The effect of multi-dimentional model of psychiatric rehabilitation care on hemodialysis patients anxious

Long-term use of hemodialysis affects all sides of hemodialysis patients and was caused disease and disturbances such as anxiety in them. This study aimed to determine the effect of multi-dimensional model of psychiatric rehabilitation care on anxiety in hemodialysis patients. This study is a quasi-experimental study of two groups before and after hemodialysis on 35 patients of Razi hospital in Rasht (test group) and 35 hemodialysis patients from Bandar Anzali martyr Beheshti hospital (control group)، in 1390 which were done on sampling method on purpose. Intervention was based psychiatric rehabilitation of multi-dimensional model in the form of a group and with the presence of a physician، nurse، psychologist and nutritionist and comprehensive client and family and with consideration of physical، mental، social and spiritual of patients، was carried out for three months. The tool includes a demographic questionnaire and Zung self-evaluation anxiety (SAS) which were measured three months before and after intervention. Then the data using SPSS 16 software and descriptive statistic، paired t-test، independent t-test، Chi-square and Fisher test were analyzed. Data analysis between the mean anxiety score of samples before (48/40±3/972) and after the intervention (42/57±6/331) showed significant difference (p<0/001). The multi-dimensional model of psychiatric rehabilitation care caused a significant difference in anxiety scores in hemodialysis patients، so applying this model of care is associated with better living conditions in hemodialysis patients.