基于正念的干预对患有高血压或高血压的人的影响:随机对照试验的系统审查和元分析
Qiongshan Chen1, Hui Liu2, Shizheng Du3
1Shantou University Medical College, 22 Xinling Road, Jinping District, Shantou, Guangdong Province, 515041, China.
BMC cardiovascular disorders
|February 13, 2024
概括
基于正念的干预措施显著降低了静缩和静缩血压,焦虑,抑郁和压力. 这些发现支持正念作为管理高血压和改善心理健康的宝贵工具.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 高血压和高血压前期是全球主要的死亡因素.
- 基于正念的干预措施显示出降低血压和改善心理健康的潜力.
- 这些干预措施对血压和心理健康的确切影响需要进一步了解.
研究的目的:
- 系统地评估基于正念的干预措施对血压和心理健康的有效性.
- 通过元分析综合现有研究的证据.
主要方法:
- 在多个数据库 (Embase,PubMed,PsycINFO等) 进行了全面的文献搜索. 在2023年5月24日之前.
- 在随机效应元分析中,包括了12项涉及715名参与者的研究.
- 考克兰偏差风险工具评估了研究质量,并使用了Review Man 5.4软件进行分析.
主要成果:
- 正念干预导致静缩血压 (MD = -9.12) 和静缩血压 (MD = -5.66) 的显著降低.
- 在焦虑 (SMD = -4.10),抑郁 (SMD = -1.70) 和感知压力 (SMD = -5.91) 中观察到有统计学意义的改善.
- 亚组分析表明,跨性别和基线血压水平都有好处,初始血压较高的人群的影响更大.
结论:
- 基于正念的干预措施在管理高血压方面发挥了积极作用.
- 建议进行进一步的大规模随机对照试验,并进行长期随访,以巩固这些发现.
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