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

Complement Ther Clin Pract. 2018 Nov:33:184-190. doi: 10.1016/j.ctcp.2018.10.008. Epub 2018 Oct 17.


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.

Keywords: Anxiety; Guided imagery; Hemodialysis; Hypnosis; Mental imagery.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anxiety* / etiology
  • Anxiety* / physiopathology
  • Anxiety* / therapy
  • Depression* / etiology
  • Depression* / physiopathology
  • Depression* / therapy
  • Female
  • Humans
  • Imagery, Psychotherapy / methods*
  • Male
  • Middle Aged
  • Psychological Techniques
  • Psychophysiology
  • Renal Dialysis* / adverse effects
  • Renal Dialysis* / psychology
  • Treatment Outcome
  • Vital Signs*