Palliative Care Unit, Faculty of Medicine, Department of Medicine, 37447University of Malaya, Kuala Lumpur, Malaysia.
Am J Hosp Palliat Care. 2021 Sep;38(9):1083-1090. doi: 10.1177/1049909120965944. Epub 2020 Oct 20.
Mindfulness practices may have a role in reducing suffering and improving spiritual well-being among patients with serious illness. The efficacy, feasibility and acceptability of such interventions warrant further exploration in the palliative care population.
To investigate the effect of a brief mindfulness practice, the 5-minute mindfulness of peace intervention, on suffering and spiritual well-being among palliative care patients.
A randomized controlled study was conducted on adult palliative care patients with moderate to severe levels of suffering. Participants in the intervention arm were guided through a 5-minute mindfulness of peace exercise while participants in the control arm received 5 minutes of active listening. Pre- and post-intervention suffering and spiritual well-being were measured using the Suffering Pictogram and the FACIT-Sp-12 questionnaire, respectively.
40 participants completed the study. 5-minute mindfulness of peace significantly reduced suffering (median = -3.00, IQR = 2.00) more than 5 minutes of active listening (median = -1.00, IQR = 1.75), U = 73.50, z = -3.48, p = 0.001, η = 0.31. FACIT-Sp-12 score also significantly improved in the intervention arm (median = +5.00, IQR = 2.75) compared with the control arm after 5 minutes (median = +1.00, IQR = 3.00), U = 95.50, z = -2.85, p = 0.004, η = 0.21.
A brief 5-minute mindfulness of peace exercise is effective in providing immediate relief of suffering and improving spiritual well-being. It is a useful and feasible intervention among patients receiving palliative care for rapidly and momentarily reducing spiritual suffering.
正念练习可能在减轻重病患者的痛苦和改善精神幸福感方面发挥作用。此类干预措施的疗效、可行性和可接受性需要在姑息治疗人群中进一步探讨。
调查简短的正念练习，即 5 分钟正念安宁干预，对姑息治疗患者的痛苦和精神幸福感的影响。
对中度至重度痛苦的成年姑息治疗患者进行随机对照研究。干预组的参与者接受 5 分钟正念安宁练习的指导，而对照组的参与者则接受 5 分钟的主动倾听。分别使用痛苦图和 FACIT-Sp-12 问卷在干预前后测量痛苦和精神幸福感。
40 名参与者完成了研究。5 分钟正念安宁显著降低了痛苦（中位数=-3.00，IQR=2.00），比 5 分钟主动倾听（中位数=-1.00，IQR=1.75）更多，U=73.50，z=-3.48，p=0.001，η=0.31。与对照组相比，干预组的 FACIT-Sp-12 评分在干预后也显著提高（中位数=+5.00，IQR=2.75），而对照组为+1.00，IQR=3.00，U=95.50，z=-2.85，p=0.004，η=0.21。
简短的 5 分钟正念安宁练习能有效缓解痛苦，改善精神幸福感。对于接受姑息治疗的患者来说，这是一种快速且短暂减轻精神痛苦的有用且可行的干预措施。
