Study on the influence of mindfulness therapy on self-efficacy, compliance and quality of life in hemodialysis patients
10.3760/cma.j.cn211501-20191108-03273
- VernacularTitle:正念疗法对血液透析患者自我效能、依从性及生命质量的影响研究
- Author:
Xiaoying GAN
1
;
Xiujun CHEN
;
Yun FENG
Author Information
1. 江西省人民医院血透室，南昌 330006
- From:
Chinese Journal of Practical Nursing
2020;36(14):1106-1110
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of mindfulness therapy on self-efficacy, compliance and quality of life in hemodialysis patients.Methods:A total of 94 patients who underwent hemodialysis treatment at Jiangxi Provincial People′s Hospital from December 2017 to January 2019 were selected. Random numbers were used to divide the control group and the observation group including 47 cases respectively. Patients in the control group were given routine care and medical intervention according to the procedures of the hospital. Patients in the observation group were given mindfulness therapy on the basis of the control group. The self-efficacy and quality of life of the two groups of patients were compared before and after intervention. Comparison of treatment compliance and intervention satisfaction between two groups of patients.Results:The self-efficacy scores of patients in the control group before and after the intervention were (1.25 ± 0.18) and (2.32 ± 0.35) points. The observation group′s self-efficacy scores were (1.28 ± 0.14) and (2.97 ± 0.33) points, respectively. The difference between the two groups before and after the intervention was statistically significant ( t values were -18.638, -32.321, P <0.01). There was a statistically significant difference between the two groups after intervention ( t value was -9.264, P <0.01). The treatment compliance score of the observation group was (82.69±13.59) points, which was higher than (71.53±12.25) points of the control group ( t value was 4.182, P <0.05). The scores of the psychological status, physiological status, environmental domain, and social relationship of the patients in the control group before the intervention were (54.37 ± 8.16), (50.32 ± 5.54), (53.28 ± 7.99), and (51.74 ± 6.21) points. The observation group was (55.03 ± 7.70), (51.38 ± 6.17), (53.94 ± 7.01), (50.88 ± 7.63) points. The control group after the intervention were (62.25 ± 6.85), (61.22 ± 9.18), (60.28 ± 7.23), and (55.69 ± 7.80) points. The observation group was (70.64 ± 8.48), (71.39 ± 7.85), (68.04 ± 8.85), and (60.26 ± 6.63) points. The differences between the two groups before and after the intervention were statistically significant ( t values were -13.739 - -2.716, P <0.01). The difference between the two groups after intervention was statistically significant ( t values were -5.772 to -3.060, P <0.01). The intervention satisfaction rate in the control group was 82.98% (39/47), and the intervention satisfaction rate in the observation group was 95.74% (45/47). The difference was statistically significant ( χ 2 value was 4.029, P <0.05). Conclusion:Intervention of hemodialysis patients with mindfulness therapy is beneficial to improve patients′ self-efficacy level, improve treatment compliance, and improve quality of life.
