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IRCT20220529055015N1 IRCT 2023-01-24 Yasouj University of Medical Sciences Efficacy of eye Movements Desensitization and Reprocessing on the Psychological Well-being Efficacy of eye Movements Desensitization and Reprocessing on the Psychological Well-being of the Patients with chronic renal failure under Hemodialysis 2023-01-30 anticipated 90 Complete https://irct.ir/trial/63963 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: The samples were divided into two groups through a random block allocation process. In order to create the sequence and concealment, the online software with the following address will be used, and a special randomization code will be generated. Sealed Envelope Ltd. 2021. Create a blocked randomisation list. [Online] Available from: https://www.sealedenvelope.com/simple-randomiser/v1/lists [Accessed 18 Jun 2022 To perform this method, the number of intervention groups (two groups A and B), the size of each block (blocks of 6) and the number of sample size (90 samples) were entered in the mentioned site. Then the site presented a list with 15 blocks of 6. In this study, we use blocks of 6, and the website performs randomization and assigns numbers to the blocks. N/A Psychological well-being. Intervention 1: Intervention group: The study will be done in both morning and evening shifts at Hajieh Narges Mahshahr Hospital. Then, for the intervention group, the researcher will perform EMDR treatment three times a week for 4 weeks in a row in 30-45 minutes sessions after hemodialysis in a room previously coordinated with the hospital authorities. After the intervention, psychological well-being components will be measured again in this group. The method of desensitization with eye movements and reprocessing consists of 8 steps: First step: the traumatic scene or scenes will be identified with the cooperation of the patient and the researcher. Then, with the cooperation of the patient, the most uncomfortable traumatic scene is selected. The second stage (explanation and preparation): creating a therapeutic alliance, explaining the process of desensitization with eye movements and reprocessing, explaining the effects of the desensitization method with eye movements and reprocessing, explaining treatment expectations and preparing clients. The third stage (examination): In this stage, the client is asked to visualize the scene or incident that creates the most positive and peaceful feeling in his mind. The fourth stage (desensitization of the target): focusing on the negative belief. The client moves the therapist's fingers quickly and simultaneously to the left and right in front of him, asking the client to follow the movements of the fingers with only eye movements. The fifth stage (creating positive cognition): cognitive reconstruction, strengthening the client's positive belief to replace the negative belief. The sixth stage (body processing): asking the helper to join and maintain the target event at the same time and recognizing the positive word and checking the muscle tension. The seventh stage (ending the sessions): asking the client to express the disturbing image, thoughts or emotions experienced. During the treatment, remember the events experienced in the treatment process in the form of thoughts, conditions, dreams, memories and other issues in the notebook. The eighth stage (re-evaluation): evaluation of previously processed goals (evaluation of the main variable). Visual tracking of the movement of the therapist's finger in the same state that the patient imagines the traumatic scene one after another - the patient must follow the rapid movements of the therapist's finger, which is across his field of vision, with rapid eye movements. The therapist's finger should be approximately 30 cm away from the subject's eyes and move from right to left and vice versa in the patient's field of vision. This movement consists of going back and forth twice in one second, which is considered one cycle, and every 12-24 cycles is one set. After each set, the therapist tells the patient to stop visualizing the scene and lean back in his chair and take a deep breath. This process is repeated several times according to the needs and motivation level of the patient. Intervention 2: Control group: In the control group, there will be no intervention other than routine medical care and support of these people by their families. Routine interventions include nursing care before, during and after hemodialysis, which can also include nursing consultations. Continuing to use medications prescribed by doctors. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is After holding a meeting with other members of the research team and the ethics committee of the organization, the final decision will be announced
public Mohammad Behnammoghadam
Shahid Motahari Blvd.- Yasouj University of Medical Sciences, Yasouj
Yasuj Iran (Islamic Republic of) 7591994799 +98 74 3333 7230 mbehnam1363@gmail.com Yasouj University of Medical Sciences scientific Mohammad Behnammoghadam
Shahid Motahari Blvd.- Yasouj University of Medical Sciences, Yasouj
Yasuj Iran (Islamic Republic of) 7591994799 +98 74 3333 7230 mbehnam1363@gmail.com Yasouj University of Medical Sciences Iran (Islamic Republic of) having consent informed to enter the study Patients who undergo regular hemodialysis three times a week. Has a history of hemodialysis treatment for more than three months Age between 15 and 60 years 15 years 60 years Both Having history of seizures Having mental illnesses Having addictions Having vision problems Behavior Behavior Intervention group: The study will be done in both morning and evening shifts at Hajieh Narges Mahshahr Hospital. Then, for the intervention group, the researcher will perform EMDR treatment three times a week for 4 weeks in a row in 30-45 minutes sessions after hemodialysis in a room previously coordinated with the hospital authorities. After the intervention, psychological well-being components will be measured again in this group. The method of desensitization with eye movements and reprocessing consists of 8 steps: First step: the traumatic scene or scenes will be identified with the cooperation of the patient and the researcher. Then, with the cooperation of the patient, the most uncomfortable traumatic scene is selected. The second stage (explanation and preparation): creating a therapeutic alliance, explaining the process of desensitization with eye movements and reprocessing, explaining the effects of the desensitization method with eye movements and reprocessing, explaining treatment expectations and preparing clients. The third stage (examination): In this stage, the client is asked to visualize the scene or incident that creates the most positive and peaceful feeling in his mind. The fourth stage (desensitization of the target): focusing on the negative belief. The client moves the therapist's fingers quickly and simultaneously to the left and right in front of him, asking the client to follow the movements of the fingers with only eye movements. The fifth stage (creating positive cognition): cognitive reconstruction, strengthening the client's positive belief to replace the negative belief. The sixth stage (body processing): asking the helper to join and maintain the target event at the same time and recognizing the positive word and checking the muscle tension. The seventh stage (ending the sessions): asking the client to express the disturbing image, thoughts or emotions experienced. During the treatment, remember the events experienced in the treatment process in the form of thoughts, conditions, dreams, memories and other issues in the notebook. The eighth stage (re-evaluation): evaluation of previously processed goals (evaluation of the main variable). Visual tracking of the movement of the therapist's finger in the same state that the patient imagines the traumatic scene one after another - the patient must follow the rapid movements of the therapist's finger, which is across his field of vision, with rapid eye movements. The therapist's finger should be approximately 30 cm away from the subject's eyes and move from right to left and vice versa in the patient's field of vision. This movement consists of going back and forth twice in one second, which is considered one cycle, and every 12-24 cycles is one set. After each set, the therapist tells the patient to stop visualizing the scene and lean back in his chair and take a deep breath. This process is repeated several times according to the needs and motivation level of the patient. Control group: In the control group, there will be no intervention other than routine medical care and support of these people by their families. Routine interventions include nursing care before, during and after hemodialysis, which can also include nursing consultations. Continuing to use medications prescribed by doctors. Psychological well-being. Timepoint: Before the intervention and immediately after the intervention. Method of measurement: Psychological well-being questionnaire. Yasouj University of Medical Sciences Approved 2022-03-14 Yasouj University of Medical Sciences Shahid Motahari Blvd.- Yasouj University of Medical Sciences-Yasouj Yasuj Kohgilouyeh-va-Boyrahmad Iran (Islamic Republic of)