Efeitos de uma intervenção baseada em mindfulness sobre a dor e condições de saúde de pessoas em hemodiálise

Abstract

This thesis addresses the lifestyle change in people with end-stage renal failure (ESRF) undergoing hemodialysis (HD) and used a mindfulness-based intervention (MBI) to manage stress and quality of life, called the Hemomindful Program as an adjunct the usual treatment. In a first moment, it is presented a contextualization about the process of choosing the theme, theoretical basis and gaps that justify the realization of the study. Therefore, prevalence data, implications of ESRF and HD treatment on health and lifestyle conditions that influence the low quality of life of this population are presented. MBI are presented as a promising intervention for improving the health of the general and clinical population, as well as for the treatment of chronic pain. Finally, research using mind-body interventions, especially mindfulness, are presented with the aim of testing non-drug interventions that contribute to reducing stressors, improving the quality of life and adherence of people with ESRF to treatment programs. Thus, the main objective of this thesis is to evaluate the effect of an 8week MBI adapted to the context of HD on the pain and health conditions of people with ESRF. In order to answer this question, a randomized controleed trial of mixed methods was designed comparing the Hemomindful Program combined with the usual treatment (UT), with UT alone. 32 adults with ESRF, mean age 55 years (SD = 15.6), participated in an experiment lasting five months. To address the research problems that arose from the main objective, the thesis is divided into three articles. As main results, positive indicators of viability and safety of the intervention protocol stand out and the perceived pain intensity was significantly lower in the 3-month follow-up for the participants in the experimental group compared to the control. The Hemomindful Program presents itself as a promising adjuvant treatment to HD to reduce pain-related suffering and promote improvement in the health conditions of people with ESRF. In addition, the results of this thesis may contribute to expand investigations with this approach in the search for comprehensive health care based on evidence for this population.