Department of Nursing, Medical College of Hunan Normal University, Changsha 410013, PR China; Hemodialysis Center, Lukou District Hospital of Traditional Chinese Medicine, Zhuzhou, Hunan 412000, PR China.
Department of Nursing, Medical College of Hunan Normal University, Changsha 410013, PR China.
Geriatr Nurs. 2023 May-Jun;51:112-120. doi: 10.1016/j.gerinurse.2023.02.021. Epub 2023 Mar 20.
To explore the feasibility and efficacy of emotional freedom therapy (EFT) in improving sleep quality and managing negative emotions in end-stage renal disease patients on maintenance hemodialysis.
Between May 2021 and February 2022, 66 maintenance hemodialysis patients with sleep problems were recruited and randomized into an intervention and control group. The intervention group underwent a 12-week intervention of EFT. Two groups' hospital anxiety depression scale (HADS) scores, Pittsburgh sleep quality index (PSQI), and interdialysis weight gain (IDWG) before and one week after the formal intervention were collected and compared. Feasibility analysis was performed using a feasibility questionnaire and in-depth interviews with patients.
Before the intervention, there was no statistical difference in the anxiety, depression, PSQI scores and IDWG between the two groups. After balancing the effects of gender and pre-intervention scores, two-way ANCOVA results showed that there were statistically significant differences between the two groups after the intervention in terms of anxiety, depression, sleep quality, sleep duration, daytime dysfunction and PSQI total score. However, interactions effect for IDWG was statistically significant. Simple effects analysis revealed a difference in post-intervention IDWG between the intervention and control groups for patients over 65 (p < 0.05). Most patients agreed or strongly agreed that the EFT was easy to schedule and they did not experience difficulties during learning the EFT process (respectively 75% and 71.88%). And 75% of the participants were willing to continue practicing EFT. Qualitative content analysis identified five prominent categories related to feasibility and acceptability: affirmation, benefits, communication, support and trust.
EFT can relieve anxiety and depression, enhance sleep quality, and improve the physical condition of patients with end-stage renal disease receiving maintenance hemodialysis. As well, the EFT intervention is practicable, acceptable, and perceived as being beneficial to the patient.
探讨情绪自由疗法（EFT）改善维持性血液透析终末期肾病患者睡眠质量和管理负性情绪的可行性和疗效。
2021 年 5 月至 2022 年 2 月，纳入 66 例存在睡眠问题的维持性血液透析患者，采用随机数字表法分为干预组和对照组。干预组接受为期 12 周的 EFT 干预，比较两组患者汉密尔顿焦虑量表（HADS）、匹兹堡睡眠质量指数量表（PSQI）、透析间期体质量增长（IDWG）在正式干预前及干预 1 周后的变化，并采用可行性问卷和患者深入访谈进行可行性分析。
干预前，两组患者焦虑、抑郁、PSQI 评分和 IDWG 比较，差异均无统计学意义（均 P>0.05）。经性别和干预前评分平衡后，两组间的 2 因素方差分析结果显示，干预后，两组患者的焦虑、抑郁、睡眠质量、睡眠潜伏期、日间功能障碍和 PSQI 总分比较，差异均有统计学意义（均 P<0.05），但 IDWG 的交互效应有统计学意义。简单效应分析显示，干预后，干预组和对照组中年龄>65 岁患者的 IDWG 存在差异（P<0.05）。大多数患者表示 EFT 易于安排且学习过程中无困难（分别为 75%和 71.88%），患者对 EFT 的接受度较高，75%的患者愿意继续练习 EFT。定性内容分析确定了与可行性和可接受性相关的五个突出类别：肯定、获益、沟通、支持和信任。
EFT 可改善维持性血液透析终末期肾病患者的焦虑、抑郁情绪，提高睡眠质量，改善患者的身体状况，EFT 干预具有可行性、可接受性，患者认为其有益。
