正念：能预防或减轻围术期焦虑或抑郁吗？

本文由“小麻哥的日常"授权转载

正念原是佛教的一种理念，后被卡巴金引入心理学中，定义为：正念是对当下不带评价的觉知。有关内容可以网上搜索查看。

摘要译文（供参考）

通过手机应用程序对等待手术的结直肠癌患者进行基于正念的干预：

一项随机临床试验

引言：

结直肠癌是世界上第三大最常见的癌症，无论是男性还是女性。

大约三分之一的癌症患者会出现焦虑或抑郁症状。

目的：

本研究的目的是通过移动应用程序（“En Calma En el Quirófano”）评估基于正念的减压干预的有效性。

方法：

本研究是一项多中心、单盲（评估者）、对照、随机试验，比较了在三个不同时间点（T0即基线时、T1里出院时，以及T2即手术后一个月）通过移动应用程序进行正念训练（干预组）和常规治疗（对照组）的有效性。

评估焦虑和抑郁症状（HADS）、生活质量（WHOQOL）、疼痛（VAS）和满意度（CSQ）。

结果：

共有270例候选患者。

其中39人和43人分别被分配到干预组和对照组。

对82名患者进行了分析：39名患者使用了该应用程序，43名患者照常继续治疗。

各组间和各时间掉之间没有显著变化。

我们观察到干预组自T0和T2以来抑郁和焦虑症状减少的轻微趋势（B=-0.2；95%CI在8.8和9.2之间）。

结论：

本研究样本的平均年龄较高（65岁），基线时焦虑和抑郁水平较低，术前生活质量中等。

这些因素可能会影响限制应用程序的有效性。

前瞻性研究线应侧重于评估移动应用程序对患有外科疾病的年轻患者的有效性。

关键词：

结直肠癌；直肠癌；正念；新技术；新技术；术后恢复；手术后恢复。

Mindfulness based intervention through mobile app for colorectal cancer people awaiting surgery: A randomized clinical trial

Introduction: Colorectal cancer is the third most common cancer worldwide both in men and women. Around one-third of patients with cancer will suffer from anxiety or depression symptoms. The aim of this study was to evaluate the effectiveness of a Mindfulness-based stress reduction intervention through a mobile application ("En Calma en el Quirófano").

Method: This study is a multicenter, single-blind (evaluator), controlled, randomised trial that compares the effectiveness of a mindfulness training through a mobile application (intervention group) and treatment as usual (control group) in three different moments (T0 or baseline, T1 or hospital discharge and T2 or one month after surgery). Anxiety and depression symptoms (HADS), quality of life (WHOQOL), pain, (VAS) and satisfaction (CSQ) were assessed.

Results: In all, there were 270 referred patients. Among them, 39 and 43 were assigned to the intervention and control groups respectively. 82 patients were analyzed: 39 patients used the app, and 43 patients continued with the treatment as usual. There were no significant changes between groups and time. We observed a slight trend in which intervention group had less depression and anxiety symptoms since T0 and T2 (B = -0.2; 95% CI between 8.8 and 9.2).

Conclusions: The sample of this study had a high mean age (65 years old), and low levels of anxiety and depression and medium levels of pre-surgery quality of life in baseline. These factors could have influenced limiting the effectiveness of the app. Prospective research lines should focus on evaluating the effectiveness of mobile applications for younger patients with surgical pathologies.

Keywords: Colorectal cancer; Cáncer colorrectal; Mindfulness; New technologies; Nuevas tecnologías; Post-surgery recovery; Recuperación postoperatoria.

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