The effect of partnership care model on psychological – wellbeing of hemodialysis patients at Imam Reza Hospital of Amol city 2020

Abstract Introduction: Hemodialysis patients on the one hand due to many physical problems, the presence of fistulas or shunts, dietary and drug restrictions and on the other hand due to stress, are not in a good mental state and complex physical problems related to treatment and disease and The long process of the disease before dialysis affects their mental state. Participatory care model is one of the new methods of self-care education. Participatory decision making is recognized as an ethical and spiritual standard in medical decision making, so that patient participation in care and disease management decisions is associated with high patient satisfaction and improvement of treatment outcomes in chronic diseases. Considering the effect of participatory care model on reducing mental and psychological problems of people with chronic diseases, the aim of this study was to investigate the effect of implementing participatory care model on psychological well-being of hemodialysis patients. Methods: The present study was a quasi-experimental study with a pretest-posttest design with a control group. The sample consisted of 66 eligible hemodialysis patients of Imam Reza Hospital in Amol city in 1399 who were randomly assigned to two intervention groups (33 patients) and control (33 patients). Ryff Psychological Well-Being Questionnaire was used to collect data, which was completed by pre-test and post-test by research units. During 2 months, the participatory care model based on Mohammadi model (2002), the steps of Motivation, Reading, Involvement and Evaluation were performed in the intervention group and the control group received routine care. Data were analyzed by Wilcoxon statistical tests with symptomatic rank, independent t-test and SPSS Software 22. Findings: Data analysis showed that, the two groups did not have a statistically significant difference in terms of demographic variables. Psychological well-being in the experimental group before the intervention, 3/37 ± 0/37, to 3/98 ± 0/78 after the intervention increased that t-test indicated a significant difference statistically rate of psychological well-being before and after the Group Intervened (p <0.001). Psychological well-being in the control group changed from 3/42 ± 0/49 before the intervention to 3/39 ± 0/38 after the intervention, but no statistically significant difference was observed in the control group in terms of psychological well-being. Conclusion: The findings show that the participatory care model has increased the psychological well-being of hemodialysis patients. According to the results, it is recommended that nurses use this Model of care as a simple, low-cost method compared to other cognitive therapies in the care of hemodialysis patients.