Back to Journals » International Journal of Nephrology and Renovascular Disease » Volume 13

The Effect of Peer Support on Hope Among Patients Under Hemodialysis

Authors Pasyar N, Rambod M, Jowkar M

Received 2 December 2019

Accepted for publication 25 February 2020

Published 13 March 2020 Volume 2020:13 Pages 37—44


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Pravin Singhal

Nilofar Pasyar,1,2 Masoume Rambod,1,2 Mostafa Jowkar3

1Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; 2Nursing Department, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran; 3Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

Correspondence: Masoume Rambod
Nursing Department, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Zand St., Nemazee Sq., Shiraz 7193613119, Iran
Tel +98 71 3647 4254
Fax +98 71 3647 4252

Introduction: Providing social support for patients under hemodialysis treatment can reduce their psychological, social, and physical problems. The present study aimed at determining the effect of peer support on hopefulness in patients under hemodialysis.
Methods: This clinical trial with a pre/posttest design was conducted on 128 patients who had referred to the hemodialysis centers of Shiraz University of Medical Sciences in 2019. The patients were randomly divided into an intervention and a control group. The patients in the intervention group were supported by their peers for eight weeks and were provided with the usual care, but the controls were only provided with the usual care. The data were collected using Snyder Hope Scale. Then, the data were entered into the SPSS software, version 18 and were analyzed using independent t-test and paired t-test.
Results: At baseline, the participants in both groups were similar with respect to the mean scores of hope and its subscales (p> 0.05). However, there was a significant difference between the two groups in terms of hope and its subscales eight weeks after the intervention (p< 0.001).
Conclusion: The results confirmed the effect of peer support on increasing hope among the patients under hemodialysis. Peer support in informational, emotional, instrumental, and spiritual forms could create a positive incentive and increase hope among the patients.
Clinical Trial Number: This clinical trial has been registered in the Iranian Registry of Clinical Trials (IRCT20190126042498N1).

Keywords: hope, chronic kidney failure, hemodialysis

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]