一个基于正念的在线干预试点随机对照试验,以减少患者在第一次查结肠镜检查前的焦虑
Brent Emerson1, Paul L Reiter2,3, Abigail B Shoben3,4
1Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, 1841 Neil Avenue, Columbus, OH, 43210, USA. brent.emerson@osumc.edu.
一个简短的在线正念干预减少了第一次查结肠镜检查前的焦虑,显示了改善患者体验和坚持结肠直肠癌查的承诺. 需要进一步的试验来确认有效性.
科学领域:
- 胃肠病学 胃肠病学
- 预防医学 预防医学
- 心理健康 心理健康
背景情况:
- 焦虑是结直肠癌 (CRC) 查完成的一个重要障碍.
- 第一次查结肠镜检查往往会引起患者的焦虑.
研究的目的:
- 评估基于正念的简短在线干预 (MBI) 的可行性,可接受性和初步有效性,以减少结肠镜前的焦虑.
- 干预",为了心灵的平静. 接受查",旨在缓解初始CRC查前的焦虑.
主要方法:
- 100名参与者被随机分配到通常的护理或MBI.
- 该MBI包括每日CRC查信息图,正念信息图和简短的冥想.
- 焦虑是使用国家-海峡焦虑库存-国家分量表 (STAI-S) 来衡量的.
主要成果:
- 参与者保留率为83%,MBI满意度很高 (6.40/7).
- 在MBI组显示较低的平均STAI-S得分 (32.24对34.78),但这不是统计学上显著的 (p=0.21).
- 在被保留的参与者中 (n=83),MBI组的等待室焦虑得分明显较低 (31.52对35.21;p=0.02).
结论:
- MBI证明了部分可行性,并指出了后勤问题.
- 研究结果支持MBI的可接受性,并表明它有潜力减少结肠镜前的焦虑.
- 建议进行一项较大的随机对照试验,以进一步评估干预的有效性.
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