Department of Operating Room, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
Complement Ther Med. 2018 Oct;40:37-41. doi: 10.1016/j.ctim.2018.07.006. Epub 2018 Jul 11.
This study aimed to investigate the effects ofguided imagery on state and trait anxiety and sleep quality among hemodial ysis patients.
This was a randomized controlled trial. A total of seventy hemodialysis patients were assigned through block randomization to either an intervention group to receive guided imagery or a control group to receive routine care services.
The study was performed in the hemodialysis unit of Akhavan teaching hospital, Kashan, Iran.
In addition to routine care services, patients in the intervention group received guided imagery six times a week for four successive weeks via listening to a guided imagery instructional compact disk and following the instructions.
Before and four weeks after the intervention, state and trait anxiety and sleep quality were measured via Spielberger's State-Trait Anxiety Inventory and Pittsburgh Sleep Quality Index.
The results of analysis of covariance showed that the intervention and the control groups significantly differed from each other respecting the posttest mean scores of state anxiety (adjusted mean difference: -9.11; 95% CI = -10.26 to_-7.96; P < 0.001), trait anxiety (adjusted mean difference: -8.94; 95% CI = -10.31_to -7.57; P < 0.001), and sleep quality (adjusted mean difference: -0.877; 95% CI = -1.51_to -0.24; P < 0.007).
Guided imagery can significantly alleviate anxiety and improve sleep quality among hemodialysis patients. Nurses are recommended to use guided imagery to alleviate hemodialysis patients' anxiety and improve their sleep quality.
本研究旨在探讨意象引导对血液透析患者状态和特质焦虑及睡眠质量的影响。
这是一项随机对照试验。共有 70 名血液透析患者通过区组随机分配至干预组（接受意象引导）或对照组（接受常规护理服务）。
研究在伊朗卡尚的 Akhavan 教学医院的血液透析室进行。
除常规护理服务外，干预组患者每周接受 6 次意象引导，连续 4 周，通过听意象引导指导光盘并遵循指导进行。
干预前和干预后 4 周，采用 Spielberger 状态-特质焦虑量表和匹兹堡睡眠质量指数评估状态和特质焦虑及睡眠质量。
协方差分析结果显示，干预组和对照组在状态焦虑（调整后平均差异：-9.11；95%置信区间= -10.26 至-7.96；P<0.001）、特质焦虑（调整后平均差异：-8.94；95%置信区间= -10.31 至-7.57；P<0.001）和睡眠质量（调整后平均差异：-0.877；95%置信区间= -1.51 至-0.24；P<0.007）的后测平均得分方面存在显著差异。
意象引导可显著减轻血液透析患者的焦虑并改善其睡眠质量。建议护士使用意象引导减轻血液透析患者的焦虑，提高其睡眠质量。
