In addition to physical, mental, and social condition, ESRD and hemodialysis affect the quality of life of patients as well. Psychotherapy and non-pharmaceutical interventions are effective measures to add meaning to life, create a goal and motivation in life, and improve the quality of life in chronic patients. The effect of educational and supportive group therapy on the quality of life (QOL) of hemodialysis patients was examined. The study was carried out as an interventional quasi-experimental study with the participation of 64 patients who were selected through convenience sampling and based on the patient’s hemodialysis days (Saturday, Monday, and Wednesday patients as an experimental group and Sunday, Tuesday, and Thursday patients as a control group). There were 32 patients in each group. The experimental group received eight 50 min sessions including two sessions per week. The control group received the normal interventions. The participants were assessed using a demographics form and Kidney Disease Quality of Life Short Form before, immediately after, and 1 month after the intervention. The collected data was analyzed using SPSS (v.24). The mean QOL scores of the experimental group before, immediately after, and 4 weeks after the intervention were 36.99, 43.3, and 44.9 respectively. Those of the control group were 36.39, 37.2, and 37.1 respectively. There was no significant difference between the two groups before the intervention (P > 0.05); however, the difference between the two groups was significant immediately after and 4 weeks after the intervention (P = 0.0001). The trend of score change in the experimental group was also significant (p < 0.05), and Tukey ad-hoc test showed significant differences between the scores before intervention and those immediately after and 4 weeks after the intervention (p < 0.05). In general, educational and supportive group therapy can expand the interpersonal relationships of hemodialysis patients and positively affect their quality of life.

中文翻译：

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教育支持性团体治疗与血液透析患者的生活质量

除了身体、精神和社会状况外，ESRD 和血液透析也会影响患者的生活质量。心理治疗和非药物干预是增加生活意义、创造生活目标和动力、提高慢性病患者生活质量的有效措施。研究了教育和支持性团体治疗对血液透析患者生活质量（QOL）的影响。该研究作为一项介入性准实验研究进行，64 名患者通过便利抽样选择，并根据患者的血液透析日（周六、周一和周三患者作为实验组，周日、周二和周四）进行患者作为对照组）。每组有32名患者。实验组接受了 8 次 50 分钟的课程，包括每周两次的课程。对照组接受正常干预。在干预前、干预后和干预后 1 个月，使用人口统计表和肾脏疾病生活质量简表对参与者进行评估。使用 SPSS (v.24) 分析收集的数据。实验组干预前、干预后和干预后4周的平均QOL评分分别为36.99、43.3和44.9。对照组分别为36.39、37.2和37.1。干预前两组比较差异无统计学意义（P>0.05）；然而，在干预后即刻和干预后 4 周，两组之间的差异显着（P = 0.0001）。实验组评分变化趋势也显着（p < 0.05），Tukey ad-hoc检验显示干预前与干预后即刻和干预后4周的评分存在显着差异（p < 0.05）。一般来说，教育和支持性团体治疗可以扩大血液透析患者的人际关系，并积极影响他们的生活质量。