Effectiveness of teaching cognitive-behavioral techniques on locus of control in hemodialysis patients
Journal Title: Electronic Physician - Year 2017, Vol 9, Issue 10
Abstract
BACKGROUND: Many of the cognitive behavioral models and therapeutic protocols developed so far for psychological disorders and chronic diseases have proved effective through clinical research. OBJECTIVE: This study aimed to determine the effectiveness of teaching cognitive-behavioral techniques on locus of control in hemodialysis patients. METHODS: This controlled clinical trial study was conducted in 2015 with 76 patients selected by census and treated with a hemodialysis machine in the dialysis department of Vali-Asr Hospital in the city of Meshkinshahr. A total of four patients were excluded because of their critical conditions while the rest, who were recruited, were randomly divided into two equal groups of 36 patients as the intervention and control groups. First, the locus of control was measured in both groups through a pretest, and cognitive-behavioral techniques were then taught to the intervention group during eight 45 to 90-minute sessions. The locus of control in patients of both groups was finally re-measured through a posttest. Data were collected using Rotter's Locus of Control Inventory. The Wilcoxon test and Mann-Whitney U test were respectively used in SPSS18 for data analysis. RESULTS: In the pretest and posttest stages respectively, 4.8% and 14.3% of samples in the control group as well as 14.3% and 33.3% of samples in the intervention group enjoyed internal locus of control. The difference between the pretest and posttest scores of internal locus of control in the intervention group was significant (p=0.004), which indicates the positive effect of cognitive-behavioral psychotherapeutic intervention on internalization of locus of control in this group. CONCLUSIONS: Given the external locus of control in most of the study patients and also the positive significant effect of cognitive-behavioral psychotherapy on internalization of locus of control in this group of patients, it appears necessary to have a psychology resident present in the hemodialysis department to teach the necessary cognitive-behavioral techniques to internalize the locus of control. TRIAL REGISTRATION: The trial was registered at the Thai Clinical Trial Registry (http://www.clinicaltrials.in.th) with the TCTID: TCTR20170707003. FUNDING: The authors received no financial support for the research, authorship, and/or publication of this article
Authors and Affiliations
Mohammad Mehrtak, Shahram Habibzadeh, Esmaeil Farzaneh, Abdollah Rjaei-Khiavi
Keywords
Related Articles
- EP ID EP332161
- DOI 10.19082/5631
- Views 68
- Downloads 0
Rh factor is associated with individual radiosensitivity: A cytogenetic study
INTRODUCTION: Radiosensitivity is an inherent trait, associated with a raised reaction to ionizing radiation on the human body. In radiotherapy and radiation protection fields, individualization of the patient's treatmen...
Predicator of Pregnant Women’s Self-care Behavior against Air Pollution: An explanation based on the Extended Parallel Process Model (EPPM)
INTRODUCTION: Air pollution is one of the most important problems of metropolitan cities. The level of air pollution in the city of Ahvaz is so much higher than the standard level, that it can create risks, particularly...
Seasonal Distribution of Fungi in Soil Found in Two Hospitals in Bandar Abbas, Iran.
Fungal contamination in hospitals has been a major health concern, especially in immunosuppressed patients. Construction programs increase the risk of fungal contaminations in hospitals. This study aimed to monitor and c...
Exploring the challenges of the Iranian parliament about passing laws for resource allocation in healthcare: a qualitative study
BACKGROUND: Awareness about the process of law making and the factors that affect the legislative process have an important role in improving legislations that are approved by parliaments. OBJECTIVE: This study aimed to...
Factors contributing to fear of childbirth among pregnant women in Hamadan (Iran) in 2016
BACKGROUND: Fear of childbirth is a considerable mental, social, and physiological phenomenon among women as well as their families, which can be effective in choosing cesarean section for delivery. AIM: To determine so...