Mindfulness-based intervention as a symptom management strategy in patients with end-stage renal disease: A controlled clinical trial.
Hossam Alhawatmeh, Ishraq A. Najadat, Issa M. Hweidi
International Journal of Nursing Practice December 1, 2024 DOI: 10.1111/ijn.13282 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 61 |
| Population | Patients with end-stage renal disease (ESRD) in a haemodialysis unit in Jordan |
| Intervention | Mindfulness-based intervention |
| Dose | 30-min sessions, three times a week for 8 weeks |
| Duration | 8-week intervention |
| Topics | Anxiety Depression Meditation |
| Keywords | Haemodialysis Physical symptoms Stress |
| Registration | NCT06064708 |
| Key findings | Mindfulness-based intervention significantly reduced stress, depression, and physical symptoms in patients with end-stage renal disease during haemodialysis. |
Abstract
The study's purpose was to examine the effect of mindfulness-based intervention (MBI) on physical and psychological symptoms in patients with end-stage renal disease (ESRD) in Jordan. A repeated-measure randomized control study was conducted in a haemodialysis unit in Jordan between April 2023 and July 2023. Participants (N = 61) were selected using convenience sampling and then randomly assigned into experimental and control groups. The experimental group performed 30-min MBI, three times a week for 8 weeks during haemodialysis sessions. The Depression, Anxiety and Stress Scale-21 and the Patient Health Questionnaire-15 were used to measure the outcomes at baseline, after 5 weeks of the intervention and at the end of the intervention. Mixed-model repeated-measure ANOVAs revealed that the experimental group showed significantly lower levels of stress, depression and physical symptoms than the control group over time. Within-subject repeated-measure ANOVAs revealed that, in the experimental group, physical symptoms improve significantly over the three points of time. However, significant reductions in psychological symptoms occurred 5 weeks after initiating the intervention, but there was no further significant improvement at the end of the intervention. The study supports the integration of MBI as a symptom management strategy into nursing care plans of patients with ESRD. Clinical trial.gov; registration ID: NCT06064708.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cited by 1
Cites 7
- Effects of mindfulness meditation on trait mindfulness, perceived stress, emotion regulation, and quality of life in hemodialysis patients: A randomized controlled trial International Journal of Nursing Science March 1, 2022
- Impacts of mindfulness-based interventions in people undergoing hemodialysis: a systematic review. Jornal brasileiro de nefrologia 2022
- Mindfulness Training and Physical Health: Mechanisms and Outcomes Psychosomatic Medicine April 1, 2019
- Effectiveness of group cognitive behavioral therapy with mindfulness in end-stage renal disease hemodialysis patients. Kidney research and clinical practice March 2018
- Brief Mindfulness Meditation for Depression and Anxiety Symptoms in Patients Undergoing Hemodialysis: A Pilot Feasibility Study. Clinical journal of the American Society of Nephrology : CJASN December 7, 2017
and 2 more in the library