The effect of guided imagery on anxiety, depression and vital signs in patients on hemodialysis

Background and purpose: Patients on hemodialysis experience anxiety and depression. This study aimed to investigate the effect of guided imagery on anxiety, depression, and vital signs in patients on hemodialysis. Materials and methods: This randomized controlled clinical trial was conducted on 80 patients undergoing hemodialysis. The subjects were randomly assigned into two groups: a guided intervention group and a control group. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale. Results: After the intervention, the level of anxiety and depression were significantly lower in the intervention group compared with the control group (p = 0.030, p = 0.001, respectively). A statistically significant reduction in the respiratory rate and heart rate was reported in the intervention group (p < 0.05). Conclusion: Nurses are suggested to use guided imagery along with other interventions for the management of anxiety and depression. It can alleviate adverse psychological responses among patients on hemodialysis.