Von Visger Tania T, Wardlaw Kayla, Li Chin-Shang, Chang Yu-Ping, Matura Lea Ann
The State University of New York, University at Buffalo, School of Nursing, Buffalo, NY, United State.
The State University of New York, University at Buffalo, School of Nursing, Buffalo, NY, United State.
Heart Lung. 2025 Mar-Apr;70:163-169. doi: 10.1016/j.hrtlng.2024.12.002. Epub 2024 Dec 13.
Mindfulness-based interventions (MBI) benefit adults with chronic obstructive pulmonary disease (COPD) by helping them manage their symptoms and improve their quality of life. Little is known about their baseline mindfulness knowledge and practice and how these may relate to symptom management.
To 1) compare symptom severity scores of depression, anxiety, dyspnea, fatigue, and insomnia between those who know and practice mindfulness and those who do not, and 2) construct phenotype profile characteristics of COPD patients based on their levels of mindfulness.
339 community-dwelling adults (mean age 53.43±13.48 years, 61.28 % male, and 48.21 % White) completed an online cross-sectional survey study indicating their mindfulness knowledge, practice, level, and COPD symptom severity. After adjusting for multiple comparisons among the three groups, we used Kruskal-Wallis, Fisher's exact, and Chi-squared tests to compare variables' differences among these three mindfulness levels.
Participants who self-identified as knowledgeable about mindfulness (n = 315) reported significantly lower severity of dyspnea and fatigue. Participants who self-identified as current practitioners of mindfulness (n = 282) reported substantially lower symptom severity. Among the different mindfulness groups, levels of phenotype profile analysis showed statistically significant differences in demographic and clinical characteristics, including depressive symptoms, age, ethnicity, education level, and years living with COPD. We found no differences in gender or disease severity levels.
Community-dwelling adults with COPD who practiced mindfulness reported lower symptom severity than those who did not. This suggests the potential benefits of MBI integration as a complementary health approach to symptom management. The mindfulness level phenotype profile is critical to tailoring MBIs. It can guide the design and delivery of MBIs with optimal feasibility, acceptability, effectiveness, and sustained adherence for adults with COPD according to their mindfulness level profiles.
基于正念的干预措施（MBI）通过帮助患有慢性阻塞性肺疾病（COPD）的成年人管理症状和提高生活质量而使其受益。关于他们的正念基础知识和实践情况以及这些与症状管理之间的关系，人们了解甚少。
1）比较了解并实践正念者与不了解且不实践正念者之间抑郁、焦虑、呼吸困难、疲劳和失眠的症状严重程度评分；2）根据COPD患者的正念水平构建其表型特征。
339名社区居住成年人（平均年龄53.43±13.48岁，男性占61.28%，白人占48.21%）完成了一项在线横断面调查研究，表明他们的正念知识、实践、水平以及COPD症状严重程度。在对三组之间的多重比较进行校正后，我们使用Kruskal-Wallis检验、Fisher精确检验和卡方检验来比较这三个正念水平之间变量的差异。
自我认定了解正念的参与者（n = 315）报告的呼吸困难和疲劳严重程度明显较低。自我认定为当前正念实践者的参与者（n = 282）报告的症状严重程度显著较低。在不同的正念组中，表型特征分析水平在人口统计学和临床特征方面显示出统计学上的显著差异，包括抑郁症状、年龄、种族、教育水平以及患COPD的年限。我们发现性别或疾病严重程度水平没有差异。
实践正念的社区居住COPD成年人报告的症状严重程度低于未实践正念者。这表明将MBI作为一种补充性健康方法用于症状管理具有潜在益处。正念水平表型特征对于定制MBI至关重要。它可以根据COPD成年人的正念水平特征，以最佳的可行性、可接受性、有效性和持续依从性来指导MBI的设计和实施。
