Instituto Israelita de Ensino e Pesquisa, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Einstein Dialysis Center, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Psychol Health Med. 2022 Jul;27(6):1286-1295. doi: 10.1080/13548506.2021.1871769. Epub 2021 Jan 15.
Mindfulness-based approaches that promote health, improve quality of life, and reduce the impact of comorbidities are key aspects in chronic diseases management. We aimed to verify the impact of a short-term meditation protocol on psychosocial and physiological parameters in chronic hemodialysis patients. We enrolled twenty-two patients, median age of 69.5 years old, into a 12-week meditation protocol that occurred during each hemodialysis session for 10-20 minutes, 3x/week, in a private tertiary hospital. We then evaluated clinical, psychological, and laboratorial parameters pre- and post-meditation. Patients exhibited a better control of serum phosphorus (-0.72 mg/dL; = 0.002), a decrease in systolic blood pressure (-1.90 mmHg; = 0.009), a 23% decrease in depressive symptoms ( = 0.014), and an increase of 7% in the self-compassion scale ( = 0.048) after meditation. To note, we observed an increase in 13% of the mindfulness score ( = 0.019). Our preliminary study describes the effects of a short-term meditation protocol in chronic hemodialysis setting. We observed a decrease in depressive symptoms and in blood pressure values, an improvement in self-compassion and serum phosphorous levels. In conjunction with the promising results of meditation in chronic kidney disease setting, this encouraging preliminary study supports the need for additional clinical trials.
以正念为基础的方法可以促进健康、提高生活质量，并减轻合并症的影响，是慢性病管理的关键方面。我们旨在验证短期冥想方案对慢性血液透析患者的心理社会和生理参数的影响。我们招募了 22 名患者，中位年龄 69.5 岁，进行了为期 12 周的冥想方案，该方案在每次血液透析期间进行，每次 10-20 分钟，每周 3 次，在一家私立三级医院进行。然后，我们评估了冥想前后的临床、心理和实验室参数。患者的血清磷控制（-0.72 毫克/分升； = 0.002）、收缩压（-1.90 毫米汞柱； = 0.009）均有改善，抑郁症状减轻了 23%（ = 0.014），自我同情量表增加了 7%（ = 0.048）。值得注意的是，我们观察到正念评分增加了 13%（ = 0.019）。我们的初步研究描述了短期冥想方案在慢性血液透析环境中的效果。我们观察到抑郁症状和血压值降低，自我同情和血清磷水平改善。结合冥想在慢性肾脏病患者中的有希望的结果，这项令人鼓舞的初步研究支持了进行更多临床试验的必要性。
