Effects of Mindfulness Meditation on Anxiety, Self-Efficacy, and Quality of Life in Patients after Coronary Artery Bypass Transplantation

Shuyuan Wei, Ji Wang, Hua Xie, Yanshuang Cheng
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Abstract

Objective: This study aimed to determine the effects of mindfulness meditation on the anxiety, self-efficacy, and quality of life of patients after coronary artery bypass grafting (CABG). Methods: Data of 124 patients who underwent CABG in our hospital from May 2020, to May 2022, were collected. In accordance with the presence or absence of mindfulness meditation, the patients were divided into control group (n = 64, conventional cardiac rehabilitation) and observation group (n = 60, conventional cardiac rehabilitation + mindfulness meditation). The Hamilton Anxiety Scale (HAMA), General Self-Efficacy Scale (GSES), quality of life, and postoperative complications were compared between the two groups. Results: No significant difference was observed in the HAMA, GSES, and quality-of-life scores between the two groups after operation (p > 0.05). After the intervention, the HAMA score of the observation group was lower than that of the control group (p < 0.05), and the GSES and quality of life scores of the observation group were higher than those of the control group (p < 0.05). The total incidence of postoperative complications in the observation group (5.00%) was lower than that in the control group (7.81%), without significant difference (p > 0.05). Conclusions: The use of mindfulness meditation for patients undergoing CABG is beneficial to relieve anxiety and improve their self-efficacy and quality of life, hence worthy of adoption.
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正念冥想对冠状动脉旁路移植术后患者焦虑、自我效能感和生活质量的影响
研究目的本研究旨在确定正念冥想对冠状动脉旁路移植术(CABG)术后患者的焦虑、自我效能感和生活质量的影响。研究方法收集2020年5月至2022年5月在我院接受冠状动脉旁路移植术的124名患者的数据。根据是否进行正念冥想,将患者分为对照组(n=64,常规心脏康复治疗)和观察组(n=60,常规心脏康复治疗+正念冥想)。比较两组患者的汉密尔顿焦虑量表(HAMA)、一般自我效能量表(GSES)、生活质量和术后并发症。结果显示两组患者术后的 HAMA、GSES 和生活质量评分无明显差异(P > 0.05)。干预后,观察组的 HAMA 评分低于对照组(P < 0.05),观察组的 GSES 和生活质量评分高于对照组(P < 0.05)。观察组术后并发症总发生率(5.00%)低于对照组(7.81%),差异无显著性(P > 0.05)。结论对接受心血管造影术的患者使用正念冥想有益于缓解焦虑,提高他们的自我效能和生活质量,因此值得采用。
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