Kootstra Thomas J M, Smeeing Diederik P J, Beks Reinier B, Heijl Mark van, Kokke Marike, van der Velde Detlef
Department of Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands.
Department of Surgery, Universitair Medisch Centrum, Utrecht, The Netherlands.
J Hand Microsurg. 2020 Oct;12(Suppl 1):S1-S8. doi: 10.1055/s-0040-1701160. Epub 2020 Apr 7.
Mindfulness implies entering a mental state of awareness which allows for the reframing of an experience, and functionality has shown to be influenced by mindset. The aim of this systematic review was to assess effects of mindfulness in patients with upper-extremity conditions. PubMed, Embase, Cochrane, and CINAHL databases were searched on June 19, 2019, for studies investigating mindfulness in patients with upper-extremity conditions. Two validated instruments for methodologic assessment were used to assess study quality. Studies that reported pain, psychological, or functional outcome measures were included. One randomized controlled trials and three observational studies were included, which together included 335 patients that completed final follow-up. The weighted average age was 52.4 years and 48% of the patients were male. Evaluation of the outcome measures used was immediately after the mindfulness intervention or assessment in all studies. Mindfulness appeared to be positively associated with less pain (though below the minimal clinically important difference), increased mood, and better function. Mindfulness is associated with increased mood and possibly better functionality in adults with a large range of upper-extremity conditions when measured or used as an intervention. Future researcher should expand the subject as only four studies were included in this review. This is a Level IV study.
正念意味着进入一种觉知的心理状态，这种状态能够对一种体验进行重新构建，并且功能已被证明会受到思维模式的影响。本系统评价的目的是评估正念对上肢疾病患者的影响。于2019年6月19日在PubMed、Embase、Cochrane和CINAHL数据库中检索关于上肢疾病患者正念研究的文献。使用两种经过验证的方法学评估工具来评估研究质量。纳入报告疼痛、心理或功能结局指标的研究。纳入了一项随机对照试验和三项观察性研究，这些研究共纳入335例完成最终随访的患者。加权平均年龄为52.4岁，48%的患者为男性。在所有研究中，对所使用的结局指标的评估均在正念干预或评估后立即进行。正念似乎与疼痛减轻（尽管低于最小临床重要差异）、情绪改善和功能更好呈正相关。当作为测量指标或干预措施时，正念与情绪改善以及可能更好的功能相关，这些患者患有多种上肢疾病。由于本综述仅纳入了四项研究，未来的研究人员应扩大该主题的研究。这是一项IV级研究。
