A pilot study: mindfulness meditation intervention in COPD
A pilot study: mindfulness meditation intervention in COPD
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DOI：
10.2147/copd.s73864
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发表时间：
2015-01-01
影响因子：
2.8
通讯作者：
Larson, Janet L.
中科院分区：
文献类型：
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作者：
Chan, Roxane Raffin;Giardino, Nicholas;Larson, Janet L.
患有慢性阻塞性肺疾病 (COPD) 的人需要控制疾病相关症状才能参与日常生活活动。正念练习是一种干预措施，已被证明可以减少慢性病症状并提高准确的症状评估，这两者都可以改善慢性阻塞性肺病患者的疾病管理并提高健康水平。进行了一项随机对照试验，以调查针对慢性阻塞性肺病人群量身定制的为期 8 周的正念冥想干预计划，并探索使用呼吸计时参数作为冥想吸收的可能生理指标。结果表明，与随机分配到等待名单组 (N=22) 的患者相比，随机分配到正念冥想干预组 (N=19) 的患者呼吸频率随着时间的推移显着增加 (P=0.045)。研究还发现，与等待组相比，正念冥想干预组的正念水平随时间显着下降（P=0.023）。当检查完成六门或以上课程的正念冥想干预参与者时，发现与等待名单上的组相比，呼吸频率没有显着增加。此外，与候补组相比，完成六门或更多课程的学生（N=12）的情绪功能显着改善（P=0.032），尽管他们的正念水平没有提高。这项研究发现，慢性阻塞性肺病人群的呼吸参数、情绪和正念之间可能存在复杂的关系。结果表明冥想干预对慢性阻塞性肺病人群具有良好的可行性和可接受性。
Living well with chronic obstructive pulmonary disease (COPD) requires people to manage disease-related symptoms in order to participate in activities of daily living. Mindfulness practice is an intervention that has been shown to reduce symptoms of chronic disease and improve accurate symptom assessment, both of which could result in improved disease management and increased wellness for people with COPD. A randomized controlled trial was conducted to investigate an 8-week mindful meditation intervention program tailored for the COPD population and explore the use of breathing timing parameters as a possible physiological measure of meditation uptake. Results demonstrated that those randomized to the mindful meditation intervention group (N=19) had a significant increase in respiratory rate over time as compared to those randomized to the wait-list group (N=22) (P=0.045). It was also found that the mindful meditation intervention group demonstrated a significant decrease in level of mindfulness over time as compared to the wait-list group (P=0.023). When examining participants from the mindful meditation intervention who had completed six or more classes, it was found that respiratory rate did not significantly increase in comparison to the wait-list group. Furthermore, those who completed six or more classes (N=12) demonstrated significant improvement in emotional function in comparison to the wait-list group (P=0.032) even though their level of mindfulness did not improve. This study identifies that there may be a complex relationship between breathing parameters, emotion, and mindfulness in the COPD population. The results describe good feasibility and acceptability for meditation interventions in the COPD population.