Mahendru Kiran, Pandit Anuja, Singh Vishwajeet, Choudhary Nandan, Mohan Anant, Bhatnagar Sushma
Department of Onco-Anaesthesia and Palliative Medicine, Dr. B. R. Ambedkar Institute Rotary Cancer Hospital, New Delhi, India.
Department of Onco-Anaesthesia and Palliative Medicine, National Cancer Institute, New Delhi, India.
Indian J Palliat Care. 2021 Oct-Dec;27(4):490-494. doi: 10.25259/IJPC_40_21. Epub 2021 Nov 26.
The corona virus disease-19 (COVID-19) pandemic has affected every domain of human health be it physical or mental. The uncertainty of disease progression in patients with SARS-CoV-2 infection can lead to major psychological and psychiatric concerns that should not be overlooked. The interventions should be directed to the vulnerable population to help them mitigate the stress and anxiety caused by the infection and isolation. We evaluated the effect of meditation and breathing exercises on the well-being of patients with SARS-CoV-2 infection under institutional isolation.
We conducted a randomized control trial on 84 subjects, 18 years and above, asymptomatic, or mildly symptomatic SARS-CoV-2 infected patients under institutional isolation. Subjects were randomly and equally divided into a control group and interventional group. We measured the depression, anxiety, and stress levels as well as quality of sleep in patients after 7 days of meditation and breathing exercises in the intervention group versus standard care in the control group.
Meditation and breathing exercises had a statistically significant effect on the depression level (P < 0.001), stress level (P = 0.004), and the quality of sleep [trouble falling asleep (P = 0.007), trouble staying asleep (P = 0.004), and feel tired after waking up in the morning (P = 0.003)]. Further, the positive effect of intervention on the level of anxiety in patients under isolation was also observed; however, the difference was not found to be statistically significant (P = 0.528).
Meditation and breathing exercises have positive effects on depression, stress levels, and quality of sleep in COVID-19 positive patients under strict institutional isolation.
2019冠状病毒病(COVID-19)大流行已经影响到人类健康的各个领域,无论是身体方面还是精神方面。严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染患者疾病进展的不确定性可能导致重大的心理和精神问题,不容忽视。干预措施应针对弱势群体,以帮助他们减轻感染和隔离所带来的压力和焦虑。我们评估了冥想和呼吸练习对机构隔离下的SARS-CoV-2感染患者幸福感的影响。
我们对84名18岁及以上、无症状或症状轻微的机构隔离SARS-CoV-2感染患者进行了一项随机对照试验。受试者被随机且平均分为对照组和干预组。我们测量了干预组进行7天冥想和呼吸练习后患者的抑郁、焦虑和压力水平以及睡眠质量,对照组则接受标准护理。
冥想和呼吸练习对抑郁水平(P < 0.001)、压力水平(P = 0.004)以及睡眠质量[入睡困难(P = 0.007)、睡眠维持困难(P = 0.004)和早晨醒来后感到疲倦(P = 0.003)]有统计学显著影响。此外,还观察到干预对隔离患者焦虑水平有积极作用;然而,差异未发现具有统计学意义(P = 0.528)。
冥想和呼吸练习对严格机构隔离下的COVID-19阳性患者的抑郁、压力水平和睡眠质量有积极影响。