基于团体正念减压计划和正念瑜伽对高血压患者生活方式、应对策略以及收缩压和舒张压的影响。

Effect of Group Mindfulness-Based Stress-Reduction Program and Conscious Yoga on Lifestyle, Coping Strategies, and Systolic and Diastolic Blood Pressures in Patients with Hypertension.

作者信息

Nejati Somayeh, Zahiroddin Alireza, Afrookhteh Gita, Rahmani Soheila, Hoveida Shahrzad

机构信息

Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Azad University of Sciences and Research, Tehran, Iran.

出版信息

J Tehran Heart Cent. 2015 Jul 3;10(3):140-8.

DOI:

PMID:26697087

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4685370/

Abstract

BACKGROUND

Healthy lifestyle and ineffective coping strategies are deemed significant variables among patients with hypertension. This study attempted to determine the status of these variables following intervention via the mindfulness-based stress-reduction program (MBSRP) in patients with hypertension.

METHOD

This study was a randomized clinical trial. The study sample, consisting of 30 patients referring to the Hypertension Clinic of Imam Hossein Hospital in 2013, was assigned either to the intervention (recipient of the MBSRP and conscious yoga) or to the control group (recipient of yoga training). The intervention group had 8 training sessions over 8 weeks. Lifestyle and coping strategies as well as blood pressure were measured in the intervention group before intervention and then immediately thereafter and at 2 months' follow-up and were compared to those in the control group at the same time points.

RESULT

The mean age of the patients in the intervention (40% women) and control (53% women) groups was 43.66 ± 5.14 and 43.13 ± 5.04 years, respectively. The results showed that the mean scores of lifestyle (p value < 0.05), emotion-focused coping strategies (p value < 0.001), problem-focused coping strategies (p value < 0.001), diastolic blood pressure (p value < 0.001), and systolic blood pressure (p value < 0.001) were significantly different between the intervention and control groups after the intervention.

CONCLUSION

Applying an intervention based on the MBSRP may further improve the lifestyle and coping strategies of patients with hypertension.

摘要

背景

健康的生活方式和无效的应对策略被认为是高血压患者的重要变量。本研究试图通过基于正念减压计划（MBSRP）的干预措施，确定高血压患者这些变量在干预后的状况。

方法

本研究为随机临床试验。研究样本由2013年转诊至伊玛目侯赛因医院高血压诊所的30名患者组成，被分为干预组（接受MBSRP和有意识瑜伽）或对照组（接受瑜伽训练）。干预组在8周内进行了8次训练课程。在干预组干预前、干预后即刻以及2个月随访时测量其生活方式、应对策略以及血压，并与对照组在相同时间点的测量结果进行比较。

结果

干预组（40%为女性）和对照组（53%为女性）患者的平均年龄分别为43.66±5.14岁和43.13±5.04岁。结果显示干预后干预组与对照组在生活方式（p值<0.05）、情绪聚焦应对策略（p值<0.001）、问题聚焦应对策略（p值<0.001）、舒张压（p值<0.001）和收缩压（p值<0.001）的平均得分上存在显著差异。