The Effect of Horticultural Therapy Applied to Caregivers of Hemodialysis Patients on Perceived Stress, Well-Being Level, and Care Burden: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 82
- 试验地点
- 1
- 主要终点
- Caregiver Introduction Form
研究概览
简要总结
This research is a randomized controlled single-blind experimental study aiming to evaluate the effect of horticultural therapy on stress, well-being, and caregiver burden among caregivers of hemodialysis patients. The study will be conducted between April-July 2025 with caregivers of patients receiving hemodialysis treatment at Bingöl State Hospital. The sample of the study will consist of 82 caregivers, randomly assigned into experimental and control groups. After obtaining verbal and written consents from all participants, the Introductory Information Form, Perceived Stress Scale, General Well-Being Scale, and Zarit Burden Interview will be applied as pre-test. The experimental group will participate in horticultural therapy activities once a week for 12 weeks, while no intervention will be given to the control group during this period. Following the intervention, post-test measurements will be administered to both groups using the same instruments. In addition, feedback will be collected from caregivers in the experimental group regarding the research process. After the study is completed, the same intervention will also be offered to the control group to ensure ethical responsibility. Data obtained will be analyzed using SPSS 22.00 package program. Ethical principles will be observed throughout the study, ethics committee approval has been obtained, and the Helsinki Declaration of Human Rights will be adhered to. The results are planned to be presented at an international congress and published in an SCI/SSCI-indexed journal, contributing to the scientific literature.
详细描述
INTRODUCTION Chronic kidney failure (CKD) is an important health problem worldwide, with a rising prevalence particularly in low- and middle-income countries. The number of patients with kidney failure doubles approximately every seven years. According to World Health Organization data, nearly 850 million people globally are affected by kidney disease, creating a significant health burden and economic cost. In Türkiye, the prevalence of chronic kidney disease is estimated to be around 15%.
One of the most commonly used treatment methods in patients with chronic kidney failure is dialysis, defined as the removal of excess fluids and waste products in situations where the kidneys are unable to perform their functions due to dysfunction. It is estimated that approximately 2-3 million people worldwide are receiving hemodialysis/dialysis treatment. In the United States, about 700,000 end-stage kidney failure patients exist, of whom 65% are treated with hemodialysis. In Japan, as of the end of 2018, 339,841 hemodialysis patients were reported. In Türkiye, according to 2022 data, more than 120,000 patients were receiving hemodialysis treatment, and records show that there are more than 500 dialysis centers nationwide.
The lives of caregivers of individuals undergoing hemodialysis treatment are negatively affected in many aspects. Caregivers frequently experience problems such as fatigue, pain, weakness, sleep disorders, depression, anxiety, burnout, social life restrictions, and economic difficulties. In addition, studies have reported that caregivers show decreased engagement in preventive health behaviors, face increased health problems, and are at higher risk of mortality.
For centuries, the healing power of nature has been emphasized, and it is well known that natural environments reduce stress in patients. Horticultural therapy encompasses a multidimensional process. Individuals not only spend time in green spaces but also actively interact with plants, engage in psychotherapeutic experiences, and improve their decision-making processes. Planting seeds, witnessing them blossom, and observing the growth of plants and trees inspire people with hope for life. It is believed that nature and humans are inseparable parts of life, and therefore, nature creates a positive impact on individuals.
Furthermore, horticultural therapy, which involves green spaces and plants, has been reported as an important rehabilitation method in the relationship between nature and the promotion of general well-being. The program carried out in this study aims to reduce stress and mental fatigue; to enhance self-esteem and self-efficacy; to contribute to well-being; and to alleviate caregiver burden.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
Single blindness is achieved by not specifying which section is specified during the data collection process.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being the primary caregiver for a patient receiving treatment in a hemodialysis unit,
- •Having provided active care for at least six months,
- •Not having a physical condition that would prevent participation in horticultural activities,
- •Not having a psychiatric illness,
- •Being able to communicate and be open to collaboration,
- •Having regularly attended at least 80% (nine) of the horticultural activity sessions.
排除标准
- •Those with a physical illness that would prevent them from participating in gardening-based activities,
- •Those with a psychiatric illness,
- •Those whose caregiver may be transferred to another dialysis center along with their patient during the study period,
- •Caregivers with no continuity of care.
研究组 & 干预措施
CONTROL GROUP
No ınterventıon was made to the control group durıng the study. After the gardening care activity in which the experimental system was applied, the Perceived Stress Scale, General Well-Being Scale and Zarit Caregiving Burden Scale were administered to the individuals in the experimental and control groups in order to measure the post-test data.
EXPERIMENTAL GROUP
The Caregiver Identification Form, Perceived Stress Scale, General Well-Being Scale and Zarit Caregiver Burden Scale were applied to the experimental and control groups. In the study, horticultural activities prepared with literature support and expert opinions as a nursing intervention were applied to the experimental group once a week for 12 weeks.
干预措施: HORTICULTURAL THERAPY (Other)
结局指标
主要结局
Caregiver Introduction Form
时间窗: baseline
This form was prepared by researchers based on literature. It consists of 16 questions covering the sociodemographic characteristics of caregivers (age, gender, family type, marital status, number of children, number of family members, occupation, economic status, education level, place of residence, number of years the patient has been receiving dialysis treatment, degree of closeness to the caregiver, length of caregiving, duration of daily caregiving, other caregivers in the family, and presence or absence of chronic illness).
次要结局
- Perceived Stress Scale(at the beginning and at the end of the 12-week study)