Positive living with dialysis: The effect of a positive psychology intervention in patients receiving maintenance hemodialysis

IF 3.6 2区心理学 Q1 PSYCHOLOGY, APPLIED

Applied psychology. Health and well-being Pub Date : 2025-09-24 DOI:10.1111/aphw.70078

Jiaxin Liu, Jinjie Liu, Raoping Wang, Marques, Shek Nam, Ng, Xiaochun Wu, Jieling Chen

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Abstract

Patients undergoing maintenance hemodialysis often exhibit a low level of positive affect and poor mental health, which can adversely affect their physical health and well-being. This cluster-randomized controlled trial aimed to implement a 4-week PERMA-based positive psychology intervention tailored for patients undergoing hemodialysis and evaluate its efficacy on improving positive affect, negative affect, depressive symptoms, post-traumatic growth, and self-management. From September 2023 to January 2024, a total of 80 patients were recruited and randomly assigned to either the control group or the intervention group. The control group received usual psychological nursing care along with health messages. The intervention group, in addition, received a 4-week positive psychology intervention that consisted of weekly 30-minute bedside interviews, supplemented by home exercises. Outcome variables were assessed pre-intervention, post-intervention, and 1-month follow-up. The results revealed that the 4-week PERMA-based positive psychology intervention significantly improved positive affect among patients undergoing hemodialysis. Compared to the control group, the intervention group showed better dietary management and more active participation in physical and psychosocial activities. However, no significant intervention effects were observed for negative affect, depressive symptoms, or post-traumatic growth. Further research is recommended to investigate the potential benefits of a longer intervention duration for patients experiencing clinical psychological symptoms.

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积极的透析生活：积极心理干预对维持性血液透析患者的影响。

接受维持性血液透析的患者往往表现出低水平的积极影响和不良的心理健康，这可能对他们的身体健康和福祉产生不利影响。本集群随机对照试验旨在实施针对血液透析患者的为期4周的基于permaar的积极心理干预，并评估其在改善积极情绪、消极情绪、抑郁症状、创伤后成长和自我管理方面的效果。从2023年9月至2024年1月，共招募80例患者，随机分为对照组和干预组。对照组接受常规的心理护理和健康信息。此外，干预组接受了为期4周的积极心理学干预，包括每周30分钟的床边访谈，辅以家庭练习。评估干预前、干预后和1个月随访的结果变量。结果显示，为期4周的积极心理干预显著提高了血液透析患者的积极情绪。与对照组相比，干预组表现出更好的饮食管理，更积极地参与身体和心理社会活动。然而，在负面情绪、抑郁症状或创伤后成长方面，没有观察到显著的干预效果。建议进一步研究，以调查较长的干预时间对出现临床心理症状的患者的潜在益处。

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来源期刊

Applied psychology. Health and well-being PSYCHOLOGY, APPLIED-

CiteScore

12.10

自引率

2.90%

发文量

期刊介绍： Applied Psychology: Health and Well-Being is a triannual peer-reviewed academic journal published by Wiley-Blackwell on behalf of the International Association of Applied Psychology. It was established in 2009 and covers applied psychology topics such as clinical psychology, counseling, cross-cultural psychology, and environmental psychology.