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评估正念干预对慢性阻塞性肺疾病患者效果的可行性研究:一项随机对照试验。

Feasibility study to assess the effect of a brief mindfulness intervention for patients with chronic obstructive pulmonary disease: A randomized controlled trial.

机构信息

1 Institute of Medical and Biomedical Education, St George's, University of London, London, UK.

2 Population Health Research Institute, St George's, University of London, London, UK.

出版信息

Chron Respir Dis. 2018 Nov;15(4):400-410. doi: 10.1177/1479972318766140. Epub 2018 Apr 24.

DOI:10.1177/1479972318766140
PMID:29690786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6234574/
Abstract

Psychological distress is common among patients with chronic obstructive pulmonary disease (COPD). This study aimed to assess whether a 10-minute mindfulness intervention reduces distress and breathlessness, improves mood and increases mindfulness among hospital inpatients following acute exacerbation of COPD.Fifty patients were recruited following an acute admission. The immediate effects of a 10-minute mindfulness-based body scan were compared with a control intervention. Participants were randomized to receive either a mindfulness-based body scan ( n = 24) or a control condition ( n = 26) via a 10-minute audio recording. Participants completed a self-assessment survey, including the Borg scale for breathlessness, Philadelphia Mindfulness Scale and Hospital Anxiety and Depression Scale. They then completed six brief single item measures of dyspnoea, anxiety, depression, happiness, stress and mindfulness before and after the intervention daily for three consecutive days. Acceptability was rated according to 'usefulness' and whether they would recommend the intervention to other patients. Results showed that there was a tendency for change in most outcomes, but no significant differences between the groups. Most participants rated the intervention as useful and would recommend it. Existing knowledge of mindfulness interventions among these patients is very limited and this study may be helpful in the development of other brief interventions.

摘要

心理困扰在慢性阻塞性肺疾病(COPD)患者中很常见。本研究旨在评估 10 分钟正念干预是否可以减轻呼吸困难,改善情绪,并提高 COPD 急性加重住院患者的正念水平。

50 名患者在急性入院后被招募。比较了基于正念的身体扫描的即时效果与对照干预。参与者通过 10 分钟的音频记录被随机分配接受基于正念的身体扫描(n = 24)或对照条件(n = 26)。参与者完成了自我评估调查,包括呼吸困难的 Borg 量表、费城正念量表和医院焦虑和抑郁量表。然后,他们在干预前后每天完成六个简短的单项呼吸困难、焦虑、抑郁、幸福、压力和正念测量,连续三天。可接受性根据“有用性”和他们是否会向其他患者推荐干预措施进行评估。结果表明,大多数结果都有变化的趋势,但组间无显著差异。大多数参与者认为该干预措施有用,并会推荐给其他患者。这些患者对正念干预的现有知识非常有限,本研究可能有助于开发其他简短的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3239/6234574/0cdb0fb7ea62/10.1177_1479972318766140-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3239/6234574/0cdb0fb7ea62/10.1177_1479972318766140-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3239/6234574/0cdb0fb7ea62/10.1177_1479972318766140-fig1.jpg

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