title: The impact of multidisciplinary rehabilitation on the quality of life of hemodialysis patients in Iran.
abstract: OBJECTIVE
  Hemodialysis contributes to changes in lifestyle and the health status of patients. The aim of this study was to evaluate the impact of participatory rehabilitation on the quality of life of patients.
  
  
  METHODS
  This quasi-experimental before and after study was conducted on 30 patients in the hemodialysis center at Hazrat-e-Rasoul Hospital in Javanrood during 2013. The rehabilitation program was executed with participation of experts in the fields of nursing, physiotherapy, and clinical psychology for 8 weeks. The instrument used for data collection was the hemodialysis version of Ferrans and Powers Quality of Life Index (QLI) which was completed by the research assistant by interview before and after the rehabilitation program.
  
  
  RESULTS
  The mean age of patients was 55.8 ± 14.3 years, 60% were male, and 93.3% were married. The average duration of hemodialysis was 3 ± 2.4 years. The quality of life score of all patients before the intervention was between 10 and 19 (moderate level), which after intervention, improved to a good level in half of the patients (p < 0.001).
  
  
  CONCLUSIONS
  Rehabilitation programs improve the quality of life of hemodialysis patients. By this finding, implementation of rehabilitation programs is recommended in hemodialysis centers with participation of experts from different fields including nurses, physiotherapists, and clinical psychologists.
authors.affiliation: Department of Nursing, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
authors.forename: Tahereh
authors.initials: T
authors.lastname: Toulabi
authors.affiliation: Department of Nursing, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran. Electronic address: shirin.mohammadi.nu@gmail.com.
authors.forename: Shirin Mohammadi
authors.initials: SM
authors.lastname: Kalaveh
authors.affiliation: Department of Nursing, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Ghasemi
authors.affiliation: Department of Social Medicine, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
authors.forename: Khatereh
authors.initials: K
authors.lastname: Anbari
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006304:Health Status; D006801:Humans; D007492:Iran; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D019145:Rehabilitation Nursing / Q000379:methods*; D006435:Renal Dialysis; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Iran; hemodialysis; multidisciplinary rehabilitation; nursing; quality of life