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针对重症监护室幸存者心理痛苦的移动正念干预:一项随机临床试验

Christopher E Cox^1,2, John A Gallis^3,4, Maren K Olsen^3,5

¹Division of Pulmonary and Critical Care Medicine, Duke University, Durham, North Carolina.

JAMA internal medicine

|May 28, 2024

概括

每天两次通过移动应用程序进行正念冥想,可显著降低重症幸存者的抑郁症状. 这种基于应用程序的方法被证明是管理心理困扰和改善坚持的最佳方法.

科学领域:

关键护理医学关键护理医学
数字健康数字健康
精神病学是一个精神病学.

背景情况:

在重症幸存者中,心理压力很普遍.
针对这一群体量身定制的治疗方法有限.
移动健康干预提供了一个可扩展的解决方案.

研究的目的:

确定基于移动应用程序的正念干预的最佳交付方法.
评估不同干预组件对心理痛苦的影响.
评估严重疾病幸存者的坚持和可行性.

主要方法:

进行了一项2x2x2因子随机临床试验.
参与者接受了基于应用程序或由治疗师领导的介绍和症状管理.
每天进行一次或两次的正念冥想.

主要成果:

每天两次冥想在1个月和3个月后显著降低了抑郁症得分.
基于应用程序的引入和症状管理是最佳的.
观察到高坚持率 (87.9%) 和保留率 (77.3%在3个月).

结论:

一个最佳的正念干预包括基于应用程序的介绍,每天两次冥想和基于应用程序的症状管理.
这种方法有效地减少了重症幸存者的心理痛苦.
这项干预表明了高可行性和坚持性.

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