The Effect of Continuous Care Model on Blood Pressure and Quality of Life in Patients on Hemodialysis

Hemodialysis causes fundamental changes in blood pressure and quality of life in patients on hemodialysis. This study aimed to investigate the effect of continuous care model (CMM) on blood pressure and quality of life in patients on hemodialysis in the city of ilam. A randomized clinical trial study with control group was performed on 56 patients undergoing hemodialysis in the Shahid Mostafa hospital in Ilam during 2015-16. The samples were selected by census method and randomly assigned to two experimental and control groups, respectively. The intervention was done based on CMM as training sessions during three weeks and then follow-up care, monitoring and evaluation during 9 weeks for experimental group. Data were collected by using a blood pressure checklist and a quality of life questionnaire, and then were analyzed by descriptive and inferential statistical tests. Findings showed no statistically significant difference between mean scores of blood pressure and quality of life in patients on hemodialysis in experimental and control groups before intervention. After applying the model, there was a significant statistically difference between two groups in mean score of quality of life (P<0.05) but not in mean score of blood pressure. Due to the effectiveness of this model of care on quality of life in the patients on hemodialysis, it is suggested to be applied in the clinical cares. It is also necessary to do the various studies for assessing the effect of this model on blood pressure.