Impact of narrative support on stigma, anxiety, and depression in young and middle-aged patients undergoing maintenance hemodialysis

Table 7 Comparison of changes in indicators (pre- vs post-treatment)

Characteristics	Difference score according to baseline		P value
	Observation group (n = 85)	Control group (n = 73)
Total SIS score	-18.00 (-26.00, -11.00)	-8.00 (-15.00, 0.00)	< 0.001
Social exclusion	-8.00 (-12.00, -3.00)	-2.00 (-8.00, 2.00)	< 0.001
Financial insecurity	-2.00 (-5.00, 1.00)	0.00 (-3.00, 3.00)	0.002
Internalized shame	-5.00 (-8.00, -2.00)	-1.00 (-3.00, 0.00)	< 0.001
Social isolation	-6.00 (-10.00, -1.00)	-3.00 (-6.00, 0.00)	0.017
SAS	-10.00 (-19.00, -3.00)	-3.00 (-9.00, 4.00)	< 0.001
SDS	-9.00 (-15.00, -1.00)	-4.00 (-12.00, 6.00)	0.029
Total treatment adherence	231.00 (153.00, 268.00)	39.00 (-9.00, 79.00)	< 0.001
Treatment adherence	83.00 (49.00, 117.00)	13.00 (-21.00, 61.00)	< 0.001
Medication adherence	48.00 (14.00, 75.00)	7.00 (-22.00, 29.00)	< 0.001
Fluid restrictions	49.00 (29.00, 72.00)	6.00 (-8.00, 21.00)	< 0.001
Diet recommendations	34.00 (12.00, 63.00)	7.00 (-19.00, 32.00)	< 0.001
Total PSQI score	-2.00 (-3.00, -1.00)	-1.00 (-2.00, 1.00)	0.002
Subjective sleep quality	0.00 (0.00, 0.00)	0.00 (-1.00, 0.00)	0.627
Sleep latency	-0.30 (-0.70, 0.10)	-0.10 (-0.40, 0.20)	0.015
Sleep duration	0.00 (0.00, 0.00)	0.00 (0.00, 0.00)	0.002
Habitual sleep efficiency	-0.50 (-0.80, -0.10)	-0.10 (-0.60, 0.30)	< 0.001
Sleep disturbances	-0.30 (-0.70, -0.10)	-0.20 (-0.70, 0.40)	0.019
Use of sleep medications	0.00 (0.00, 0.00)	0.00 (0.00, 0.00)	0.183
Daytime dysfunction	-0.30 (-0.70, 0.00)	-0.30 (-0.60, 0.20)	0.101
PF	17.00 (5.00, 31.00)	6.00 (-9.00, 18.00)	< 0.001
RP	10.00 (-3.00, 22.00)	1.00 (-10.00, 13.00)	0.007
BP	13.00 (0.00, 28.00)	8.00 (-5.00, 14.00)	0.014
GH	27.00 (16.00, 38.00)	4.00 (-8.00, 18.00)	< 0.001
VT	13.00 (4.00, 21.00)	-1.00 (-10.00, 9.00)	< 0.001
RE	19.00 (10.00, 32.00)	3.00 (-7.00, 15.00)	< 0.001
MH	7.00 (0.00, 19.00)	5.00 (-5.00, 11.00)	0.049
SF	23.00 (10.00, 31.00)	7.00 (0.00, 18.00)	< 0.001

SIS: Social Impact Scale; SAS: Self-rating Anxiety Scale; SDS: Self-rating Depression Scale; PSQI: Pittsburgh Sleep Quality Index; PF: Physical functioning; RP: Role-physical; BP: Bodily pain; GH: General health; VT: Vitality; RE: Role-emotional; MH: Mental health; SF: Social functioning.