Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Chronic kidney disease (CKD) and its treatment with hemodialysis pose significant challenges to patients' psychological well-being and adherence to complex treatment regimens. This randomized controlled trial investigated the effects of nurse-led, mindfulness-based interventions on psychological well-being and treatment adherence in patients undergoing hemodialysis. Eighty patients from a single dialysis center in Türkiye were randomly assigned to either an intervention group (n = 40) receiving six weekly mindfulness sessions or a control group (n = 40) receiving routine care. Data were collected using the Mindful Attention Awareness Scale (MAAS), the Psychological Well-Being Scale (PWB), and the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ) at baseline and post-intervention. Mixed-design analyses revealed significant improvements in mindfulness, psychological well-being, and all subscales of treatment adherence-including hemodialysis attendance, medication adherence, fluid management, and dietary compliance-in the intervention group compared to the control group (p < 0.001). Moderate to large effect sizes (Cohen's d = 0.36-1.70) indicate clinically meaningful changes. Pearson correlation analysis demonstrated a positive association between psychological well-being and treatment adherence (r = 0.302, p < 0.01). These findings suggest that structured, nurse-delivered mindfulness programs can simultaneously enhance psychosocial outcomes and adherence behaviors in hemodialysis patients. Integrating mindfulness-based interventions into routine nursing care may provide dual benefits by promoting emotional well-being and supporting self-regulated adherence to treatment regimens. Future research should explore long-term effects, broader patient populations, and the interplay between mindfulness, self-efficacy, and other psychosocial variables to further inform patient-centered hemodialysis care.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The Effect of Mindfulness-Based Nursing Interventions on Psychological Well-Being and Treatment Adhe | Experimental | Behavioral intervention, Six weekly sessions of mindfulness-based nursing interventions delivered to hemodialysis patients to improve psychological well-being and treatment adherence. |
|
| The control group | No Intervention | The control group continued to receive routine dialysis treatment and did not receive any additional education during the study period. Data collection instruments were administered at baseline and at the end of the study. After completion of the research, the educational content was shared with control group participants upon request. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The intervention group received mindfulness-based nursing interventions for six weeks | Other | The intervention group will receive mindfulness-based nursing interventions for 6 weeks, with one session per week averaging 1 hour. |
| Measure | Description | Time Frame |
|---|---|---|
| Mindful Attention Awareness Scale (MAAS) | 15-item scale scored on a 6-point Likert scale. Scores range from 15 to 90; higher scores indicate higher mindfulness. | 6 weeks from baseline |
| Psychological Well-Being Scale (PWBS) | 8-item scale scored on a 7-point Likert scale. Total scores range from 8 to 56; higher scores indicate higher psychological well-being. | 6 weeks from baseline |
| End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ) | 9-item questionnaire assessing hemodialysis participation, medication adherence, fluid adherence, and diet adherence. Total scores range from 0 to 1200; higher scores indicate better adherence. | 6 weeks from baseline |
Not provided
Not provided
Inclusion Criteria:
Voluntarily agreed to participate in the study
Receiving hemodialysis treatment for more than six months
Literate
18 years of age or older
Exclusion Criteria:
Diagnosed severe psychiatric disorder according to DSM-5 criteria
Auditory, visual, or cognitive impairments that could hinder participation in the educational process
Withdrawal Criteria:
Deterioration in general health status
Participant's request to discontinue participation
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baskent University | Ankara | Turkey (Türkiye) |
Individual patient data will not be shared in order to protect participant privacy and data security. Although the data obtained within the scope of the study has been anonymized, it contains sensitive health information and will therefore only be used by the research team.
Not provided
Not provided
Not provided
Not provided
Not provided
Prior to the study, participants were informed in detail about the research, and both written and verbal informed consent were obtained. The principal investigator completed the relevant certification program before implementing the intervention. The intervention group received mindfulness-based nursing interventions for six weeks, consisting of one session per week, each lasting approximately one hour. One week after the completion of the intervention, post-test data were collected through face-to-face interviews using the data collection forms. The control group continued to receive routine dialysis treatment and did not receive any additional education during the study period. Data collection instruments were administered at baseline and at the end of the study. After completion of the research, the educational content was shared with control group participants upon request.
Not provided
Not provided
yok
Not provided
|
| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D000092862 | Psychological Well-Being |
| D000074822 | Treatment Adherence and Compliance |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
| D015438 | Health Behavior |
Not provided
Not provided
| ID | Term |
|---|---|
| D064866 | Mindfulness |
| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
Not provided
Not provided