title: Evaluation of psychological outcomes following the intervention 'teaching group': study on predialysis patients.
abstract: OBJECTIVE
  Aims of the study were to evaluate the effects of the intervention 'Group education' (NIC 5604) on patients' coping, fear control, anxiety and the association between demographic and clinical variables with the outcomes.
  
  
  METHODS
  We studied all predialysis patients treated, at Lleida University Hospital, from 1 January 2007 till 31 March 2008, who received the total intervention for six months.
  
  
  RESULTS
  There were 41 patients, 33 male and 8 female. They had a mean age of 60.56 years (SD 13.96); 66% declared family support. Forty-one percent had a low educational level. The Charlson Comorbidity test showed a mean of 5.07 (SD 1.77). All patients were independent, using the Karnofsky scale and Barthel index. Patients reported a significant improvement in all the outcomes evaluated (anxiety, coping and fear response). Logistic regression showed that the reduction in anxiety and the improved nursing outcomes were not related to demographic and clinical variables.
  
  
  CONCLUSIONS
  The group educational programme was effective on the defined psychological outcomes in predialysis patients. Hence, it should be available for all clients.
authors.affiliation: University Hospital Arnau de Vilanova, Lleida, Spain.
authors.forename: Josep Maria
authors.initials: JM
authors.lastname: Gutiérrez Vilaplana
authors.forename: Alessandra
authors.initials: A
authors.lastname: Zampieron
authors.forename: Lourdes
authors.initials: L
authors.lastname: Craver
authors.forename: Alessandra
authors.initials: A
authors.lastname: Buja
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001007:Anxiety / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D001294:Attitude to Health; D015897:Comorbidity; D005190:Family / Q000523:psychology; D005239:Fear; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007558:Italy; D017567:Karnofsky Performance Status; D007676:Kidney Failure, Chronic / Q000150:complications / Q000523:psychology / Q000628:therapy; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D006435:Renal Dialysis / Q000009:adverse effects / Q000451:nursing / Q000523:psychology; D012944:Social Support