Altern Ther Health Med. 2024 Nov;30(11):65-71.
To explore the effect of breathing meditation training on nursing work quality, occurrence risk of adverse events, and attention level of operating room nurses.
Taking the starting time of breathing meditation training of operating room nurses in our hospital in July 2020 as the dividing line, operating room nurses who implemented routine management from April 2020 to June 2020 were selected as the control group (n=30), and operating room nurses who carried out breathing meditation training from July 2020 to September 2020 were included in the intervention group (n=30). The emotional state [Hamilton Anxiety Scale (HAMA) score, Hamilton Depression Scale (HAMD) score], Mindfulness Attention Awareness Scale (MAAS) score, electrocardiogram indicators (blood pressure, pulse, and respiration), electroencephalogram indicators (SMR wave, β wave, and θ wave EEG frequency), attention level (attention quotient, visual attention, and auditory attention), nursing work quality (health education, theoretical knowledge, nursing operation, and operating room management) and the number of reported adverse events were compared between the two groups before and after training.
After breathing meditation training, the intervention group's Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) scores were significantly reduced (P < .05), while the Mindfulness Attention Awareness Scale (MAAS) score was significantly increased (P < .05). ). In addition, blood pressure and respiratory rate were reduced in the intervention group (P < .05), with significant differences compared with the control group (P < .05). The SMR waves and beta waves in the intervention group increased (P < .05), while theta waves decreased (P < .05). Attention quotient, visual attention and auditory attention scores were improved in the intervention group compared with the control group (P < .05). The scores of health education, theoretical knowledge, nursing operations and operating room management of the intervention group after training were higher than those of the control group (P < .05). The intervention group reported a lower number of adverse events than the control group (74.42% vs. 25.58%). The application of breathing meditation training in special training for operating room nurses can effectively relieve negative emotions, enhance mindfulness scores, reduce blood pressure and respiratory rate, regulate brain wave frequency, improve attention status and quality of nursing work, and reduce the risk of adverse events. These outcomes may have a positive impact on improving the quality of nursing practice and patient care in the operating room. For operating room nurses, the negative emotional stress caused by sustained high levels of mental concentration may affect work efficiency and the entire surgical process. Breathing meditation training can enhance nurses' emotional resilience, thereby improving the efficiency and safety of operating room care.
The application of breathing meditation training in the special training of operating room nurses can effectively alleviate negative emotions, enhance the mindfulness score, reduce blood pressure and respiratory rate, regulate brain wave frequency, improve the attention state and nursing work quality, and reduce the occurrence risk of adverse events. Future research should conduct longitudinal studies to evaluate the long-term effects of breathing meditation training on the quality of nursing work and the prevention of adverse events. Additionally, research could explore advanced neuroimaging techniques to gain structural insights, integrate meditation into existing training programs, tailor interventions for different healthcare settings, assess patient outcomes, explore technology-assisted meditation, and investigate interprofessional collaboration. Through these pathways, a more complete understanding of the impact and best integration of breath meditation in healthcare settings can be achieved, providing valuable insights into improving the well-being of healthcare professionals and potentially overall patient care and satisfaction.
探讨呼吸冥想训练对护理工作质量、不良事件发生风险以及手术室护士注意力水平的影响。
以我院手术室护士呼吸冥想训练的开始时间 2020 年 7 月为分界线,将 2020 年 4 月至 6 月实施常规管理的手术室护士作为对照组(n=30),将 2020 年 7 月至 9 月进行呼吸冥想训练的手术室护士纳入干预组(n=30)。比较两组护士训练前后的情绪状态[汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分]、正念注意觉察量表(MAAS)评分、心电图指标(血压、脉搏、呼吸)、脑电图指标(SMR 波、β 波、θ 波 EEG 频率)、注意力水平(注意力商数、视觉注意力、听觉注意力)、护理工作质量(健康教育、理论知识、护理操作、手术室管理)和不良事件报告数。
呼吸冥想训练后,干预组的汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分明显降低(P<0.05),而正念注意觉察量表(MAAS)评分明显升高(P<0.05)。此外,干预组血压和呼吸频率降低(P<0.05),与对照组比较差异有统计学意义(P<0.05)。干预组 SMR 波和β波增加(P<0.05),θ波减少(P<0.05)。干预组注意力商数、视觉注意力和听觉注意力评分均高于对照组(P<0.05)。干预组培训后健康教育、理论知识、护理操作和手术室管理评分均高于对照组(P<0.05)。干预组不良事件报告例数低于对照组(74.42%比 25.58%)。
呼吸冥想训练应用于手术室护士专项培训中,能有效缓解负性情绪,提高正念评分,降低血压和呼吸频率,调节脑波频率,改善注意力状态和护理工作质量,降低不良事件发生风险。这可能对提高手术室护理实践和患者护理质量产生积极影响。对于手术室护士来说,持续高强度精神集中所带来的负性情绪压力可能会影响工作效率和整个手术过程。呼吸冥想训练可以增强护士的情绪适应能力,从而提高手术室护理的效率和安全性。
本文主要介绍了呼吸冥想训练对护理工作质量、不良事件发生风险以及手术室护士注意力水平的影响。研究发现,呼吸冥想训练可以有效缓解手术室护士的负性情绪,提高正念评分,降低血压和呼吸频率,调节脑波频率,改善注意力状态和护理工作质量,降低不良事件发生风险。
该研究结果对于提高手术室护理实践和患者护理质量具有重要意义。手术室护士在工作中面临着高强度的精神压力,呼吸冥想训练可以帮助他们缓解压力,提高情绪适应能力,从而更好地完成护理工作。同时,该研究也为呼吸冥想训练在医疗领域的应用提供了新的思路和方法。
然而,该研究也存在一些局限性。首先,研究对象仅为手术室护士,研究结果可能不适用于其他护理领域。其次,研究采用了横断面设计,无法确定呼吸冥想训练对护理工作质量和不良事件发生风险的因果关系。因此,未来的研究需要进一步探讨呼吸冥想训练在护理领域的应用效果,以及其对患者结局的影响。