Objective: To systematically evaluate the intervention effect of mindfulness therapy on the health status of patients with chronic heart failure. Methods: PubMed, Cochrane Library, Clinical Trials, PsycInfo, EMbase, Web of Science, CNKI, VIP, WanFang, SinoMed Database, and Chinese and foreign clinical trial registration centers were searched for randomized controlled trials on the impact of mindfulness therapy on the health status of patients with chronic heart failure. The search period was from database establishment to February 1, 2024. Quality evaluation was conducted by two researchers using RevMan 5.4 software for Meta-analysis. Results: 8 studies were ultimately included and 714 survey subjects were evaluated; the Meta-analysis results showed that compared with the control group, mindfulness therapy can effectively improve exercise tolerance in patients with heart failure [SMD=2.50, 95%CI(5.68, 46.91), P<0.05], and improve quality of life [SMD=19.97, 95%CI (-12.25，-10.06), P<0.001]. However, there was no statistically significant difference in improving capacity status and pressure [SMD=0.05, 95%CI(-12.25，-10.05), P>0.05; SMD=1.98, 95%CI(-5.22，-0.02), P=0.05]. Conclusion: Mindfulness therapy can effectively improve exercise tolerance and quality of life in patients with heart failure. However, the intervention effect in improving capacity status and pressure is not yet clear, and more high-quality clinical studies are still needed for further verification. |
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