Survey Of Mindfulness Level In Renal Transplant Patients And Construction Of Mindfulness Intervention Program

ObjectiveWith the focus solution model as the intervention framework,combined with the results of the current investigation on the level of mindfulness,anxiety and depression in kidney transplant patients and qualitative research,the expert meeting method and the Delphi expert letter consultation method were adopted to construct the mindfulness intervention program for kidney transplant patients,it provides reference for the application of mindfulness therapy in kidney transplant patients.MethodBy means of convenient sampling,184 kidney transplant patients who were followed up after organ transplantation in a grade III first-class general hospital in Yantai city were selected as the research objects.General data questionnaire,five-factor mindfulness scale,depression self-rating scale and anxiety self-rating scale were used to investigate the status quo of mindfulness,anxiety and depression in renal transplant patients,and the correlation between mindfulness and anxiety and depression was discussed.On the basis of the status quo investigation,the phenomenological research method in qualitative research,semi-structured in-depth interview and observation method were used to collect data from 16 interviewees.Based on the results of the first two parts of the study,the Delphi method was used to conduct two rounds of letter consultation among 22 domestic experts to establish the mindfulness intervention program for kidney transplant patients.SPSS22.0 was used to establish a database for data analysis,and descriptive statistical analysis was performed using mean ± standard deviation,frequency and composition ratio.Pearson was used for correlation analysis,and P<0.01 was statistically significant.The interview outline was used as the sample to make the coding outline.According to the coding outline,the category method was used to sort out and summarize the interview data.The expert positive coefficient,authority coefficient,variation coefficient,degree of opinion concentration and Kendall harmony coefficient were used to test the reliability of the correspondence consultation results.Result1.Status Survey: The total mean score of mindfulness in 184 renal transplant patients was(101.11±10.61);The scores of each dimension were(23.61±3.22)points for observation,(21.10 ± 2.98)points for description,(19.68 ± 4.75)points for nonjudgment,(19.57 ± 2.79)points for nonreaction and(17.15 ± 5.00)points for perceptive action.Among 184 renal transplant patients,52 had anxiety symptoms,with a positive rate of 28.26%.The positive rate was 36.41%.Overall mindfulness was negatively correlated with anxiety scores(r=-0.418,P<0.01)and depression scores(r=-0.440,P<0.01).2.Qualitative research: three main aspects were summarized: the main troubles of kidney transplant patients,the need for psychological intervention,and the experience of mindfulness technology.3.Construction of mindfulness intervention scheme for renal transplant patients: The effective recovery rates of two rounds of expert letter questionnaire were 91.67% and 100.00%,respectively;The coefficients of expert authority are 0.87 and 0.89 respectively.After two rounds of expert consultation,the Kendall harmony coefficient of the first index and the second index were 0.199 and 0.415 respectively(P<0.01).After two rounds of expert letter consultation,the mindfulness intervention plan for kidney transplant patients with 6 primary indicators and 26 secondary indicators was finally formed.ConclusionThe mindfulness score of kidney transplant patients was lower than the middle level.The positive rate of anxiety and depression symptoms in renal transplant patients is high,which should be paid attention to by medical staff and effective intervention measures should be taken in time.There was a negative correlation between the overall level of mindfulness and the scores of anxiety and depression in renal transplant patients,that is,the higher the level of mindfulness,the less anxiety and depression in patients.Based on the focus solution model as the intervention framework,combined with the current investigation and qualitative research results on the level of mindfulness,anxiety and depression in kidney transplant patients,the constructed mindfulness intervention scheme for kidney transplant patients has strong reliability and scientificity,which can provide reference for the promotion and application of mindfulness therapy in kidney transplant patients.