Effect of mindfulness-based stress reduction in patients with acute myocardial infarction after successful primary percutaneous coronary intervention: a retrospective study

BMC Cardiovascular Disorders

Research

Sha-Sha Meng¹  Xiao-Shan Tong¹  Jun-Jie Gu¹  Shu-Hui Xu¹  Jin-Yan Huang² 

[1] Department of cardiology, Hangzhou First People’s Hospital, Zhejiang University School of Medicine, 310006, Hangzhou, Zhejiang, China;Operation room, Hangzhou Women’s Hospital, 310016, Hangzhou, Zhejiang, China;

关键词: Mindfulness;    Mindfulness-based stress reduction;    Acute myocardial infarction;    Primary percutaneous coronary intervention;   

DOI  :  10.1186/s12872-023-03346-0

 received in 2023-02-09, accepted in 2023-06-13,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectiveThis study aimed to examine the effects of mindfulness-based stress reduction (MBSR) in patients with acute myocardial infarction (AMI) after primary percutaneous coronary intervention (PPCI).MethodsA retrospective study was conducted with data collected from AMI patients who underwent successful PPCI. The study included 61 cases that received 8-week MBSR intervention (MBSR group) and 61 cases that received weekly health education (control group) over the same period. Outcome measures, including hemodynamic parameters, psychosocial characteristics [Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Perceived Social Support Scale (PSSS)], health-related quality of life [HRQoL, 7-item Seattle Angina Questionnaire (SAQ-7)], and major adverse cardiovascular events (MACE), were assessed at baseline (T1), post-intervention (T2), 1 month after the post-intervention (T3) and 3 months after the post-intervention (T4).ResultsCompared to the control group, the MBSR group showed improvements in blood pressure, specifically in systolic blood pressure (SBP) at T4, and diastolic blood pressure (DBP) at T3 and T4, and mean arterial blood pressure (MABP) at T3 and T4. Additionally, the MBSR group had lower scores of anxiety and perceived stress (HADS, PSS) and higher scores of perceived social support (PSSS) after the intervention. Furthermore, the MBSR group had higher scores on the SAQ-7 at all measurement points. The control group had a significantly higher total MACE rate compared to the MBSR group (26.23% vs. 9.84%).ConclusionsThis study provides support for the potential benefits of MBSR as an adjunctive treatment for AMI patients undergoing PPCI.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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