正念疗法对慢性心力衰竭患者健康状况影响的Meta分析  

Impact of mindfulness therapy on the health status of patients with heart failure:a systematic review and Meta-analysis

作　　者：杨棋涵 顾雪梅[1] 强莉[1] 杨雪兰 陈吉 黄婷[2] 李秀芳[1] YANG Qihan;GU Xuemei;QIANG Li;YANG Xuelan;CHEN Ji;HUANG Ting;LI Xiufang(Department of Nurse,Mianyang Hospital of Traditional Chinese Medicine,Mianyang 621000,China;School of Geriatric Health,Chengdu Medical College,Chengdu 610000,China)

机构地区：[1]绵阳市中医医院护理部,四川绵阳621000 [2]成都医学院老年健康学院,四川成都610000

出　　处：《现代医学》2024年第11期1652-1658,共7页Modern Medical Journal

基　　金：绵阳市哲学社会科学研究规划项目(MY2023ZC068);绵阳市哲学社会科学研究规划项目(MY2024ZC089)。

摘　　要：目的:系统评价正念疗法对慢性心力衰竭患者健康状况的干预效果。方法:检索PubMed、CochraneLibrary、Clinic Trials、PsycInfo、EMbase、Web of Science、CNKI、VIP、WanFang、SinoMed数据库建库及中外临床试验注册中心,检索正念疗法对慢性心力衰竭患者健康状况影响的随机对照试验,检索时限均为从建库至2024年2月1日。由2名研究者进行质量评价,采用RevMan 5.4软件进行Meta分析。结果:最终纳入8项研究,评估调查对象714人;Meta分析结果显示,与对照组比较,正念疗法能有效地提高心力衰竭患者的运动耐量[SMD=2.50,95%CI(5.68,46.91),P<0.05],提高生活质量[SMD=19.97,95%CI(-12.25,-10.06),P<0.001]。但在改善容量状态及压力方面差异无统计学意义[SMD=0.05,95%CI(-12.25,-10.05),P>0.05;SMD=1.98,95%CI(-5.22,-0.02),P=0.05]。结论:正念疗法可以有效地提高心力衰竭患者运动耐量及生活质量。但在改善容量状态及压力方面干预效果尚不明确,仍需开展更多高质量的临床研究进一步验证。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.

关 键 词：正念疗法 心力衰竭患者 运动耐量 生活质量 META分析 

分 类 号：R473.5[医药卫生—护理学]