Summary of best evidence for non-pharmacological interventions for anxiety and depression in patients receiving maintenance hemodialysis
10.3760/cma.j.cn115682-20231127-02262
- VernacularTitle:维持性血液透析患者焦虑及抑郁非药物干预最佳证据总结
- Author:
Jinghua XIA
1
;
Wenbo ZHU
;
Yue ZHOU
;
Hui ZHANG
;
Na GUO
Author Information
1. 中国医学科学院北京协和医院肾内科血液净化中心，北京 100730
- Keywords:
Hemodialysis;
Anxiety;
Depression;
Non-pharmacological intervention;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(24):3250-3256
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for non-pharmacological interventions for anxiety and depression in patients receiving maintenance hemodialysis (MHD) .Methods:According to the "6S" evidence hierarchy model, evidence on non-pharmacological interventions for anxiety and depression in patients receiving MHD was systematically searched from top to bottom across databases and websites, including BMJ Best Practice, UpToDate, International Guideline Network, National Institute for Health and Care Excellence (NICE), International Society of Nephrology, Medlive, Cochrane Library, PubMed, Web of Science, China National Knowledge Infrastructure, and China Biology Medicine disc. The search timeframe was from September 1, 2013, to September 1, 2023. Two researchers independently evaluated the quality of the literature, extracted evidence, and summarized recommendations in collaboration with an evidence evaluation group.Results:A total of 18 articles were included, comprising one guideline, two expert consensuses, one clinical decision, one evidence summary, and 13 systematic reviews. A total of 22 best evidence points were summarized in six aspects: screening and assessment, exercise interventions, lifestyle improvements, psychological interventions, other forms of interventions, and personnel and information support.Conclusions:Evidence-based non-pharmacological interventions for anxiety and depression in patients receiving MHD are diverse. The application of evidence should adhere to the principle of individualization, and the combined use of different evidence-based interventions may yield better outcomes.
