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20分钟正念呼吸对肾移植患者症状的改善:一项随机对照试验

Symptom reduction in kidney transplant patients from 20-minute mindful breathing: a randomized controlled trial.

作者信息

Lim Kai Wei, Ng Kok Peng, Ooi Shok Hoon, Siow Wei San, Tan Seng Beng

机构信息

Department of Medicine, University of Malaya Medical Center, Kuala Lumpur, Malaysia.

Subang Jaya Medical Center, Subang Jaya, Malaysia.

出版信息

BMC Nephrol. 2025 Apr 16;26(1):194. doi: 10.1186/s12882-024-03820-7.

DOI:10.1186/s12882-024-03820-7
PMID:40240987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12004610/
Abstract

BACKGROUND

Many kidney transplant recipients continue to be affected by multiple symptoms even after their transplant. Mindfulness may be helpful to alleviate some of the symptoms.

OBJECTIVES

Our current study aimed to determine the efficacy of a single session of 20-minute mindful breathing in alleviating multiple symptoms in kidney transplant patients.

METHODS

Adult kidney transplant patients with at least one symptom scoring ≥ 4/10 based on the Edmonton Symptom Assessment Scale (ESAS) were recruited from November 2020 to May 2021. Participants were randomly assigned to either 20-minute mindful breathing or control.

RESULTS

Sixty participants were recruited and randomly assigned to intervention (N = 30) or control (N = 30). There was statistically significant greater reduction of the total ESAS score in the intervention group compared with the control group (mean difference = -4.833, confidence interval = -7.837, -1.830, t = -3.251, p = 0002).

CONCLUSION

Our results provided evidence that 20-minute mindful breathing could reduce multiple symptoms rapidly in kidney transplant recipients.

摘要

背景

许多肾移植受者即使在移植后仍受到多种症状的影响。正念可能有助于缓解其中一些症状。

目的

我们目前的研究旨在确定单次20分钟的正念呼吸对缓解肾移植患者多种症状的疗效。

方法

2020年11月至2021年5月招募了基于埃德蒙顿症状评估量表(ESAS)至少有一项症状评分≥4/10的成年肾移植患者。参与者被随机分配到20分钟的正念呼吸组或对照组。

结果

招募了60名参与者并随机分配到干预组(N = 30)或对照组(N = 30)。与对照组相比,干预组的ESAS总分降低具有统计学意义(平均差异=-4.833,置信区间=-7.837,-1.830,t=-3.251,p = 0.002)。

结论

我们的结果提供了证据,表明20分钟的正念呼吸可以迅速减轻肾移植受者的多种症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e03/12004610/5c80504cfc2e/12882_2024_3820_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e03/12004610/c8d411a52886/12882_2024_3820_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e03/12004610/5c80504cfc2e/12882_2024_3820_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e03/12004610/c8d411a52886/12882_2024_3820_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e03/12004610/5c80504cfc2e/12882_2024_3820_Fig2_HTML.jpg

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Defining and measuring meditation-related adverse effects in mindfulness-based programs.界定和衡量基于正念的项目中与冥想相关的不良影响。
Clin Psychol Sci. 2021 May 18;9(6):1185-1204. doi: 10.1177/2167702621996340. Epub 2021 Nov 1.
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Kidney Disease Symptoms before and after Kidney Transplantation.肾移植前后的肾脏病症状。
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Managing Side Effects of Immunosuppressants.免疫抑制剂副作用的管理
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Symptom reduction in palliative care from single session mindful breathing: a randomised controlled trial.在姑息治疗中单次正念呼吸对症状的缓解作用:一项随机对照试验。
BMJ Support Palliat Care. 2021 Dec;11(4):433-439. doi: 10.1136/bmjspcare-2020-002382. Epub 2020 Aug 11.
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The Efficacy of a Single Session of 20-Minute Mindful Breathing in Reducing Dyspnea Among Patients With Acute Decompensated Heart Failure: A Randomized Controlled Trial.单次 20 分钟正念呼吸对急性失代偿性心力衰竭患者呼吸困难的疗效:一项随机对照试验。
Am J Hosp Palliat Care. 2021 Mar;38(3):246-252. doi: 10.1177/1049909120934743. Epub 2020 Jun 26.
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Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review.肾移植的心理和精神病理学方面:一项系统综述
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Exploration of symptom experience in kidney transplant recipients based on symptoms experience model.基于症状体验模型的肾移植受者症状体验探索。
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The Effect of 20-Minute Mindful Breathing on the Perception of Suffering and Changes in Bispectral Index Score (BIS) in Palliative Care Informal Caregivers: A Randomized Controlled Study.正念呼吸 20 分钟对姑息治疗非专业照护者痛苦知觉的影响及脑电双频指数(BIS)评分的变化:一项随机对照研究。
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