. Data were collected through using standard questionnaire before and 3 months after intervention. Data were analyzed via SPSS software version 18and with the use of chi-square tests, t-test, and Mann-Whitney nonparametric tests such as Wilcoxon test. Results: The results regarding to demographic and contextual characteristics showed that both experimental and control groups were homogeneous in all variables before intervention (p>0.05) except for (age,diagnosis age of renal failure and source of education acquisition about dialysis).The analyzed results through using the Mann-Whitney test, and Wilcoxon test also showed that the mean scores of partnership with the medical team after the implementation of group discussion between the experimental and control groups were significantly different(p<0.001). Conclusion: Group discussion was an effective teaching method to promote partnership with the medical team in chronic hemodialysis patients. Therefore, group discussion to reinforce the partnership with the medical team in patients undergoing hemodialysis is recommended by nurses.

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