End-Stage renal disease (ESRD) is a chronic, progressive disorder characterized by irreversible and gradual loss of renal function. These patients have to resort to lifelong Renal Replacement Therapies such as hemodialysis, peritoneal dialysis and kidney transplantation. In India among one million populations an estimated incidence of ESRD is approximately 1, 00,000 each year, and in this 90% will be initiated on RRT. In ESRD patients, psychosocial changes are on the rise which seems to be the immediate concern for the nurse. They will be experiencing many stressors such as fatigue, fluid restriction and food restriction. Those who are not able to cope with these stressors will be depressed and socially isolated. Hemodialysis is a medical procedure that uses a special machine to filter waste products from the blood and to restore the normal constituents to it. For hemodialysis to be carried out, a large blood vessels with a fast blood flow needs to be accessed. It is well understood that kidney failure and further therapy like Hemodialysis can be challenging both physically and emotionally. These emotional and physical challenges can be the basis for successful adjustment that includes 2 key elements: optimal clinical care and the residual ability to perform. In essence, a hemodialysis patient can live long enough a high quality of life and live independently and productively, if they are able to function well mentally and physically. According to American music therapy association (AMTA) music therapy is an effective and valid treatment for persons who have psychosocial, affective, cognitive and communicative needs. It is a form of sensory stimulation which increases the relaxation. Need for the Study WHO (2009) conducted a worldwide study among selected countries to identify the existence of Depression with major disease conditions existing worldwide. The survey findings revealed that depression associated with ESRD and dialysis stood second with a prevalence rate of 16.25 surpassing depression associated with respiratory disease and metabolic disorders. According to national Institute of Mental Health, nearly 10% patients suffering the depression due to the End Stage Renal Disease. In worldwide 34% patients were suffering from depression among the clients who are on hemodialysis (British Journal of Clinical Psychology). Joseph (2010) conducted a study to identify the presence of significant depressive symptoms common in patients with end-stage renal disease. The results revealed that 20−30% of end stage renal disease patients have significant depressive symptoms. Furthermore, it also highlighted experimentation of cognitive behavioral therapies and alternative therapies like music that has promising effects on reducing depression. Though depression is a major problem, its solution is very handy by alternative therapies. Many alternative therapies have been reduced level of depression who is on hemodialysis. One among is Music therapy. Here the researcher used music therapy to reduce depression among hemodialysis patients. Statement of the Problem: A study to assess the effectiveness of Music therapy on Depression among Hemodialysis clients at Selected Hospitals of Coimbatore district.
Population: for this study, target population is clients on hemodialysis with depression. The accessible population includes clients on hemodialysis with depression in selected hospitals.
Sample: In other words it is the process of obtaining information about the entire population by examining only a part of it. Clients admitted for hemodialysis in selected hospitals, during data collection period. The sample size was 30.
Sampling Technique: non probability convenience sampling was used to select sample.
Criteria for sample selection
Findings And Discussion
The response were analyzed by using descriptive statistics (Mean, Standard Deviation, Frequency and Percentage) and inferential statistics (Paired "t" test and Chi Square). Discussion on the findings was arranged based on the objectives of the study. Major findings of the study are:
Summary And Conclusion
Conclusion: The main conclusion drawn from this present study was that majority of the clients undergoing hemodialysis had mild borderline and moderate level of depression. After administration of Music Therapy the sample became familiar and found them comfortable and expressed satisfaction.
Implications of the Study