整合MEditatioN在TO heaRt疾病中的可行性 (MENTOR研究):第二阶段随机对照试验
The Journal of cardiovascular nursing
|May 30, 2023
概括
将冥想纳入心脏康复 (CR) 计划是可行的,对患者和工作人员来说是可以接受的. 这种干预可以改善心血管疾病和抑郁或焦虑症状的个体对CR计划的坚持.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 基于正念的干预措施
背景情况:
- 25%的心脏康复 (CR) 患者经历并发性抑郁/焦虑,影响预后.
- 需要心理干预,如冥想,以改善CR的心理健康.
- 评估冥想在CR中的作用对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定在澳大利亚CR计划中进行冥想干预的可行性和可接受性.
- 评估冥想对CR患者抑郁和焦虑症状的影响.
- 评估冥想是否可以提高CR程序的坚持.
主要方法:
- 混合方法可行性随机对照试验.
- 31名患有心血管疾病和轻度至中度抑郁症/焦虑症的患者随机选择冥想+标准CR或单独标准CR.
- 一个为期6周的指导小组冥想干预,每天进行自我练习;评估可行性,可接受性和临床结果.
主要成果:
- 冥想干预是可行的:83%的参与者完成了小组会议.
- 冥想对患者,临床医生和卫生管理人员来说是可以接受的.
- 干预组显示,对CR课程的坚持显著更高 (12 vs 9课程,P=.014).
结论:
- 将冥想融入CR是可行的和可以接受的.
- 冥想可以提高患者对基于炼的CR计划的坚持.
- 进一步研究冥想在CR中对心理健康的作用是有必要的.
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