Effect of Problem Solving Therapy Program on Depression among Patients with End Stage Renal Disease Receiving Hemodialysis.
Keywords:
Problem Solving Therapy, Depression, Patients with End Stage Renal DiseaseAbstract
Depression is a common mental health problem for patients with end-stage renal disease receiving hemodialysis. The study was a randomized controlled trial experimental research that aimed to investigate the effects of a problem-solving therapy program on depression among patients with end-stage renal disease receiving hemodialysis. Thirty two participants were patients who had been diagnosed with chronic kidney disease receiving hemodialysis and received services from Buddhachinaraj Hospital, Ruamphat Hospital and Inter Vejchakan Hospital from January to June 2017. The instruments consisted of Patient Health Questionnaire (PHQ-9) Thai version and Problem Solving Therapy Program. Data were analyzed by descriptive statistics means, t-test independent and one-way repeated measure analysis of variance.
Result: Participants in the experimental group right after receiving the problem-solving therapy program had a post-test depression score of x̄= 7.00, SD = 2.00. Two weeks later they had a lower depression score of x̄= 5.68, SD = 2.38. Both these scores were statistically significantly (p< .05) lower than their pre-test depression score of x̄= 10.87, SD = 3.59. Participants in the experimental group two weeks after receiving the problem-solving therapy program had a depression score of x̄=5.68, SD=2.38 which is statistically significantly (p< .05) lower than the depression score of the control group which was x̄= 9.25, SD = 3.76.
The results of the study indicated that problem-solving therapy program could be used as an alternative way for hospital personnel to reduce mild and moderate depression among patients with end stage renal disease receiving hemodialysis.
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