RESULTS

• 41 HD patients were assessed initially (28 males and 13 females)

with a median age of 67.3 ± 14.1 years.

• Depression, anxiety, dependence, cognitive impairment,

depression, poor perception of HRQoL, negative treatment

perceptions and inactivity during HD prevailed in these patients.

• After a year, 14 patients remained in the programme. The other

29 patients abandoned due to transplant, transfer or death.

• Patients’ willingness to perform intradialysis activities increased

from 55.8% to 85.7% (p=0.019).

• Anxiety improvement was reported, albeit without statistical

significance. The remaining variables showed no improvement.

• Patients rated positively this programme: very good 78.1% and

good 21.9%.

METHODS

• Initially (January-May 2016), all our patients on chronic HD

treatment were assessed.

• Thereafter a pilot programme of intradialysis activities was

implemented and directed by HD nurses (see Illustrations below).

• April to May 2017, reassessment of patients’ status was

performed.

• Variables included: anxiety and depression (Hamilton and

Goldberg scales), mental status (Mini-mental State examination),

dependence (Barthel and Lawton-Brody scales), HRQoL (SF-12

scale) and treatment perception (ad hoc questionnaire).

• Data were analysed using SPSS software programme and level of

significance was set to p <0.05.

INTRODUCTION

• Haemodialysis (HD) has a great impact on

health-related quality of life (HRQoL).

• Humour, physical exercise and emotional

support have been widely used with good

results to boost patients’ mood and

overcome sedentary behaviour.

OBJECTIVES

• To present our Activity Programme aiming to

lessen the considerable psychological and

physical burden experienced by HD patients.

Using creative and therapeutic activities

to improve dialysis patients’ depressed-mood and physical inactivityPedreira G., Vasco A., Herrera C., Martínez Y., Ho TM., Junyent E.

Nephrology Department, Hospital del Mar, Barcelona - Spain.

Contact mail: 60184@parcdesalutmar.cat

CONCLUSIONS

IMPLICATIONS FOR PRACTICE

• Our initial assessment showed poor HRQoL in

our HD patients.

• Although recently implemented, this pilot

programme of intradialysis activities is

promising in terms of patients’ satisfaction and

improvement of anxiety.

• Creating interventions to address patients’

HRQoL is important, although challenging.

• We plan to continue with the activities and

include others (psychological counselling and

physiotherapy) to help improve patients’

mental and physical status.

Graph 1. Comparison between the initial and second results of the variables assessed

Mandalas drawings

Clown care

Festive celebrations

73.1

7%

68.2

9%

68.2

9%

78.0

5%

53.6

6%

92.6

8%

48.7

8%

58.5

4%

53.6

3%

78.5

7%

78.5

7%

57.1

4% 71.4

3%

57.1

4%

92.8

6%

42.8

6%

71.4

3%

50%

92.8

6%

57.1

4% 71.4

3%

78.5

7%

57.1

4%

92.8

6%

50%

71.4

3% 85.7

1%

DEPRESSION ANXIETY PHYSICAL

DEPENDENCE

(ADL)

PHYSICAL

DEPENDENCE

(IADL)

COGNITIVE

IMPAIRMENT

HRQOL

(PHYSICAL)

HRQOL

(MENTAL)

NEGATIVE

TREATMENT

PERCEPTION

WANT TO

PARTICIPATE

IN ACTIVITIES

INITIAL RESULTS (n=41) INITIAL RESULTS (n=14) SECOND RESULTS (n=14)