Using creative and therapeutic activities to improve ... · Using creative and therapeutic...
Transcript of Using creative and therapeutic activities to improve ... · Using creative and therapeutic...
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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.
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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).
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Mandalas drawings
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Clown care
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Festive celebrations
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Festive celebrations
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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)
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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!!