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一项关于简短正念冥想对中国护理专业学生焦虑症状和收缩压影响的随机对照试验。

A randomized controlled trial of the effects of brief mindfulness meditation on anxiety symptoms and systolic blood pressure in Chinese nursing students.

作者信息

Chen Yu, Yang Xueling, Wang Liyuan, Zhang Xiaoyuan

机构信息

Department of Psychology, School of Public Health and Tropical Medicine, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, Guangdong province 510515, China; School of Nursing, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, Guangdong province 510515, China.

出版信息

Nurse Educ Today. 2013 Oct;33(10):1166-72. doi: 10.1016/j.nedt.2012.11.014. Epub 2012 Dec 20.

DOI:10.1016/j.nedt.2012.11.014
PMID:23260618
Abstract

BACKGROUND

Previous studies suggested that mindfulness meditation effectively reduced stress-related anxiety and depression symptoms, but no research has evaluated the efficacy of mindfulness meditation in nurses and nursing students in China.

OBJECTIVES

To evaluate the effects of brief mindfulness meditation on the anxiety and depression symptoms and autonomic nervous system activity in Chinese nursing students.

DESIGN

A randomized controlled trial.

SETTING

A medical university in Guangzhou, China.

PARTICIPANTS

One hundred and five nursing students were randomly approached by email and seventy-two responded. Sixty recruited students were randomized into meditation and control group (n=30 each) after screening and exclusion due to factors known to influence mood ratings and autonomic nervous system measures.

METHODS

The meditation group performed mindfulness meditation 30 min daily for 7 consecutive days. The control group received no intervention except pre-post treatment measurements. The Self-Rating Anxiety Scale and Self-Rating Depression Scale were administered to participants, and heart rate and blood pressure were measured. Pre- and post-treatment data were analyzed using repeated-measures analysis of variance.

RESULTS

Differences between pre- and post-treatment Self-Rating Anxiety Scale scores were significantly larger in the meditation group than in the control group, but no similar effect was observed for Self-Rating Depression Scale scores. Systolic blood pressure was reduced more after the intervention in the meditation group than in the control group, with an average reduction of 2.2 mmHg. A moderate level of anxiety was associated with the maximum meditation effect.

CONCLUSIONS

Brief mindfulness meditation was beneficial for Chinese nursing students in reducing anxiety symptoms and lowering systolic blood pressure. Individuals with moderate anxiety are most likely to benefit from a short-term mindfulness meditation program.

摘要

背景

先前的研究表明,正念冥想能有效减轻与压力相关的焦虑和抑郁症状,但尚无研究评估正念冥想对中国护士和护理专业学生的疗效。

目的

评估简短正念冥想对中国护理专业学生焦虑和抑郁症状以及自主神经系统活动的影响。

设计

一项随机对照试验。

地点

中国广州的一所医科大学。

参与者

通过电子邮件随机联系了105名护理专业学生,72人回复。在因已知会影响情绪评分和自主神经系统测量的因素进行筛选和排除后,将60名入选学生随机分为冥想组和对照组(每组n = 30)。

方法

冥想组连续7天每天进行30分钟的正念冥想。对照组除治疗前后测量外未接受任何干预。对参与者进行自评焦虑量表和自评抑郁量表测试,并测量心率和血压。使用重复测量方差分析对治疗前后的数据进行分析。

结果

冥想组治疗前后自评焦虑量表得分的差异显著大于对照组,但自评抑郁量表得分未观察到类似效果。冥想组干预后收缩压的降低幅度大于对照组,平均降低2.2 mmHg。中度焦虑水平与最大冥想效果相关。

结论

简短的正念冥想对中国护理专业学生减轻焦虑症状和降低收缩压有益。中度焦虑的个体最有可能从短期正念冥想计划中受益。

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