Document Type : Original Article

Authors

1 Isfahan University of Medical Sciences

2 Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

BACKGROUND: Family caregivers of hemodialysis patients experience various physical,
psychological, social, economic, and spiritual problems that reduce their quality of life. The present
study aimed to determine the effect of a family‑centered education program on the quality of life of
family caregivers of patients undergoing hemodialysis.
MATERIALS AND METHODS: This was a randomized controlled trial that was performed on 70
caregivers of patients undergoing hemodialysis in the medical centers of Hazrate Ali Asghar and
Hazrate Zahraye Marzieh in Isfahan. Caregivers were randomly divided into experimental and control
groups, and the experimental group received an eight‑session family‑centered education program.
Data were collected using the Quality of Life Scale (QOLS)‑short form immediately after and 1 month
after the intervention. Data analysis was performed using the Statistical Package for the Social
Sciences (SPSS) software version 18 and analysis of variance and covariance.
RESULTS: The results showed that both experimental and control groups were homogeneous in
terms of demographic information and there was no significant difference between them in this regard.
Analysis of data on quality of life and its four domains showed that the mean scores of quality of
life (P = 0.089) and its four domains including physical health (P = 0.367), mental health (P = 0.429),
community relations (P = 0.132), and environmental health (P = 0.232) increased significantly
immediately after and 1 month after the intervention (P < 0.001 in all cases).
CONCLUSION: Educational programs can improve the quality of life of family caregivers of
hemodialysis patients. Therefore, it is recommended that programs be developed and evaluated in
various studies in the future.

