Adamoli Angélica Nickel, Razzera Bruno Nunes, Colferai Raphaele Nonnenmacher, Ranheiri Maitê Freitas, Machado Wagner de Lara, Feoli Ana Maria Pandolfo, Noto Ana Regina, Oliveira Margareth da Silva
Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Ciências da Saúde e da Vida, Departamento de Psicologia Clínica, Porto Alegre, RS, Brazil.
Hospital de Clínicas de Porto Alegre, Serviço de Educação Física e Terapia Ocupacional, Unidade de Hemodiálise, Porto Alegre, RS, Brazil.
J Bras Nefrol. 2025 Jan-Mar;47(1):e20240068. doi: 10.1590/2175-8239-JBN-2024-0068en.
Recent evidence indicates that mindfulness-based programs (MBPs) improve overall well-being and the ability to cope with kidney failure and hemodialysis stressors. However, intradialytic MBPs are poorly investigated.
The aim of this study was to describe the study protocol, evaluate the feasibility and perceived effects of the Hemomindful Program.
The results presented are from a mixed-methods randomized controlled trial. Thirty-two adults with kidney failure were randomized into the Hemomindful Program, which consisting of 8 weekly individual sessions of 1 hour delivered at chairside during hemodialysis combined with the treatment as usual (TAU), or TAU alone. Feasibility was assessed based on retention of the study protocol, adherence to the Hemomindful Program, its safety, and participant satisfaction. Semi-structured interviews were conducted with participants in the intervention arm immediately following treatment. Data were analyzed using descriptive statistics and discursive textual analysis.
The overall rate of adherence to the study protocol was 84.38%. Among the participants in the Hemomindful Program (n = 16), 15 had four or more sessions (93.7%) and 12 completed the protocol (75%). Degree of importance attributed to the intervention was 8.58 (SD = 2.06) and intention to maintain the formal and informal mindfulness practices after the intervention was 6.67 (SD = 2.93) and 8.5 (SD = 2.31). The qualitative analysis indicated satisfaction with the perceived changes (greater awareness in daily activities, less reactivity, management of pain and discomfort) and the structure of the program.
The Hemomindful Program showed positive indicators of feasibility, with good retention, acceptability and safety.
最近的证据表明，基于正念的项目（MBP）可改善整体幸福感以及应对肾衰竭和血液透析应激源的能力。然而，关于透析期间MBP的研究较少。
本研究旨在描述研究方案，评估血液透析正念项目（Hemomindful Program）的可行性和感知效果。
呈现的结果来自一项混合方法随机对照试验。32名成年肾衰竭患者被随机分为血液透析正念项目组，该项目包括在血液透析期间每周在床边进行8次每次1小时的个体课程，并结合常规治疗（TAU），或仅接受常规治疗。基于研究方案的保留情况、对血液透析正念项目的依从性、其安全性和参与者满意度来评估可行性。干预组的参与者在治疗结束后立即进行半结构化访谈。使用描述性统计和话语文本分析对数据进行分析。
研究方案的总体依从率为84.38%。在血液透析正念项目组的参与者（n = 16）中，15人参加了四次或更多次课程（93.7%），12人完成了该方案（75%）。对干预的重视程度为8.58（标准差 = 2.06），干预后保持正式和非正式正念练习的意愿分别为6.67（标准差 = 2.93）和8.5（标准差 = 2.31）。定性分析表明对感知到的变化（日常活动中意识增强、反应性降低、疼痛和不适的管理）以及项目结构感到满意。
血液透析正念项目显示出可行性的积极指标，具有良好的保留率、可接受性和安全性。
