Carswell Claire, Reid Joanne, Walsh Ian, McKeaveney Clare, Noble Helen
School of Nursing and Midwifery, Queen's University Belfast, Belfast BT9 7BL, Northern Ireland, UK.
School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT9 7BL, Northern Ireland, UK.
Healthcare (Basel). 2021 Oct 18;9(10):1392. doi: 10.3390/healthcare9101392.
The global prevalence and burden of end-stage kidney disease (ESKD) is increasing, partially as a result of an aging population. Patients with ESKD who receive haemodialysis experience a difficult, protracted treatment regimen that can negatively impact mental health and wellbeing. One way of addressing this issue could be through the provision of arts-based interventions during haemodialysis treatment. A process evaluation was conducted as part of a larger feasibility study, to explore experiences and acceptability of an intra-dialytic (during haemodialysis) arts-based intervention. Thirteen patients and nine healthcare professionals were interviewed. The interviews were transcribed verbatim and thematically analysed. Three themes related to the experience of art on dialysis included: the perception of art participation, as patients described initial anxiety around participating in art, which reduced after they experienced the intervention; the benefits of art participation on both patients and healthcare professionals; the benefits including improved self-esteem, motivation, increased social interaction and an overall improved haemodialysis experience; and the acceptability of the arts-based intervention, as the intervention was highly acceptable, even when delivered by a facilitator who was not a professional artist. This study highlights that arts-based interventions could be used to improve the mental health and wellbeing of patients with ESKD receiving haemodialysis.
终末期肾病（ESKD）的全球患病率和负担正在增加，部分原因是人口老龄化。接受血液透析的ESKD患者经历着艰难、漫长的治疗方案，这可能会对心理健康和幸福感产生负面影响。解决这个问题的一种方法可能是在血液透析治疗期间提供基于艺术的干预措施。作为一项更大规模可行性研究的一部分，进行了一项过程评估，以探讨透析期间（血液透析过程中）基于艺术的干预措施的体验和可接受性。对13名患者和9名医护人员进行了访谈。访谈内容逐字记录并进行了主题分析。与透析时艺术体验相关的三个主题包括：对艺术参与的认知，患者描述了参与艺术时最初的焦虑，在经历干预后这种焦虑有所减轻；艺术参与对患者和医护人员双方的益处，益处包括提高自尊、动力、增加社交互动以及整体改善血液透析体验；以及基于艺术的干预措施的可接受性，因为该干预措施非常容易被接受，即使是由非专业艺术家的主持人实施。这项研究强调，基于艺术的干预措施可用于改善接受血液透析的ESKD患者的心理健康和幸福感。
