Using creative and therapeutic activities to improve ... · Using creative and therapeutic...

Using creative and therapeutic activities to improve dialysis patients’

depressed-mood and physical inactivity

Pedreira G., Vasco A., Herrera C., Martínez Y., Ho TM., Junyent E.

Nephrology Department, Hospital del Mar, Barcelona - Spain.

What we have done

• Initial assessment of HD patients’ status (January-May 2016).

• Variables studied:

Anxiety and depression (Hamilton and Goldberg scales).

Mental status (Mini-mental State examination).

Dependence (Barthel and Lawton-Brody scales).

HRQoL (SF-12 scale).

Treatment perception (ad hoc questionnaire).

• Implementation of a pilot programme of intradialysis activities.

• Reassessment of HD patients’ status (April - May 2017).

Mandalas drawings

Clown care

Festive celebrations

Festive celebrations

73

.17

%

68

.29

%

68

.29

%

78

.05

%

53

.66

%

92

.68

%

48

.78

%

58

.54

%

53

.63

%

78

.57

%

78

.57

%

57

.14

% 71

.43

%

57

.14

%

92

.86

%

42

.86

%

71

.43

%

50

%

92

.86

%

57

.14

% 71

.43

%

78

.57

%

57

.14

%

92

.86

%

50

%

71

.43

% 85

.71

%

DEPRESSION ANXIETY PHYSICAL

DEPENDENCE

(ADL)

PHYSICAL

DEPENDENCE

(IADL)

COGNITIVE

IMPAIRMENT

HRQOL

(PHYSICAL)

HRQOL

(MENTAL)

NEGATIVE

TREATMENT

PERCEPTION

WANT TO

PARTICIPATE

IN ACTIVI TIES

INITIAL RESULTS (n=41) INITIAL RESULTS (n=14) SECOND RESULTS (n=14)

CONCLUSIONS

IMPLICATIONS FOR PRACTICE

• Initial assessment: poor HRQoL in the patients.

• This pilot programme is promising in terms of patients’

satisfaction and improvement of anxiety.

• Creating interventions to address patients’ HRQoL is

important, although challenging.

• We plan to continue with the activities and include

others (psychological counselling and physiotherapy) to

help improve patients’ mental and physical status.

Anxiety and

depression Physical

dependence

Poor HRQoL We Care!!

Thank you for listening!

Contact mail:

60184@parcdesalutmar.cat