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Effects of dignity therapy on psychological and behavioral outcomes in patients with end-stage renal disease undergoing hemodialysis: A randomized controlled trial - PubMed

4 hours ago
  • #End-stage renal disease
  • #Dignity therapy
  • #Randomized controlled trial
  • Dignity therapy was tested in a randomized controlled trial for patients with end-stage renal disease undergoing hemodialysis.
  • The study aimed to evaluate the effects on dignity-related distress, treatment adherence, hope, depressive symptoms, and quality of life.
  • Ninety-two patients were recruited from two hemodialysis centers in China, split into intervention and control groups.
  • The intervention group received dignity therapy plus routine psychological care, while the control group received routine care alone.
  • Results showed significant short-term improvements in dignity-related distress, treatment adherence, hope, and depressive symptoms.
  • Improvements were most notable in dependency and symptom distress domains but diminished by week 8.
  • No significant changes were found in kidney disease-specific quality-of-life measures.
  • The study suggests dignity therapy may offer short-term benefits for chronic illness patients beyond palliative care.
  • Further research with longer follow-up periods is recommended to assess long-term sustainability.