Keywords

1. Centers for Disease Control and Prevention. National Diabetes
Statistics Report, 2017. Atlanta, GA: Centers for Disease Control
and Prevention, US Department of Health and Human Services;
2017.
2. Singh AK, Farag YM, Mittal BV, Subramanian KK, Reddy SRK,
Acharya VN, et al. Epidemiology and risk factors of chronic kidney
disease in India–results from the SEEK (Screening and Early
Evaluation of Kidney Disease) study. BMC Nephrol 2013;14:114.
3. Matsha TE, Yako YY, Rensburg MA, Hassan MS, Kengne AP,
Erasmus RT. Chronic kidney diseases in mixed ancestry south
African populations: Prevalence, determinants and concordance
between kidney function estimators. BMC Nephrol 2013;14:75.
4. Khorami Markani A, Khalkhali HR, Sakhaei SH, Saheli S.
Assessment the effect of family centered care educational program
on home care knowledge among care givers of patients with
chronic renal failure under hemodialysis. J Urmia Nurs Midwifery
Fac 2015;13:386‑94.
5. Naji A, Naroie S, Abdeyazdan G, Dadkani E. Effect of applying
self‑care orem model on quality of life in the patient under
hemodialysis. Zahedan J Res Med Sci 2012;14:8‑12.
6. Talebi M, Mokhtari Lakeh N, Rezasoltani P. Caregiver burden
in caregivers of renal patients under hemodialysis. J Holist Nurs
Midwifery 2016;25:59‑68.
7. Ebrahimi H, Ashrafi Z, Eslampanah G, Noruzpur F. Relationship
between spiritual well‑being and quality of life in hemodialysis
patients. J Nurs Midwifery Sci 2014;1:41‑8.
8. Haririan HR, Aghajanlo A, Ghafurifard M. Evaluation of social
support level among hemodialysis patients in the hospitals
of Zanjan. Med Sci J Islamic Azad Univ Tehran Med Branch
2013;23:74‑80.
9. Lomba L, Lameirinhas A, Silva AM, Brito J. Impact of peritoneal
dialysis on the family life of children with chronic kidney disease:Integrative literature review. Rev Enfermagem Ref 2014;4:139‑48.
10. Keighobadi S, NeishabouriM, Haghighi N, Sadeghi T. Assessment
of quality of life in Caregivers of Patient with Mental Disorder in
Fatemie hospital of Semnan city. J Nurs Midwifery 2013;22:36‑44.
11. Belasco AG, Barbosa D, Bettencourt AR, Diccini S, Sesso R.
Quality of life of caregivers of elderly patients on hemodialysis
and peritoneal dialysis. Am J Kidney Dis 2006;48:955‑63.
12. Bahrami M, Farzi S. The effect of a supportive educational
program based on COPE model on caring burden and quality of
life in family caregivers of women with breast cancer. Iran J Nurs
Midwifery Res 2014;19:119‑26.
13. Nguyen DL, Chao D, Ma G, Morgan T. Quality of life and factors
predictive of burden among primary caregivers of chronic liver
disease patient. Ann Gastroenterol 2015;28:2031‑9.
14. Shdaifat EA, Abdul Manaf M. Quality of life of caregivers and
patients undergoing hemodialysis at ministry of health, Jordan.
Int J Appl Sci Technol 2012;2:75‑85.
15. Farzi S, Farzi S, Moladoost A, Ehsani M, Shahriari M, Moieni M.
Caring burden and quality of life of family caregivers in patients
undergoing hemodialysis: A descriptive‑analytic study. Int J
Community Based Nurs Midwifery 2019;7:88‑96.
16. Hejazi SS, Nikbakht SH, NasiriZarrinGhabaee D, Akaberi A,
Nazari Sheyhaki A. Hope in caregivers and hemodialysis patients.
J North Khorasan Univ 2014;6:807‑17.
17. Akbari M, Alavi M, Maghsoudi J, Irajpour A, Lopez V, Cleary M.
Mastering the art of collaboration: Supporting family caregivers
of mental health patients by service providers in Iran. Adm Policy
Mental Health Mental Health Serv Res 2019;46:54‑61.
18. Pahlavanzadeh S, Heidari FG, Maghsudi J, Ghazavi Z,
Samandari S. The effects of family education program on the
caregiver burden of families of elderly with dementia disorders.
Iran J Nurs Midwifery Res 2010;15:102‑8.
19. Etemadifar S, Bahrami M, Shahriari M, Farsani AK. The
effectiveness of a supportive educative group intervention on
family caregiver burden of patients with heart failure. Iran J Nurs
Midwifery Res 2014;19:217‑23.
20. Navidian A, Pahlavanzadeh S, Yazdani M. The effectiveness of
family training on family caregivers of inpatients with mental
disorders. Iran J Psychiatry Clin Psychol 2010;16:99‑106.
21. Ghane G, Ashghali Farahani M, Seyed Fatemi N, Haghani H.
Effect of educational program on the “Quality of Life” of family
caregivers of patients undergoing hemodialysis. J Client Cent
Nurs Care 2015;1:167‑76.
22. Sotoudeh R, Pahlavanzadeh S, Alavi M. The effect of a
family‑based training program on the care burden of family
caregivers of patients undergoing hemodialysis. Iran J Nurs
Midwifery Res 2019;24:144‑50.
23. Carretero S, Garcés J, Ródenas F, Sanjosé V. The informal
caregiver’s burden of dependent people: Theory and empirical
review. Arch Gerontol Geriatr 2009;49:74‑9.
24. Ducharme F, Dubé V, Lévesque L, Saulnier D, Giroux F. An online
stress management training program as a supportive nursing
intervention for family caregivers of an elderly person. Can J
Nurs Inform 2011;6:1‑22.
25. Masoodi R, Alhani F, Moghadassi J, Ghorbani M. The effect of
family‑centered empowerment model on skill, attitude, and
knowledge of multiple sclerosis caregivers. J Birjand Univ Med
Sci 2010;17:87‑97.
26. Belgacem B, Auclair C, Fedor M‑C, Brugnon D, Blanquet M,
Tournilhac O, et al. A caregiver educational program improves
quality of life and burden for cancer patients and their caregivers:
A randomised clinical trial. Eur J Oncol Nurs 2013;17:870‑6.
27. Ghazavi Z, Dehkhoda F, Yazdani M. The effect of group
psycho‑educational program on quality of life in the families
of patients with mood disorder. Iran J Nurs Midwifery Res
2014;19:50‑5.
28. Mohebbi B, Sabouri M, Tol A. Application of health education
and promotion theory‑based interventions on patients with
cardiovascular disease: A systematic review. J Edu Health Promot
2021;10:236.
29. Jadhav B, Dhavale H, Dere S, Darawala D. Psychiatric morbidity,
quality of life and caregiver burden in patients undergoing
hemodialysis. Med J DY Patil Univ 2014;7:722.
30. Mollaoğlu M, Kayataş M, Yürügen B. Effects on caregiver
burden of education related to home care in patients undergoing
hemodialysis. Hemodial Int 2013;17:413‑20.
31. Habibzadeh H, Jafarizadeh H, Mohammadpoor Y, Kiani P, Lak K,
Bahrechi A. A survey on quality of life in hemodialysis patient
caregiver. J Nurs Midwifery Urmia Univ Med Sci 2009;7:34‑9.