Mei Yi Aw BN, RN, Stacey Henderson MSc (Clin Psych), Yiong Huak Chan PhD, Kinjal Doshi, Htay Htay MBBS, MMed, FRCP, Nurliyana Agus BSc (Psychology), Wu Sin Yan BN, RN, Marjorie Foo MBChB, MRCP, FRCP, FAMS, FASN, Fazila Aloweni MSc (Health Research Methodology), RN
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引用次数: 0
摘要
目的：本研究旨在（i）评估正念干预在提高腹膜透析患者的自我效能感、减轻压力和焦虑方面的效果；（ii）比较最有效的正念干预方法：这项随机三臂对照试验招募了新加坡腹膜透析门诊的首次腹膜透析患者。患者被随机分配到视频辅助正念训练、治疗师辅助正念训练或常规治疗中。所有组别都在腹膜透析中心接受了为期4.5天的结构化腹膜透析训练，而视频辅助正念训练组和治疗师辅助正念训练组则学习了额外的正念技巧。使用可靠有效的工具，在基线、随机后4周和12周测量了感知压力量表、自我效能感和焦虑（状态和特质焦虑量表）：共招募了 39 名患者（每组 13 人）。所有疗法都显示出焦虑的显著时间趋势。只有治疗师和视频辅助正念训练在感知压力量表评分方面显示出显著趋势，而在治疗照常方面则没有。所有干预 X 时间的交互作用均不显著。在第12周时，治疗师和视频辅助正念训练组患者的感知压力量表得分与常规治疗组相比有所降低：本研究证明了正念干预在减轻首次接受帕金森病治疗的患者压力方面的潜力。
Effectiveness of mindfulness-based interventions delivered via technology versus therapist among patients on peritoneal dialysis at an outpatient clinic in Singapore
Aims
This study aimed to (i) evaluate the effectiveness of mindfulness-based interventions in improving self-efficacy, reducing stress and anxiety among peritoneal dialysis patients, and (ii) compare the most effective method of mindfulness based interventions.
Methods
This randomized three-arm controlled trial recruited first-time peritoneal dialysis patients from the peritoneal dialysis outpatient clinic in Singapore. Patients were randomly allocated to either video-assisted mindfulness training, therapist-assisted mindfulness training or treatment-as-usual. All groups received 4.5 days of structured peritoneal dialysis training at the peritoneal dialysis centre, while video-assisted mindfulness training and therapist-assisted mindfulness training groups were taught additional mindfulness-based techniques. The perceived stress scale, self-efficacy, and anxiety (State and Trait Anxiety Inventory) were measured at baseline, 4- and 12 weeks post-randomization, using reliable and valid instruments.
Results
Thirty-nine patients were recruited (13 in each group). All the therapies showed a significant time trend in anxiety. Only therapist- and video-assisted mindfulness training showed a significant trend in perceived stress scale scores but not treatment-as-usual. All Intervention X Time interactions were not significant. Patients in therapist- and video-assisted mindfulness training groups had reduced perceived stress scale scores compared to treatment-as-usual at week 12.
Conclusion
This study demonstrated the potential of mindfulness-based interventions in reducing stress among first-time PD patients.
期刊介绍：
International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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