RESUMEN
PURPOSE: This pilot investigation sought to compare outcomes including depression, anxiety, stress, mindful awareness, and exercise capacity between exercise-focused cardiac rehabilitation (ECR) and meditation-focused cardiac rehabilitation (MCR) programs for patients with coronary artery disease (CAD) who had percutaneous coronary intervention (PCI). DESIGN: A nonrandomized pretest-posttest design was employed. METHODS: Two different interventions (ECR vs. MCR) were implemented with participants of each group for 12 weeks. Questionnaires assessing depression, anxiety, stress, and mindful awareness and measures of peak VO2 were completed before and after the 12-week interventions. FINDINGS: Thirteen patients completed the cardiac rehabilitation (CR) programs. Meditation-focused cardiac rehabilitation was associated with significantly greater reductions in depression as compared to ECR; there were no significant differences between the two groups on other outcomes. CONCLUSIONS: The MCR program has similar effects to improve the physical and psychological outcomes, compared with the ECR program. CLINICAL RELEVANCE: There is potential for patients with CAD to participate in and benefit from nontraditional CR programs, and such CR could play a role in secondary prevention of CAD.
Asunto(s)
Rehabilitación Cardiaca/métodos , Enfermedad de la Arteria Coronaria/rehabilitación , Terapia por Ejercicio/normas , Anciano , Análisis de Varianza , Ansiedad/terapia , Rehabilitación Cardiaca/normas , Distribución de Chi-Cuadrado , Depresión/terapia , Terapia por Ejercicio/métodos , Terapia por Ejercicio/psicología , Femenino , Humanos , Masculino , Meditación/métodos , Meditación/psicología , Persona de Mediana Edad , Atención Plena/métodos , Psicometría/instrumentación , Psicometría/métodos , Enfermería en Rehabilitación/métodos , República de Corea , Estrés Psicológico/terapia , Encuestas y CuestionariosRESUMEN
BACKGROUND: Nursing students often experience depression, anxiety, stress and decreased mindfulness which may decrease their patient care effectiveness. Mindfulness-based stress reduction (MBSR) effectively reduced depression, anxiety and stress, and increased mindfulness in previous research with other populations, but there is sparse evidence regarding its effectiveness for nursing students in Korea. OBJECTIVES: To examine the effects of MBSR on depression, anxiety, stress and mindfulness in Korean nursing students. DESIGN: A randomized controlled trial. PARTICIPANTS/SETTING: Fifty (50) nursing students at KN University College of Nursing in South Korea were randomly assigned to two groups. Data from 44 students, MBSR (n=21) and a wait list (WL) control (n=23) were analyzed. METHODS: The MBSR group practiced mindfulness meditation for 2 h every week for 8 weeks. The WL group did not receive MBSR intervention. Standardized self-administered questionnaires of depression, anxiety, stress and mindfulness were administered at the baseline prior to the MBSR program and at completion (at 8 weeks). RESULTS: Compared with WL participants, MBSR participants reported significantly greater decreases in depression, anxiety and stress, and greater increase in mindfulness. CONCLUSION: A program of MBSR was effective when it was used with nursing students in reducing measures of depression, anxiety and stress, and increasing their mindful awareness. MBSR shows promise for use with nursing students to address their experience of mild depression, anxiety and stress, and to increase mindfulness in academic and clinical work, warranting further study.