Clinical Observation on the Nursing Effect of Mindfulness-Based Stress Reduction Combined with Solution-Focused Brief Therapy in Uremic Peritoneal Dialysis Patients and Influence on Nutritional Status

Abstract

Objective. To explore the nursing effect of mindfulness-based stress reduction (MBSR) combined with solution-focused brief therapy (SFBT) in uremic peritoneal dialysis (PD) patients and its influence on nutritional status. Methods. A prospective study was conducted on 108 uremia patients undergoing PD who were admitted to the First People’s Hospital of Wenling from March 2018 to December 2020. In accordance with the wishes of the patients, according to random number method, the patients were divided into control group (n = 54) and experimental group (n = 54). Patients in the control group were given routine care. Patients in the experimental group were given MBSR combined with SFBT. The clinical data, biochemical indicators, complication, compliance, nutritional status, and quality of life of the two groups were compared. Results. After intervention, the serum hemoglobin, serum albumin levels, and urea clearance index of the experimental group were higher than those of the control group $\left(P<0.05\right)$ . Compared with the control group, the experimental group had a lower incidence of complications $\left(P<0.05\right)$ . After intervention, the compliance score of the experimental group was higher than that of the control group $\left(P<0.05\right)$ . After intervention, the malnutrition inflammation score of the experimental group was lower than that of the control group $\left(P<0.05\right)$ . After intervention, the Kidney Disease and Quality of Life-36 scores of the experimental group were higher than those of the control group $\left(P<0.05\right)$ . Conclusion. MBSR combined with SFBT has a good nursing effect in uremia patients undergoing PD and can increase the patient’s treatment compliance, improve the quality of life, and improve the nutritional status.