Psychological flexibility, life satisfaction and adaptation to the disease of individuals with chronic kidney disease were increased with psychoeducation based on acceptance and commitment therapy to be given to individuals with chronic kidney disease.

Chronic renal failure is a condition that affects the kidneys and has long-term consequences for physical, psychological, and social well-being. It reduces quality of life, productivity, and independence, leading to increased costs and the need for care. In order to ensure treatment compliance and maintain living standards, it is important to enhance individuals' readiness for treatment. While there are psychological intervention studies during the treatment process, there are few studies that focus on psychological readiness before dialysis. This study highlights acceptance and determination-based approaches to help individuals become aware of their feelings and thoughts and accept them, minimizing resistance to treatment and improving treatment compliance. By managing negative emotions and thoughts towards the treatment, this study aims to increase disease compliance, provide psychological support during pre-dialysis trainings, diversify the use of acceptance and commitment therapy-based approaches, and promote psychosocial support in chronic diseases in psychiatric nursing practices.

Inclusion Criteria:

• Acceptance to participate in the research
• Diagnosis of CKD Stage 4-5
• GFR below 29ml/min/1.72m2
• 18 years of age and over
• Being literate
• No barriers to verbal communication
• No psychiatric treatment

Exclusion Criteria:

• Receiving haemodialysis and peritoneal dialysis treatment,
• Pregnancy
• The presence of a psychiatric disorder requiring treatment,
• Individuals with transplantation and rejection transplantation