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极简短正念干预对行乳腺活检女性的影响:一项随机对照试验。

Extremely brief mindfulness interventions for women undergoing breast biopsies: a randomized controlled trial.

机构信息

Department of Gynecology and Obstetrics of the School of Medicine of UNESP - Universidade Estadual Paulista "Júlio de Mesquita Filho", Distrito de Rubião Júnior s/no, 18.618-970, Botucatu, São Paulo, Brazil.

Faculty of Medicine, FIP-MOC, Faculdades Integradas Pitágoras de Montes Claros, Montes Claros, MG, Brazil.

出版信息

Breast Cancer Res Treat. 2018 Oct;171(3):685-692. doi: 10.1007/s10549-018-4869-9. Epub 2018 Jul 5.

Abstract

PURPOSE

Mindfulness-based programs can reduce stress and help practitioners to have positive attitudes in their daily lives. This randomized controlled trial evaluated the impact of brief Mindfulness interventions on quantitative and qualitative stress parameters in patients undergoing imaging-guided breast biopsies.

METHODS

Eighty-two women undergoing percutaneous imaging-guided breast biopsy were randomized into two groups: MBI group or standard care group. One week before the biopsy procedure, on the waiting room and during the biopsy procedure, the MBI group was exposed to mindfulness techniques and the standard care group received supportive dialogue from the biopsy team. Participants completed questionnaires measuring depression, anxiety and stress, demographics, and medical history, besides evaluating their pain experience through a visual analogue scale for pain and had their systolic and diastolic blood pressure, initial and final temperate, heart rate, oxygen saturation, and salivary cortisol measured.

RESULTS

Participation in the mindfulness intervention group was associated with reduced levels of perceived stress, blood pressure, heart rate, and oxygen saturation compared to participation in the standard care group (P values < 0.05). No difference was observed regarding salivary cortisol levels, peripheral temperature, and pain perception between the two studied groups.

CONCLUSION

Results indicate that an extremely brief mindfulness intervention is a feasible intervention, suggesting that Mindfulness-based programs may be beneficial to reduce discomfort in acutely stressful settings.

摘要

目的

基于正念的项目可以减轻压力,并帮助从业者在日常生活中保持积极的态度。这项随机对照试验评估了简短的正念干预对接受影像引导下乳腺活检的患者的定量和定性压力参数的影响。

方法

82 名接受经皮影像引导下乳腺活检的女性随机分为两组:正念干预组或标准护理组。在活检前一周、在等候室和活检过程中,正念干预组接受正念技术,标准护理组接受活检团队的支持性对话。参与者填写问卷,评估抑郁、焦虑和压力、人口统计学和病史,通过视觉模拟量表评估疼痛体验,并测量收缩压和舒张压、初始和最终体温、心率、血氧饱和度和唾液皮质醇。

结果

与标准护理组相比,参与正念干预组的患者感知压力、血压、心率和血氧饱和度水平降低(P 值均<0.05)。两组之间的唾液皮质醇水平、外周温度和疼痛感知无差异。

结论

结果表明,极其简短的正念干预是一种可行的干预措施,提示基于正念的项目可能有助于减轻急性压力环境中的不适。

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