Sadeghi Amir Hossein, Ahmadi Seyyed Ali, Ghodrati-Torbati Abbas
Department of Psychology, Kashmar Branch, Islamic Azad University, Kashmar, Iran.
Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
J Educ Health Promot. 2024 Feb 7;13:28. doi: 10.4103/jehp.jehp_1704_22. eCollection 2024.
Clinical symptoms and treatment adherence are one of the most important problems in dialysis patients. Psychological treatments can be effective in reducing the problems of these patients. Therefore, this study aimed at investigating the effectiveness of acceptance and commitment therapy (ACT) on clinical symptoms and treatment adherence in these patients.
This study was a quasi-experimental study with the experimental and control groups in the dialysis clinic of Torbat-e Heydarieh City in 2012. The sample consisted of 40 people who were referred to the dialysis clinic, and the available sampling method was used to randomly assign participants to the experimental and control groups. In the experimental group, ACT was performed in eight sessions of 90 minutes. Questionnaires of Depression, Anxiety, and Stress Scale (DASS-21) and general adherence scale were used. Data were analyzed using Statistical Package for the Social Sciences (SPSS 21) software and multivariate analysis of covariance (MANCOVA) test.
There was a significant difference between the mean scores of clinical symptoms and treatment adherence variables in the experimental and control groups ( < 0.05). The effect of this treatment on reducing the clinical symptoms score was 48%, and on increasing the treatment, the adherence score was 44%.
ACT can reduce clinical symptoms and increase treatment adherence in dialysis patients, so it is suggested to use this intervention in the design of treatment plans for dialysis patients.
临床症状和治疗依从性是透析患者最重要的问题之一。心理治疗对减轻这些患者的问题可能有效。因此，本研究旨在探讨接受与承诺疗法（ACT）对这些患者临床症状和治疗依从性的有效性。
本研究是一项准实验研究，于2012年在托尔巴特-海达里耶市的透析诊所设立实验组和对照组。样本包括40名转诊至透析诊所的患者，采用便利抽样法将参与者随机分配至实验组和对照组。在实验组中，ACT以8节、每节90分钟的方式进行。使用抑郁、焦虑和压力量表问卷（DASS-21）以及一般依从性量表。数据使用社会科学统计软件包（SPSS 21）软件和多变量协方差分析（MANCOVA）检验进行分析。
实验组和对照组在临床症状和治疗依从性变量的平均得分上存在显著差异（<0.05）。这种治疗对降低临床症状评分的效果为48%，对提高治疗依从性评分的效果为44%。
ACT可减轻透析患者的临床症状并提高治疗依从性，因此建议在透析患者治疗方案设计中采用这种干预措施。
