group cognitive behaviour therapy combined with mindfulness on quality of life and clinical outcomes in haemodialysis patients: a quasi- experimental study

Background: quality of life (qol) of patients undergoing haemodialysis is often affected by many factors, including clinical and physiological status. this study aimed to determine the effect of group cognitive behaviour therapy (cbt) with mindfulness on qol and clinical outcomes in haemodialysis patients.methods: this study used a quasi-experimental pre-test-post-test design, involving 66 respondents divided into control and intervention groups. purposive sampling was used to select respondents who met the inclusion criteria. the intervention group was given group cbt with mindfulness, and the control group received standard care. this therapy delivered in 7 sessions over 6 weeks. each session lasts 45–60 minutes. clinical outcomes and qol were measured before and after intervention. qol was measured using kidney disease qol short form-36 (kdqol sf-36). clinical outcomes were measured using a haematology analyser, sysmex xn-1000. clinical outcomes in this study included erythrocytes, haemoglobin, and haematocrit. statistical analysis used paired t tests to measure qol and wilcoxon tests for clinical outcomes.results: the results showed significant improvement in qol (sd=7.40; md=-16.00; p=0.000) and improved clinical outcomes: erythrocytes (md=0.292; sd=0.415; p=0.000); haemoglobin (md=1.042; sd=1.268; p=0.000); haematocrit (md=2.509; sd=3.488; p=0.003). significant differences were observed in qol and clinical outcomes between those receiving group cbt with mindfulness and those receiving standard care (p<0.05).conclusion: the results of this study provide justification that group cbt with mindfulness can be an effective and sustainable solution in improving qol and clinical outcomes for haemodialysis patients.