Faculty of Medicine. Universidad Autónoma de Madrid, Spain.
Liaison and Psychotherapy Unit, Department of Psychiatry, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Spain.
Cardiol J. 2023;30(3):401-410. doi: 10.5603/CJ.a2021.0094. Epub 2021 Sep 7.
The efficacy of mindfulness-based interventions to reduce anxiety or improve quality of life (QoL) in patients with cardiac pathologies is well established. However, there is scarce information on the efficacy, applicability, and safety of these interventions in adult patients with an implantable cardioverter-defibrillator (ICD). In this study, we examined their efficacy on QoL, psychological and biomedical variables, as well as the applicability and safety of a mindfulness-based intervention in patients with an ICD.
Ninety-six patients with an ICD were randomized into two intervention groups and a control group. The interventions involved training in mindfulness-based emotional regulation, either face-to- -face or using the "REM Volver a casa" mobile phone application (app).
The sample presented medium-high QoL baseline scores (mean: 68), low anxiety (6.84) and depression (3.89), average mindfulness disposition (128), and cardiological parameters similar to other ICD populations. After the intervention, no significant differences were found in the variables studied between the intervention and control groups. Retention was average (59%), and there were no adverse effects due to the intervention.
After training in mindfulness-based emotional regulation (face-to-face or via app), no significant differences were found in the QoL or psychological or biomedical variables in patients with an ICD. The intervention proved to be safe, with 59% retention.
正念干预在减少焦虑或改善心脏病理患者的生活质量（QoL）方面的疗效已得到充分证实。然而，关于这些干预措施在植入式心脏复律除颤器（ICD）成年患者中的疗效、适用性和安全性的信息却很少。在这项研究中，我们研究了正念干预对 QoL、心理和生物医学变量的疗效，以及在 ICD 患者中实施正念干预的适用性和安全性。
96 名 ICD 患者被随机分为两组干预组和一组对照组。干预措施包括正念情绪调节的面对面培训或使用“REM Volver a casa”手机应用程序（app）。
该样本的 QoL 基线评分处于中等偏高水平（平均值：68），焦虑（6.84）和抑郁（3.89）水平低，正念倾向平均（128），心脏参数与其他 ICD 人群相似。干预后，干预组和对照组之间研究的变量均无显著差异。保留率为中等（59%），且无因干预而产生的不良反应。
在接受正念情绪调节（面对面或通过应用程序）培训后，ICD 患者的 QoL 或心理或生物医学变量均无显著差异。该干预措施安全有效，保留率为 59%。
