Impacts of mindfulness-based interventions in people undergoing hemodialysis: a systematic review

Abstract

Introduction: Chronic kidney disease (CKD) is a serious public health problem worldwide, leading to a series of physical and psychological comorbidities, in addition to costly treatments, lifestyle and dietary restrictions. There is evidence that mindfulness-based interventions (MBIs) offer complementary treatment for people with chronic illnesses, including CKD, with the aim of improving overall health, reducing side effects and treatment costs. This review aims to investigate the MBIs impact on people with CKD undergoing hemodialysis, and to identify the methodological quality of the current literature in order to support future studies. Methods: We ran searches in five databases (MEDLINE via PubMed, PsycINFO, Embase, Web of Science and Scopus) in July 2020. The papers were selected and evaluated by two reviewers independently, using predefined criteria, including the Cochrane Group's risk of bias tool and its recommendations (CRD42020192936). Results: Of the 175 studies found, 6 randomized controlled trials met the inclusion criteria, and ranged from 2014 to 2019. There were significant improvements in symptoms of anxiety, depression, self-efficacy, sleep quality, and quality of life (n=3) in the groups submitted to the intervention, in addition to physical measures such as blood pressure, heart rate and respiratory rate (n=1). Conclusions: MBIs can offer a promising and safe complementary therapy for people with CKD undergoing hemodialysis, acting on quality of life and physical aspects of the disease.

Effectiveness of mindfulness‐based interventions delivered via technology versus therapist among patients on peritoneal dialysis at an outpatient clinic in Singapore

“…However, this study found that MBIs have no significant effect on PD patients' self‐efficacy, which resonates with findings from another study conducted among HD patients who underwent mindfulness meditation (Solati et al, 2019). The recent literature also reported mixed results on how mindfulness can truly influence self‐efficacy (Fallah, 2017; Firth et al, 2019; Razzera et al, 2021). It is unclear how mindfulness directly affects self‐efficacy or, alternatively, its role as a mediator of self‐efficacy.…”

The effect of conscious mindfulness-based informative approaches on managing symptoms in hemodialysis patients

“…According to the study conducted by Razzera et al (2022), to investigate the effect of mindfulness-based programs on chronic renal failure patients receiving hemodialysis treatment; mindfulness-based programs can offer a promising and safe complementary therapy for people with CRF undergoing hemodialysis, acting on quality of life and physical aspects of the disease. According to the study conducted by Nassim et al (2021), in patients undergoing dialysis, mindfulness-based programs may be helpful intervention for depression symptom.…”

Examining the acceptability and feasibility of the Compassionate Mindful Resilience (CMR) programme in adults living with chronic kidney disease: the COSMIC study findings

“…However, most evidence for mindfulness interventions require several months of commitment from participants and are delivered in person, a significant barrier to engagement for people with chronic illness since the COVID-19 pandemic. There is a lack of research on the effectiveness of brief mindfulness interventions that are delivered remotely for people with kidney disease [ 17 ].…”