为外周血管干预设计一次性心身干预.
Chien Yi Maximilian Png1, Darshan H Mehta2,3, Anahita Dua1
1Division of Vascular Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Global advances in integrative medicine and health
|September 18, 2024
概括
这项研究开发了一种使用指导冥想的新型心身干预 (MBI),用于在程序镇静和镇痛 (PSA) 下接受外周血管干预 (PVIs) 的患者. 该MBI旨在减少焦虑和改善患者在手术期间的服从.
科学领域:
- 心血管外科心血管外科
- 行为医学是一种行为医学.
- 麻醉学 麻醉学
背景情况:
- 在手术镇静和止痛 (PSA) 下进行的外周血管干预 (PVIs) 可以诱导患者的焦虑并降低手术内服从性.
- 现有的心身干预 (MBI) 不适用于接受PVI的血管外科手术患者.
- 需要基于证据的MBI来支持这种患者群体.
研究的目的:
- 专门为在PSA下接受PVI的血管外科患者设计一个外科期间的MBI.
- 在开发MBI时采用严格的,多学科的方法.
- 在这个患者群体中,降低术前焦虑并提高术后遵守性.
主要方法:
- 该MBI是使用与肥胖相关的行为干预试验 (ORBIT) 模型开发的,涉及协议设计和专家小组改进.
- 用一个多学科专家小组修改的Delphi方法来代地改进MBI.
- 第1a阶段包括文献审查和协议起草;第1b阶段涉及专家共识建设.
主要成果:
- 在经过修改的Delphi过程的三次代后,就新的MBI达成共识.
- 该MBI包括两个七分钟的手术前指导冥想,包括隔膜呼吸,身体扫描和指导图像.
- 干预强调对手术部位 (侧腿) 的认识,并包括详细的工作流整合计划.
结论:
- 一个新的MBI,整合正念和引导图像,成功地为PVIs在PSA下设计.
- 这种MBI旨在减轻血管外科手术患者的焦虑和改善手术内服从性.
- 计划进行一项前性试点研究,以评估这种定制MBI的可行性.
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