正念干预可降低非传染性疾病患者的血压：一项系统评价与荟萃分析。
Mindfulness interventions reduce blood pressure in patients with non-communicable diseases: A systematic review and meta-analysis.
作者信息
Intarakamhang Ungsinun, Macaskill Ann, Prasittichok Pitchada
机构信息
Behavioral Science Research Institute, Srinakharinwirot University, Bangkok, Thailand.
Psychology Research Group, Sheffield Hallam University, Sheffield, United Kingdom.
出版信息
Heliyon. 2020 Apr 28;6(4):e03834. doi: 10.1016/j.heliyon.2020.e03834. eCollection 2020 Apr.
PURPOSE
Mindfulness based interventions (MBIs) are an emerging area of empirical study, not only in positive psychology, but also in clinical health care. This research aims to synthesize the evidence about whether MBIs reduce blood pressure (BP) in patients with non-communicable diseases (NCDs).
METHODS
Relevant studies were identified via PubMed, the Cochrane Library, Embase and the CINAHL database between 2009 and 2019. The papers selected focused on mindfulness and the effect of these on the BP of patients with NCDs. The change in SBP and DBP were meta-analyzed, stratified by type of intervention (Breathing awareness meditation (BAM), Mindfulness Meditation (MM), and Mindfulness-based Stress Reduction (MBSR).
RESULTS
Fourteen articles met eligibility criteria and were included in the final review. Among the studies using the type and duration of intervention, systolic BP was reduced after the mindfulness-based stress reduction for 8 weeks (-6.90 mmHg [95% CI: -10.82, -2.97], < .050), followed by the breathing awareness meditation for 12 weeks (-4.10 mmHg [95% CI: -7.54, -0.66], < .050) and the mindfulness-based intervention for 8 weeks (-2.69 mmHg [95% CI: -3.90, -1.49], < .050) whereas diastolic BP was reduced after the mindfulness-based stress reduction for 8 weeks (-2.45 mmHg [95% CI: -3.74, -1.17], < .050) and the mindfulness-based intervention for 8 weeks (-2.24 mmHg [95% CI: -3.22, -1.26], < .050).
CONCLUSION
MBIs can provide effective alternative therapies to assist in blood pressure reduction for patients with NCDs.
目的
基于正念的干预措施（MBIs）不仅在积极心理学领域，而且在临床医疗保健中都是一个新兴的实证研究领域。本研究旨在综合关于MBIs是否能降低非传染性疾病（NCDs）患者血压（BP）的证据。
方法
通过PubMed、Cochrane图书馆、Embase和CINAHL数据库在2009年至2019年期间识别相关研究。所选论文聚焦于正念及其对NCDs患者血压的影响。对收缩压（SBP）和舒张压（DBP）的变化进行荟萃分析，按干预类型（呼吸觉察冥想（BAM）、正念冥想（MM）和基于正念的减压疗法（MBSR））分层。
结果
14篇文章符合纳入标准并被纳入最终综述。在使用干预类型和持续时间的研究中，基于正念的减压疗法8周后收缩压降低（-6.90 mmHg [95%可信区间：-10.82，-2.97]，P <.050），其次是呼吸觉察冥想12周后（-4.10 mmHg [95%可信区间：-7.54，-0.66]，P <.050）和基于正念的干预8周后（-2.69 mmHg [95%可信区间：-3.90，-1.49]，P <.050）；而基于正念的减压疗法8周后舒张压降低（-2.45 mmHg [95%可信区间：-3.74，-1.17]，P <.050）以及基于正念的干预8周后（-2.24 mmHg [95%可信区间：-3.22，-1.26]，P <.050）。
结论
MBIs可为NCDs患者提供有效的替代疗法以帮助降低血压。
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