Mindfulness therapy for patients with coronary heart disease: A systematic review and meta-analysis

IF 1.9 4区医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-08-11 DOI:10.1111/ijn.13276

Weina Li MSc, Xiaoqin Liao MSc, Dandan Geng MSc, Jiechao Yang MSc, Hu Chen MSc, Shuqin Hu MSc, Mengqiao Dai MSc

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Abstract

Aim

Coronary heart disease (CHD) is a prevalent cardiovascular disease with high mortality rates worldwide. Patients with CHD often experience adverse psychological stress related to the disease's diagnosis, treatment and recovery phases. This stress can hurt sleep quality and overall quality of life. Mindfulness-based interventions (MBIs) have been studied as a psychotherapeutic approach to alleviating the psychological stress associated with CHD. This study aimed to determine the effectives of MBIs for health outcomes in patients with CHD.

Methods

A total of eight English-language databases were searched, and eight relevant studies were included in the analysis. The included studies were assessed for literature quality, and data were extracted and analysed using Review Manager 5.3.

Results

A total of eight studies involving 802 participants were included in the analysis. Compared to control groups, MBIs significantly reduced anxiety, depression, perceived stress, and systolic blood pressure. However, there was no significant effect on diastolic blood pressure, quality of life or body mass index. One study reported that MBIs significantly improved sleep quality in patients with acute myocardial infarction after percutaneous coronary intervention but had no significant effect on body mass index.

Conclusion

MBIs had significant effects on anxiety and depression in patients with CHD, reduced perceived stress and were associated with reductions in systolic blood pressure and improvements in sleep quality. However, they did not significantly affect diastolic blood pressure, quality of life or body mass index.

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冠心病患者的正念疗法：系统回顾与荟萃分析。

目的：冠心病（CHD）是一种普遍存在的心血管疾病，在全世界的死亡率都很高。冠心病患者在疾病诊断、治疗和康复阶段经常会经历不良的心理压力。这种压力会影响睡眠质量和整体生活质量。作为一种心理治疗方法，正念干预（MBIs）已被研究用于缓解与冠心病相关的心理压力。本研究旨在确定正念干预对冠心病患者健康结果的影响：方法：共检索了 8 个英文数据库，并将 8 项相关研究纳入分析。对纳入的研究进行了文献质量评估，并使用Review Manager 5.3对数据进行了提取和分析：共有八项涉及 802 名参与者的研究被纳入分析。与对照组相比，MBIs 能显著降低焦虑、抑郁、感知压力和收缩压。但对舒张压、生活质量或体重指数没有明显影响。一项研究报告称，MBIs能明显改善经皮冠状动脉介入治疗后急性心肌梗死患者的睡眠质量，但对体重指数没有明显影响：结论：MBIs 对冠心病患者的焦虑和抑郁有明显影响，可降低压力感知，并与收缩压的降低和睡眠质量的改善相关。然而，它们对舒张压、生活质量或体重指数没有明显影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.