eISSN: 2345-2781  
Submitted: 25 Feb 2018

Accepted: 14 Jul 2018
First published online: 01 Aug 2018
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J Renal Inj Prev. 2019;8(1):28-33.
doi: 10.15171/jrip.2018.06

Original Article

Effect of mindfulness-based cognitive therapy on quality of life and self-efficacy in dialysis patients

Kamal Solati 1 * , Saeed Mardani 2, Ali Ahmadi 3, Sajad Danaei 4

1 Department of Psychiatry, Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 Department of Nephrology, Cancer Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
3 Department of Epidemiology, Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
4 Student Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran
*Corresponding author: Kamal Solati , Email: Email: kamal_solati@yahoo.com

Abstract

Introduction: Amongst other problems, dialysis patients also present mental and psychological problems.

Objectives: In this study, we investigated the effect of mindfulness-based cognitive therapy (MBCT) on quality of life and self-efficacy in hemodialysis patients.

Patients and Methods: In a descriptive study, 50 hemodialysis patients undergoing dialysis in Hajar hospital were randomly selected and divided into two groups of experimental and control. The experimental group attended 2 to 2.5 hours treatment sessions according to the MBCT program. Before the intervention and two months after, the outcomes of the study, regarded as, quality of life and self-efficacy were evaluated using the 36-Item Short Form Health Survey (SF-36) and Sherer et al’s General Self-efficacy Scale, respectively. Data were analyzed using descriptive statistics, independent t test, paired t test, and Wilcoxon test in the Stata software.

Results: The results indicated that 2 months after intervention, a decrease of 2.05 points in mean score for quality of life in the control group and an increase of 10.30 points in the intervention group at P<0.01 significance level was detected. Furthermore, mean self-efficacy score increased by 0.95 in control group and 5.2 points in the intervention group at P<0.01 significance level. While, the mean scores for quality of life and self-efficacy increased after intervention, the difference in the mean scores between the two groups was not statistically significant after intervention (P>0.05).

Conclusion: The results of this study showed that the MBCT program resulted in an increase in the mean scores for quality of life and self-efficacy in hemodialysis patients.

Implication for health policy/practice/research/medical education:

The results of this study have shown that mindfulness-based cognitive therapy (MBCT) program increases the mean score of quality of life and self-efficacy in hemodialysis patients. Therefore, health care providers should apply this approach in hemodialysis patients in order to improve their health in general, and quality of life and self-efficacy, in particular.

Please cite this paper as: Solati K, Mardani S, Ahmadi A, Danaei S. Effect of mindfulness-based cognitive therapy on quality of life and self-efficacy in dialysis patients. J Renal Inj Prev. 2019;8(1):28-33. DOI: 10.15171/jrip.2019.06.

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