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设计一个冥想模块以影响原发性高血压患者的病因和预防因素——一项试点研究。

Designing a meditation module to affect etiological and preventive factors in primary hypertensive patients-A pilot study.

作者信息

Goswami Sharma Kapila, Manjula S D, Kamath Shobha U, Prabhu M Mukhyaprana, Babu M G Ramesh, Bose Ujjal, Vasanthalaxmi K

机构信息

Department of Physiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.

Department of Biochemistry, Kasturba Medical College Manipal, MAHE, Manipal, Karnataka, India.

出版信息

Physiol Rep. 2025 Feb;13(3):e70226. doi: 10.14814/phy2.70226.

Abstract

The aim of the present pilot study is to design, validate, and check the feasibility and efficacy of the designed meditation module on etiological and preventive factors in primary hypertensive patients (PHP). The systematic and detailed meditation module was formulated to prevent the complications of hypertension. The designed module was validated by 5 subject experts in the field of complementary and alternative therapy and research. Content Validity Ratio (CVR), Average Congruency Percentage (ACP), and Content Validity Index were calculated. The intervention was given for 5 days a week for 4 weeks, to 9 PHP to check the feasibility and the efficacy of the module by analyzing biochemical and psychological parameters. A randomized controlled trial is planned ahead with this module as intervention. The designed meditation module had 19 concepts with CVR >0.49 and ACP > 90% which were retained, 2 were modified (CVR 0.6, ACP 80) and 1 was deleted as CVR was <0.49 and ACP < 70%. The feasibility test mean was 93.33 ± 8.66 and the efficacy was tested by increase in the brain-derived neurotrophic factor (BDNF) (p = 0.022) and decrease in anxiety (p = 0.022) and perceived stress (p = 0.016), improvement in emotional quotient (p = 0.011), mental state (p = 0.044), quality of sleep (p = 0.001), quality of life (p = 0.011), and happiness state (p = 0.003). The designed meditation module was found valid by the experts, feasible to patients, and efficient in improving biochemical and psychological parameters among PHP to affect the hypertensive etiological factors and check the progress and complications of the disorder. Trial Registration: CTRI/2022/09/045421.

摘要

本初步研究的目的是设计、验证并检验所设计的冥想模块对原发性高血压患者(PHP)病因及预防因素的可行性和有效性。制定了系统且详细的冥想模块以预防高血压并发症。所设计的模块由5名补充替代疗法与研究领域的专家进行了验证。计算了内容效度比(CVR)、平均一致性百分比(ACP)和内容效度指数。对9名PHP患者,每周进行5天,共4周的干预,通过分析生化和心理参数来检验该模块的可行性和有效性。计划以该模块作为干预措施进行一项随机对照试验。所设计的冥想模块有19个概念,CVR>0.49且ACP>90%,这些概念被保留,2个被修改(CVR为0.6,ACP为80),1个因CVR<0.49且ACP<70%被删除。可行性测试平均值为93.33±8.66,有效性通过脑源性神经营养因子(BDNF)升高(p=0.022)、焦虑降低(p=0.022)、感知压力降低(p=0.016)、情商提高(p=0.011)、精神状态改善(p=0.044)、睡眠质量改善(p=0.001)、生活质量改善(p=0.011)和幸福状态改善(p=0.003)来检验。专家们发现所设计的冥想模块有效,对患者可行,且在改善PHP患者的生化和心理参数以影响高血压病因因素及检查疾病进展和并发症方面有效。试验注册号:CTRI/2022/09/045421。

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