Stony Brook University, Stony Brook, NY, USA.
Am Surg. 2024 May;90(5):947-953. doi: 10.1177/00031348221117025. Epub 2022 Aug 8.
Several psychosocial factors can impact surgical outcomes and overall patient wellbeing following surgery. Although advances in surgical interventions and pain management protocols can reduce surgical trauma and enhance recovery from surgery, additional intervention is warranted to optimize surgical outcomes and patient quality of life (QoL) in the short- and long-term. Research on mindfulness techniques suggests that mindfulness-based interventions (MBI) effectively promote health behaviors, reduce pain, and improve psychological wellbeing and QoL. Thus, there has been an increase in research evaluating the use of MBIs to improve postoperative outcomes and wellbeing in surgical patients. The authors provide a brief overview of psychosocial outcomes of surgery and MBIs and review the literature on the impact of MBIs on postoperative outcomes. The extant literature indicates that MBIs are feasible and acceptable for use in surgical patient populations and provides preliminary evidence of the benefits of mindfulness across a range of surgical patient populations. However, more research is needed to assess the long-term efficacy of MBIs delivered online and in-person across the perioperative continuum.
一些心理社会因素会影响手术后的手术结果和整体患者健康。尽管手术干预和疼痛管理方案的进步可以减少手术创伤并促进手术后的恢复,但还需要额外的干预措施来优化手术结果和患者的短期和长期生活质量(QoL)。关于正念技术的研究表明,基于正念的干预措施(MBI)可以有效地促进健康行为,减轻疼痛,并改善心理幸福感和 QoL。因此,越来越多的研究评估了使用 MBI 来改善手术患者的术后结果和幸福感。作者简要概述了手术的心理社会结果和 MBI,并回顾了 MBI 对术后结果的影响的文献。现有文献表明,MBI 对于手术患者群体是可行且可接受的,并提供了正念在一系列手术患者群体中的益处的初步证据。然而,还需要更多的研究来评估在线和在手术期间使用 MBI 的长期效果。