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Masters Thesis | Nursing | India | Volume 11 Issue 9, September 2022

A Study to Assess the Effectiveness of Guided Imagery in Reduction of Stress among Patients with Chronic Renal Failure in a Selected Hospital, Moradabad

Prachi Chauhan

Abstract: Background of the study: Chronic diseases represent one of the major health problems in the industrialised world and chronic renal failure is one among them. Burden of long-term illness and images of forthcoming death cause a threatening feeling for these patients. These stresses have an important influence on physical and psychological wellbeing of the patients. Guided imagery is a powerful tool which can be used by nurses for their patients for the reduction of stress. The aim of the present study is to determine the effectiveness of guided imagery in reduction of stress. Method: Quasi-experimental research (pre-test post-test control group design) was used for the present study. The sample consisted of 40 chronic renal failure patients undergoing dialysis were randomly assigned to experimental group and control group (N=20+20=40). Tools used were baseline proforma and stress scale. Data was analysed using paired and unpaired ?t? test, Friedman test, Fisher?s exact test, Karl Pearson correlation co-efficiency, and Spearman?s correlation co efficiency. Result: In Group I 20% of subjects had severe stress, 65% had moderate stress and 15% had mild stress. In Group II 15% of subjects had severe stress, 65% had moderate stress and 15% had mild stress. There was no significant difference in the pre-test stress score of renal failure patients in both groups, whereas a significant difference was found in the stress score of post-test among Group I and Group II (t38=2.311, P<0.05).There was significant difference in the pre-test and post-test score of patients in the experimental group (t19=3.165, P<0.05). There was significant difference among psychological, physiological, social and spiritual factors of stress (Friedman test ?2(3)=54.24, P<0.05).There was significant reduction in stress in psychological, (t19=3.689, P<0.05), physiological (t19= 3.125, P<0.05) and social (t19=3.699, P<0.05) areas.There was no significant relationship between reduction in level of stress and demographic variables such as age (Fisher?s p = 0.34 > 0.05), sex (Fisher?s p = 0.48 > 0.05), marital status (Fisher?s p = 0.48 > 0.05), income (Fisher?s p = 0.71 > 0.05), and family responsibility (Fisher?s p = 0.86 > 0.05). Interpretation: The results show that chronic renal failure patients had significant level of stress related to their illness and guided imagery is an effective intervention for reduction of stress. Conclusion: Guided imagery is a simple non-invasive, cost effective, method that can be used for reduction of stress without any adverse effects on the patients. Patients themselves can practice their own imagery without any assistance.

Keywords: Guided imagery, chronic renal failure patients, Stress

Edition: Volume 11 Issue 9, September 2022,

Pages: 249 - 251