Efficacy of Mindfulness Meditation on Patients With Stroke With Concurrent Coronary Heart Disease: A Randomised Controlled Trial

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-11-05 DOI:10.1002/cpp.70012
Lulu Kou, Min Liu, Shaowei Kang, Guangxiao Ni
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Abstract

Objective

This study aimed to investigate the efficacy of mindfulness meditation on sleep quality and negative emotions in patients with stroke with concurrent coronary heart disease.

Methods

This study was a randomised controlled trial. A total of 72 patients with stroke with concurrent coronary heart disease were randomly divided into an observation group and a control group, with 36 patients in each group. The control group received routine treatment plus eszopiclone tablets at a dosage of 3 mg once daily. The observation group received mindfulness meditation in addition to the treatment given to the control group. The Pittsburgh Sleep Quality Index was used to assess sleep status, the Self-Rating Anxiety Scale and Self-Rating Depression Scale were used to assess depression and anxiety, and the Fugl–Meyer Assessment was used to assess motor function. All participants in both groups received a 6-week intervention.

Results

Pairwise comparisons revealed that the observation group had better outcomes in sleep quality, sleep onset latency, sleep duration, sleep efficiency, sleep disturbances, daytime function and total scores at both 6 and 12 weeks compared with the control group (p < 0.05). After 12 weeks of intervention, compared with the control group, the total score of sleep quality improved more significantly (9.22 ± 2.35/6.26 ± 2.47). Additionally, different treatment methods had varying effects on anxiety scores, depression scores and motor function scores between the two groups (p < 0.001). Further comparisons showed that the observation group had lower anxiety and depression scores and higher motor function scores at both 6 and 12 weeks compared with the control group (p < 0.05).

Conclusion

Mindfulness meditation can effectively improve sleep quality and reduce negative emotions in patients with stroke with concurrent coronary heart disease, as well as promote the recovery of limb functions.

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正念冥想对并发冠心病的脑卒中患者的疗效:随机对照试验
研究目的本研究旨在探讨正念冥想对并发冠心病的脑卒中患者的睡眠质量和负面情绪的疗效:本研究为随机对照试验。将 72 名脑卒中并发冠心病患者随机分为观察组和对照组,每组 36 人。对照组接受常规治疗,同时服用埃佐匹克隆片,每天一次,每次 3 毫克。观察组除接受对照组的治疗外,还接受正念冥想。匹兹堡睡眠质量指数用于评估睡眠状况,焦虑自评量表和抑郁自评量表用于评估抑郁和焦虑,福格-迈耶评估用于评估运动功能。两组的所有参与者都接受了为期 6 周的干预:结果:配对比较显示,与对照组相比,观察组在6周和12周的睡眠质量、睡眠开始潜伏期、睡眠持续时间、睡眠效率、睡眠障碍、日间功能和总分方面都取得了更好的结果(P 结论:正念冥想能有效改善睡眠质量:正念冥想能有效改善脑卒中并发冠心病患者的睡眠质量,减少负面情绪,促进肢体功能的恢复。
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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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