Intervention Effection Of Mindfulness Training On Anxiety And Depression In Patients With Maintenance Hemodialysis

Objective To study mindfulness training on maintenance hemodialysis patients with anxiety and the clinical curative effect of depression,and verify the clinical value of mindfulness therapy.To supplement domestic study of psychological intervention in this area,improve the psychological health level in maintenance hemodialysis patients.Methods A randomized controlled study was conducted.According to inclusion criteria and exclusion criteria,92 patients with maintenance hemodialysis treated in Ningbo No2.hospital from November 2016 to February 2017 were selected.According to the random number table,the patients were divided into the control group and the intervention group with 40 cases in each group.The baseline data of the two groups were comparable.The control group received conventional treatment and mental nursing,and the intervention group received 1 sessions 2.5 times a week,8 weeks of mindfulness therapy and mindfulness therapy.At each end of the course,daily mindfulness sessions were conducted 6 times a day for 8 weeks,45 minutes a week.Before and after intervention,two groups of patients were analyzed by questionnaire and analyzed.Results ①Comparison of two groups of patients with Maintenance Hemodialysis before and after SAS within the assessment group,results showed that:SAS scores before and after intervention in the control group were 64.00±8.74 and 60.95±8.82,respectively and the difference was not statistically significant(P>0.05),before and after the intervention group,SAS score was 57.15±10.14 and 40.80±9.18,respectively and the difference was statistically significant(P<0.05).② Comparison of two groups of patients with Maintenance Hemodialysis before and after SDS within the assessment group,results showed that:control group before and after the intervention was 57.80±11.83 and 61.26±9.71,respectively and the difference was not statistically significant(P>0.05)and SDS scores before and after intervention group was 61.45±8.90 and 44.28±7.26,respectively and the difference was statistically significant(P<0.05).③Two groups of patients with Maintenance Hemodialysis before and after IWGR%’s group in comparison,results show that IWGR%before and after intervention in the control group values is 4.85±2.44 and 4.72±2.39,respectively and the difference was not statistically significant(P>0.05);IWGR%respectively before and after intervention group 4.87±2.28 and 3.04±1.61,respectively and the difference was statistically significant(P<0.05).④Comparison between two groups of patients with Maintenance Hemodialysis before and after the intervention group showed:both groups SAS score and SDS scores,IWGR%are significant differences in the value(P<0.05).Conclusion ①Conclusion mindfulness training can effectively improve anxiety and depression symptoms in maintenance hemodialysis patients,and has a significant effect on weight control.②Mindfulness training can effectively improve the mental health of the maintenance hemodialysis patients,and improve their quality of life while prolonging the life cycle.③Mindfulness training has better clinical curative effect,and is worthy of clinical application.