Golchoubi Ali, Miri Kheizaran, Vagheei Saeed, Hajiabadi Fatemeh, Kahrom Mahdi, Behnam Vashani Hamid Reza
Department of Medical- Surgical Nursing, School of Nursing and Midwifery (MSC Student), Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
J Cardiothorac Surg. 2024 Dec 19;19(1):657. doi: 10.1186/s13019-024-03186-9.
Anxiety and delirium are prevalent complications in cardiac patients undergoing invasive procedures like coronary artery bypass surgery, with untreated symptoms potentially leading to enduring physical and psychological consequences. Benson's relaxation technique, a method of attention focusing, has demonstrated efficacy in alleviating various symptoms, although findings are conflicting. Thus, this study aimed to assess the influence of Benson's relaxation on anxiety and delirium severity in open-heart surgery candidates.
Conducted in 2022 at Qaem Hospital in Mashhad, this randomized controlled trial involved 60 patients. The intervention group received Benson's relaxation training pre-surgery and practiced it twice daily for 72 h post-admission. Standard care was provided to controls. Anxiety and delirium were assessed using standardized scales before and after the intervention.
The demographic characteristics of both groups were comparable with no significant differences. Benson's relaxation significantly reduced delirium scores on the first and second days post-surgery (P < 0.001). However, the difference in delirium scores between the groups was not significant on the third day (P = 0.129). While the intervention led to a significant reduction in anxiety within the intervention group, no significant difference in anxiety reduction was observed between the intervention and control groups (P = 0.579).
Incorporating Benson's relaxation technique, which showed significant effects in reducing early postoperative delirium, into postoperative care plans for open-heart surgery patients warrants consideration. However, given the lack of a significant effect on anxiety reduction compared to routine care, further research is necessary to evaluate its long-term effectiveness and broader impact on psychological outcomes.
This study was registered in the Iranian Registry of Clinical Trials (no. c IRCT20210903052365N1) on 2022-01-28.
焦虑和谵妄是接受冠状动脉搭桥手术等侵入性手术的心脏病患者中普遍存在的并发症，未经治疗的症状可能会导致持久的身体和心理后果。本森放松疗法是一种注意力集中的方法，尽管研究结果存在矛盾，但已证明其在缓解各种症状方面具有疗效。因此，本研究旨在评估本森放松疗法对心脏直视手术患者焦虑和谵妄严重程度的影响。
这项随机对照试验于2022年在马什哈德的卡姆医院进行，涉及60名患者。干预组在手术前接受本森放松训练，并在入院后每天练习两次，持续72小时。对照组接受标准护理。在干预前后使用标准化量表评估焦虑和谵妄情况。
两组的人口统计学特征具有可比性，无显著差异。本森放松疗法在术后第一天和第二天显著降低了谵妄评分（P < 0.001）。然而，两组在术后第三天的谵妄评分差异不显著（P = 0.129）。虽然干预导致干预组内焦虑显著降低，但干预组和对照组在焦虑降低方面未观察到显著差异（P = 0.579）。
将在降低术后早期谵妄方面显示出显著效果的本森放松疗法纳入心脏直视手术患者的术后护理计划值得考虑。然而，鉴于与常规护理相比在减轻焦虑方面缺乏显著效果，有必要进一步研究以评估其长期有效性以及对心理结果的更广泛影响。
本研究于2022年1月28日在伊朗临床试验注册中心注册（编号c IRCT20210903052365N1）。
