The Effect of Counselling Techniques on the Quality of Life of End-Stage Renal Disease Patients

Abstract

Background: End-stage renal disease (ESRD) is a chronic condition that severely compromises kidney function, impacting the physical, psychological, social, and spiritual dimensions of patient health. Objective: This study aimed to evaluate the impact of structured counselling interventions on the Quality of Life (QoL) of ESRD patients and to examine the influence of age on QoL outcomes. Method: Utilizing a quasi-experimental design, 200 dialysis patients were selected via purposive sampling and divided into counselling (n=100) and control (n=100) groups. The experimental group received six to seven sessions of Cognitive Behavioral Therapy (CBT) and psychoeducation over three months. QoL was measured using the QOL-SSNN scale. Results: Independent samples t-tests revealed that patients who received counselling reported significantly higher QoL scores (M = 89.32) compared to the control group (M = 83.74, p = 0.001). Additionally, younger patients (ages 28–42) demonstrated significantly better QoL than middle-aged patients (ages 43–58). Conclusion: Structured psychological interventions are vital for enhancing the well-being of ESRD patients and should be integrated into standard clinical renal care.