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Using Problem-solving Therapy to Improve Problem-solving Orientation,Problem-solving Skills and Quality of Life in Older Hemodialysis Patients |
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| Authors: | Shiloh D. Erdley-Kass Darrin S. Kass Zvi D. Gellis Hillary A. Bogner Andrea Berger Robert M. Perkins |
| Affiliation: | 1. Department of Sociology, Social Work and Criminal Justice, Bloomsburg University, Bloomsburg, Pennsylvania, USA;2. College of Business, Bloomsburg University, Bloomsburg, Pennsylvania, USA;3. School of Social Policy and Practice and Center for Mental Health and Aging, University of Pennsylvania, Philadelphia, Pennsylvania, USA;4. Perleman School of Medicine, University of Pennsylvania, Philadelphia Pennsylvania, USA;5. Geisinger Center for Health Research, Danville, Pennsylvania, USA;6. Bayer HealthCare, Whippany, New Jersey, USA |
| Abstract: | Objectives: To determine the effectiveness of Problem-Solving Therapy (PST) in older hemodialysis (HD) patients by assessing changes in health-related quality of life and problem-solving skills. Methods: 33 HD patients in an outpatient hemodialysis center without active medical and psychiatric illness were enrolled. The intervention group (n = 15) received PST from a licensed social worker for 6 weeks, whereas the control group (n = 18) received usual care treatment. Results: In comparison to the control group, patients receiving PST intervention reported improved perceptions of mental health, were more likely to view their problems with a positive orientation and were more likely to use functional problem-solving methods. Furthermore, this group was also more likely to view their overall health, activity limits, social activities and ability to accomplish desired tasks with a more positive mindset. Conclusions: The results demonstrate that PST may positively impact mental health components of quality of life and problem-solving coping among older HD patients. Clinical Implications: PST is an effective, efficient, and easy to implement intervention that can benefit problem-solving abilities and mental health-related quality of life in older HD patients. In turn, this will help patients manage their daily living activities related to their medical condition and reduce daily stressors. |
| Keywords: | Coping hemodialysis problem-solving therapy quality of life |