Hope and death anxiety as the important sources of adjustment can affect the attitude, health status and quality of life in patients undergoing hemodialysis. Hopelessness and death anxiety are considered as the important factors in patients undergoing hemodialysis, because these can avoid non-adherence and increase mortality rate. This study aims to investigate the effect of the cognitive–behavioral intervention on hope and death anxiety in patients undergoing hemodialysis.
In this randomized controlled clinical trial, 84 patients undergoing hemodialysis were included, who were then divided into two groups as the cognitive–behavioral intervention group (n = 42) and the control group (n = 42). The experimental group received eight sessions of individual chair-side cognitive–behavioral intervention. To measure the hope level and death anxiety, Hearth Hope Scale and Templer’s Death Anxiety Scale were used as tools once at the beginning and once at the end of the study.
The mean scores of the hope levels in the intervention group significantly improved compared to the control group. Furthermore, the mean scores of the death anxiety levels significantly decreased in the intervention group compared to the control group.
Cognitive–behavioral interventions are significantly effective on promoting the level of hope and decreasing the level of death anxiety in patients undergoing hemodialysis. Therefore, applying this psychological intervention to design the individual education programs is recommended.
The authors are extremely thankful to the Vice Chancellor for Research of Lorestan University of Medical Sciences who financially supported this study (Contract no. 1396.299).
Conflict of interest: The authors declare no conflict of interest.
Informed consent: The study protocol received Research Ethics Committee of Lorestan University of Medical Sciences review board approval (Code: LUMS.REC.1396.299), and all participants provided informed consent in the format required by the Research Ethics Committee of Lorestan University of Medical Sciences.
The study was approved by the Iranian Registry of Clinical trials with number “IRCT20170514033961N3.”
Saki, M., Khoshnood, S., Mohammadipour, F., Ebrahimzadeh, F. and Rezaei, F. (2022), "The effect of cognitive–behavioral intervention on hope and death anxiety level in patients undergoing hemodialysis", The Journal of Mental Health Training, Education and Practice, Vol. 17 No. 3, pp. 181-190. https://doi.org/10.1108/JMHTEP-08-2020-0059
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