The impact of multi-dimensional model of psychiatric rehabilitation care on hemodialysis patient's depression

Hemodialysis in chronic renal failure, which has affected all aspects of the incidence of disease and disorders such as, depression. One of the ways to have an appropriate quality care in hemodialysis units is to employ nursing care model. This study aimed to determine the effect of multi-dimensional model of psychiatric rehabilitation care on hemodialysis patients who were depressed.

This study is a quasi-experimental study of two groups before and after the sampling method based on 35 hemodialysis patients of Razi hospital in Rasht (test) and 35 hemodialysis patients from Shahid Beheshti Hospital in Anzali (control). Intervention was based on psychiatric rehabilitation of multi-dimensional model with a doctor, nurse, psychologist, nutritionist, and comprehensive client and family as a team and with consideration of physical, mental, social and spiritual clients separately and each was done in three months. The instruments included a questionnaire for collecting demographic and the Beck Depression Inventory (BDI), which was measured before and three months after the intervention. Then the data were analyzed using SPSS 16 software and descriptive statistical, paired t-test, independent t-test, analysis of covariance, Chi-square and Fisher test.

Data analysis between the mean depression score of samples before (8/285 30/11) and after the intervention (10/309 24/20) group showed a significant difference (p<0/001).

The multi-dimensional model of psychiatric rehabilitation care, a significant difference in depression scores in hemodialysis patients is caused, so the implementation of this model of care is associated with better living conditions in hemodialysis patients.