Audiotherapy for hemodialysis patients: research findings in 2 parts
Currently, the world is faced with the global problem of chronic diseases' growth, most of which lead to chronic kidney disease (CKD), associated with high mortality, in the terminal stage (Stage 5 CKD) requiring expensive replacement therapy (hemodialysis, peritoneal dialysis) and kidney’s transplantation.
Renal replacement therapy with hemodialysis is the most common treatment for Stage 5 CKD, which allows increasing the life span of patients. At the same time, the hemodialysis is associated with debilitating manifestations of pain, itching and limitation of vital activity. Hemodialysis patients feel fear, despair, a sense of their own powerlessness, that lead to the development of anxiety and depressive disorder.
Stage 5 CKD patients treated with hemodialysis need psychological help and correction of psychological state. Comorbidity of pathology assumes restrictions and contraindications to use of a number of effects and drugs, so it becomes necessary to determine possible non-drug and non-invasive methods of exposure for the purpose of correction. Audiotherapy meets this need, being a non-drug, non-invasive method of correcting the psychological state.
Audiotherapy is a practice-oriented method of effect to patient’s perception, which works to minimize factors of a destructive nature and ultimately helps to improve patient’s condition. A targeted audiotherapeutic effect forms a motivational component, concentrating consciousness on the healing result, allowing to correct situational feeling of anxiety, reduce pain during the hemodialysis procedure through emotional distraction, build relaxation and reflection skills, and increase tolerance to the procedure.
The research of the audiotherapy method’s effectiveness as a way of correcting the psychological state in patients with chronic kidney disease (CKD) treated with hemodialysis was carried out on the basis of Pavlov First Saint Petersburg State Medical University from 2010 to 2020. The research involved about 300 patients, men and women aged 18 to 85 years. In 2015, the method was patented as an invention related to medicine, namely nephrology and medical psychology, showing high efficiency in correcting patients' psychological state and proving prospects of this direction of psychological and pedagogical patients' support.