اثربخشی درمان شناختی مبتنی بر ذهن آگاهی بر کاهش شدت درد و اضطراب مرگ در بیماران دیالیزی: یک مطالعه راهنما

Abstract

Background and Objective: Patients with renal failure are more prone to depression than others and have higher death anxiety. The aim of this study was to determine the effectiveness of mindfulness-based cognitive therapy on reducing pain intensity and death anxiety among patients undergoing dialysis. Materials and Methods: This study was semi-experimental and in the form of a pretest-posttest design with a control group. The statistical population of this study consisted of all patients who were referred to dialysis ward of Al-Jalil hospital in Aqqala city in the first quarter of 2019, among whom 22 patients were selected by convenience sampling method and randomly assigned to experimental and control groups. First, a pre-test was held. The experimental group then received mindfulness-based cognitive therapy for eight sessions of 90 minutes, and the control group did not receive any training. Then the post-test was held. Data collection tools were pain intensity and death anxiety questionnaires. Data were analyzed using univariate covariance analysis, and the above statistical analysis was performed using SPSS.22 software. The significance level of the tests was 0.05. Results: In the experimental group, the mean (SD) of death anxiety decreased from 10.0 (1.5) in the pre-test to 6.3 (1.1) in the post-test (P<0.001). Also, in the experimental group, the mean (SD) pain intensity decreased from 31.7 (7.8) in the pre-test to 22.9 (6.5) in the post-test (P<0.001). There was no significant difference between the mean (SD) of death anxiety scores and pain intensity in the control group in pre-test and post-test. Conclusion: The study showed that mindfulness-based cognitive therapy reduced pain intensity and death anxiety in dialysis patients.