Effect of conscious awareness application on sleep quality and fatigue level in patients receiving hemodialysis treatment

Aim: This study was planned to determine the effects of the Mindfulness-Based Stress Reduction Program (BFTSAP) approach applied to patients receiving hemodialysis (HD) treatment on sleep quality and fatigue. Materials and Method: The universe of this study consisted of all hemodialysis patients (73 patients) who received treatment at the Kadirli State Hospital hemodialysis unit between February 2025 and March 2025. The study was conducted with a total of 40 patients, 20 in the intervention group and 20 in the control group. The data of the study were collected using the Patient Identification Form, which includes socio-demographic characteristics and information about the disease, the Pittsburgh Sleep Quality Index (PSQI) and the Fatigue Severity Scale (FSS). Independent Sample-t, Mann-Whitney U, Wilcoxon test, Spearman and Pearson correlation tests were used in the statistical evaluation of the obtained data. Results: It was determined that 60% of the HD individuals participating in the study were male, 65% were over 65 years of age, and 85% were married. After the application of the Mindfulness Based Stress Reduction Program, the mean PSQI score of the patients in the intervention group decreased from 9.8±3.53 to 6.4±3.33 and the mean YQS score from 54.90±14.39 to 49.20±13.76. This difference was found to be statistically significant (p<0.05). Conclusion: It has been determined that BFTSAP applied to patients receiving hemodialysis treatment increases sleep quality and reduces fatigue severity. At the end of the study, in line with the results we reached, it was determined that Conscious Awareness application can be used as an integrative method to increase sleep quality and reduce fatigue in individuals receiving HD treatment. Keywords: Hemodialysis, Conscious Awareness, Sleep Quality, Fatigue, Nursing