Effect of Mindfulness Based Stress Reduction Therapy Combined with Cognitive Behavioral Intervention on Maintenance Hemodialysis Patients:A Single Center Prospective Randomized Controlled Study
10.13241/j.cnki.pmb.2025.16.006
- VernacularTitle:正念减压疗法联合认知行为干预对维持性血液透析患者的影响:一项单中心前瞻性随机对照研究
- Author:
Dong-hua XIE
1
;
Ping HU
1
;
Li-hong KANG
1
Author Information
1. 酒泉市中医医院肾病内分泌科 甘肃酒泉 735000
- Publication Type:Journal Article
- Keywords:
Maintenance hemodialysis;
Mindfulness based stress reduction therapy;
Cognitive behavioral intervention;
Psychological states;
Coping styles
- From:
Progress in Modern Biomedicine
2025;25(16):2615-2621
- CountryChina
- Language:Chinese
-
Abstract:
Objective:A single,center,prospective,randomized controlled study was conducted,to explore the impact of combined intervention of mindfulness based stress reduction therapy and cognitive behavioral on the psychological state and coping styles of maintenance hemodialysis(MHD)patients.Methods:This study adopted a randomized controlled trial design,120 MHD patients who were treated in our hospital from January 2021 to December 2023 were selected,the patients were divided into two groups by random number table:control group(n=60,conventional clinical interventions)and observation group(n=60,mindfulness based stress reduction therapy combined with cognitive behavioral intervention).The coping styles,psychological states,quality of life and incidence of adverse events of the two groups were compared.Result:Compared with the control group after intervention,the scores of Hamilton Depression Scale-24 items(HAMD-24),Hamilton Anxiety Scale(HAMA)score,submission and avoidance in the observation group were lower,and the scores of confrontation,physical domain,psychological domain,independence domain and social relationship domain were higher(P＜0.05).The incidence of adverse events in the observation group was lower than that in the control group(5.00％vs 16.67％,P＜0.05).Conclusion:The comprehensive psychological intervention of mindfulness based stress reduction therapy combined with cognitive behavioral intervention has significant clinical benefits for MHD patients,manifested as promoting the formation of coping styles,significantly reducing the anxiety and depression symptoms of patients,improving their quality of life,and reducing the incidence of treatment-related adverse events.
