Effect of Self-management training with Group Discussion method on Self-esteem of Adolescents with Hemodialysis

Dialysis dependence may have negative effects on the self-esteem of patients by changing their mental self-image. The present study aimed to investigate the effect of self-management training program based on group discussions on the self-esteem of adolescents with hemodialysis. The statistical sample of this quasi-experimental study included 62 adolescents with hemodialysis. The participants were selected using sequential sampling and then were assigned into two groups, namely intervention (32 members) and control (30 members). The Coopersmith Self-Esteem Inventory (CSEI) was filled out by all participant as the pretest. Then, those in the intervention group participated in four 90-minute sessions of group discussion as a self-management training for 4 weeks. The posttest was conducted one month later. The results showed that compared to the control group, the mean score of self-esteem in the intervention group significantly increased after the implementation of the program (p<0.001). The study findings suggested that self-management training program based on group discussions was effective in increasing the self-esteem of adolescents receiving hemodialysis. Therefore, it is recommended that group discussions should be included in self-management training program for this group of adolescents.