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基于正念的干预对急性冠状动脉综合征患者感知压力和疾病认知的有效性。

The effectiveness of mindfulness-based intervention on perceived stress and perception of disease in patients with acute coronary syndrome.

作者信息

Nasiri Zahra, Alavi Mousa, Ghazavi Zahra, Rabiei Katayoun

机构信息

MS Student of Psychiatric Nursing, Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Psychiatric Nursing Department, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Educ Health Promot. 2020 May 28;9:130. doi: 10.4103/jehp.jehp_660_19. eCollection 2020.

Abstract

CONTEXT

One of the most important issues in patients with coronary artery disease is their mental health indices such as perceived stress and perception of disease.

AIMS

The aim of this study was to evaluate the effectiveness of mindfulness-based intervention on the perceived stress and disease perception of patients with acute coronary syndrome.

MATERIALS AND METHODS

This is a clinical trial, two-group, and three-stage study on 76 patients with acute coronary syndrome who were randomly divided into intervention and control groups. Nine weekly sessions of mindfulness-based training program were administered to the intervention group. The control group received routine services during this period. Data collection was done before, immediately, and 1 month after the intervention, using the Perceived Stress Scale and the Illness Perception Questionnaire. Data were analyzed using descriptive and inferential statistics.

RESULTS

There was no significant difference between the mean scores of perceived stress and illness perception before intervention. After the intervention and 1 month after it, the mean score of perceived stress in the intervention group was statistically significantly lower than the control group ( < 0.001), and the perception of disease in the intervention group was statistically significantly higher than that of the control group ( < 0.001).

CONCLUSIONS

It is worthwhile to suggest the mindfulness-based training program to reduce the perceived stress and correct the perception of disease for patients with acute coronary syndrome.

摘要

背景

冠心病患者最重要的问题之一是他们的心理健康指标,如感知压力和疾病认知。

目的

本研究旨在评估基于正念的干预对急性冠脉综合征患者感知压力和疾病认知的有效性。

材料与方法

这是一项针对76例急性冠脉综合征患者的临床试验,分为两组,分三个阶段进行。干预组接受为期九周的基于正念的训练计划。在此期间,对照组接受常规服务。使用感知压力量表和疾病认知问卷在干预前、干预后即刻和干预后1个月进行数据收集。采用描述性和推断性统计分析数据。

结果

干预前,感知压力和疾病认知的平均得分之间无显著差异。干预后及干预后1个月,干预组的感知压力平均得分显著低于对照组(<0.001),干预组的疾病认知显著高于对照组(<0.001)。

结论

建议为急性冠脉综合征患者开展基于正念的训练计划,以减轻感知压力并纠正疾病认知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1bd/7325788/3a7abd57c968/JEHP-9-130-g001.jpg

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