The Effectiveness of Cognitive-Behavioral Stress Management Training on Chronic Fatigue and Death Anxiety in Women under the Cure of Dominating

Introduction: Chronic illness, such as renal failure requiring hemodialysis, is a multidimensional experience that causes a person to be impotent in many psychosocial, social, and economical fields. Therefore, the purpose of this study was to investigate the effectiveness of cognitive-behavioral stress management on chronic fatigue and death anxiety in women undergoing hemodialysis. Methods: The research method was semi-experimental. A sample of 30 women who underwent hemodialysis was selected using available sampling method all women undergoing hemodialysis in Rafsanjan. Required data were collected through Cholesterol Factors Questionnaire (CFS) and Tempter's Death Anxiety Questionnaire (TDAS) in two stages before and after the intervention. To analyze the data, multivariate covariance analysis (MANCOVA) was used using SPSS software.  Results: The results of multivariate analysis of covariance analysis showed that cognitive-behavioral stress management training has been able to determine the chronic fatigue and death anxiety in hemodialysis women in the experimental group compared to the control group, in the post-test phase, significantly reduced.  Conclusion: According to the findings of this research, cognitive-behavioral stress management can be effective in reducing the multidimensional experience of disability in renal failure patients undergoing hemodialysis at the same time and should be given special attention to treatment in the treatment centers.