Effect of the Fun Dialysis program on intradialytic anxiety in patients with chronic kidney disease: A quasi-experimental study
DOI: https://doi.org/10.33024/minh.v9i6.4225
Anxiety Chronic Kidney Disease Hemodialysis Humor Therapy Nursing Intervention
Abstract
Background: Patients with chronic kidney disease (CKD) undergoing hemodialysis often experience anxiety due to long-term therapy, activity restrictions, and concerns about complications. The fun dialysis program is a nonpharmacological intervention that combines humor therapy, interactive games, and rewards to create a more enjoyable hemodialysis environment.
Purpose: To analyze the effect of the fun dialysis program on anxiety levels among CKD patients undergoing hemodialysis.
Method: A quasi-experimental study with a pretest-posttest control group design was conducted on 66 hemodialysis patients, consisting of 33 in the intervention group and 33 in the control group. The intervention group participated in the fun dialysis program for 8 cycles (4 weeks), while the control group received routine care. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI) and analyzed using the Mann–Whitney test.
Results: Severe anxiety in the intervention group decreased from 42.4% to 18.2%, while mild anxiety increased from 42.4% to 60.6%. In the control group, severe anxiety increased from 27.3% to 33.3%. There was a significant difference between the two groups (p = 0.018).
Conclusion: The fun dialysis program is effective in reducing anxiety among chronic kidney disease patients undergoing hemodialysis and has the potential to be implemented as a safe, low-cost, nonpharmacological nursing intervention.
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