目的：评价正念冥想疗法对慢性心力衰竭患者负性情绪及心功能的影响。方法：计算机检索在中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science、Cochrane Library、EMBASE、EBSCOhost数据库中正念冥想疗法对慢性心力衰竭患者的负性情绪及心功能影响的随机对照试验(RCT)，检索时限为建库至2022年4月。对符合排纳标准的文献进行质量评价，使用RevMan 5.4软件进行Meta分析。结果：最终纳入13篇RCT，共1 222例患者。Meta分析结果显示：正念冥想疗法可以有效地改善慢性心力衰竭患者的焦虑[SMD=-1.53,95%CI (-2.14,-0.92),P＜0.000 01]、抑郁[SMD=-1.22,95%CI(-1.69,-0.75),P＜0.000 01]、左室射血分数(LVEF)[MD=3.31,95%CI(1.75,4.86),P＜0.000 1]、6分钟步行试验距离[MD=41.33,95%CI(18.58,64.08),P=0.000 4]。结论：正念冥想疗法的干预模式与常规护理相比，在慢性心力衰竭患者的负性情绪和心功能的问题上有明显的改善效果；但在改善心功能方面缺乏高质量文章证据支持，可用文章较少，需要更多高质量的研究进一步验证。 |
Objective: To evaluate the effects of mindfulness meditation therapy on negative emotions and cardiac function in patients with chronic heart failure. Methods: CNKI, Wanfang Data, VIP, Chinese Biomedical Literature Database, PubMed, Web of Science, The Cochrane Library, EMBASE, EBSCOhost were searched for randomized controlled trials(RCT) on the effects of mindfulness meditation therapy on negative emotions and cardiac function in patients with chronic heart failure from the establishment of the database to April 2022. The literature that met the inclusion and exclusion criteria was evaluated for quality, and RevMan5.4 software was used for Meta-analysis of extracted data. Results: 13 RCTs were included, including 1 222 patients. The Meta-analysis results showed that mindfulness meditation therapy was effective in improving anxiety[SMD=-1.53,95%CI(-2.14,-0.92), P＜0.000 01], depression[SMD=-1.22,95%CI(-1.69,-0.75),P＜0.000 01], Left ventricular ejection fraction(LVEF)[MD=3.31,95%CI(1.75,4.86),P<0.000 1], and 6-minute walking test distances [MD=41.33,95%CI(18.58,64.08), P=0.000 4]in patients with chronic heart failure. Conclusion: Nursing intervention mode based on mindfulness meditation therapy compared with routine nursing can effectively improve negative emotions and cardiac function problem in patients with chronic heart failure. However, we lack of high-quality evidence to support the improvement of cardiac function and fewarticles are available, further high-quality studies are needed for verification. |
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