Effects of Mindfulness Meditation on Anxiety, Self-Efficacy, and Quality of Life in Patients after Coronary Artery Bypass Transplantation
DOI:
https://doi.org/10.59958/hsf.7389Keywords:
coronary artery bypass grafting, mindfulness meditation, emotion of anxiety, quality of lifeAbstract
Objective: This study aimed to determine the effects of mindfulness meditation on the anxiety, self-efficacy, and quality of life of patients after coronary artery bypass grafting (CABG). Methods: Data of 124 patients who underwent CABG in our hospital from May 2020, to May 2022, were collected. In accordance with the presence or absence of mindfulness meditation, the patients were divided into control group (n = 64, conventional cardiac rehabilitation) and observation group (n = 60, conventional cardiac rehabilitation + mindfulness meditation). The Hamilton Anxiety Scale (HAMA), General Self-Efficacy Scale (GSES), quality of life, and postoperative complications were compared between the two groups. Results: No significant difference was observed in the HAMA, GSES, and quality-of-life scores between the two groups after operation (p > 0.05). After the intervention, the HAMA score of the observation group was lower than that of the control group (p < 0.05), and the GSES and quality of life scores of the observation group were higher than those of the control group (p < 0.05). The total incidence of postoperative complications in the observation group (5.00%) was lower than that in the control group (7.81%), without significant difference (p > 0.05). Conclusions: The use of mindfulness meditation for patients undergoing CABG is beneficial to relieve anxiety and improve their self-efficacy and quality of life, hence worthy of adoption.
References
Green AA, Kinchen EV. The Effects of Mindfulness Meditation on Stress and Burnout in Nurses. Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association. 2021; 39: 356–368.
Malin Y, Gumpel TP. Short Mindfulness Meditation Increases Help-Giving Intention Towards a Stranger in Distress. Mindfulness. 2022; 13: 2337–2346.
Kwon CY, Chung SY, Kim JW. Mindfulness meditation program for the elderly in Korea: A preliminary review for planning the program. Integrative Medicine Research. 2021; 10: 100451.
Zanini M, Nery RM, de Lima JB, Buhler RP, da Silveira AD, Stein R. Effects of Different Rehabilitation Protocols in Inpatient Cardiac Rehabilitation After Coronary Artery Bypass Graft Surgery: A RANDOMIZED CLINICAL TRIAL. Journal of Cardiopulmonary Rehabilitation and Prevention. 2019; 39: E19–E25.
Sweity EM, Alkaissi AA, Othman W, Salahat A. Preoperative incentive spirometry for preventing postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery: a prospective, randomized controlled trial. Journal of Cardiothoracic Surgery. 2021; 16: 241.
Beerkens FJ, Claessen BE, Mahan M, Gaudino MFL, Tam DY, Henriques JPS, et al. Contemporary coronary artery bypass graft surgery and subsequent percutaneous revascularization. Nature Reviews. Cardiology. 2022; 19: 195–208.
Silva M, Rong LQ, Naik A, Rahouma M, Hameed I, Robinson B, et al. Intraoperative graft flow profiles in coronary artery bypass surgery: A meta-analysis. Journal of Cardiac Surgery. 2020; 35: 279–285.
Jackson AC, Rogerson MC, Amerena J, Smith J, Hoover V, Alvarenga ME, et al. Unraveling the Complexity of Cardiac Distress: A Study of Prevalence and Severity. Frontiers in Psychiatry. 2022; 13: 808904.
Yuan Y, Xu HW, Zhang S, Wang Y, Kitayama A, Takashi E, et al. The mediating effect of self-efficacy on the relationship between family functioning and quality of life among elders with chronic diseases. Nursing Open. 2021; 8: 3566–3574.
Shukla R, Gupta M, Agarwal N, Bajpai A. Mindfulness Meditation as Adjunctive Therapy to Improve the Glycemic Care and Quality of Life in Patients with Type 1 Diabetes. Medical Sciences (Basel, Switzerland). 2021; 9: 33.
Simonsson O, Stenfors CUD, Goldberg SB, Hendricks PS, Osika W. Altered states of leadership: mindfulness meditation, psychedelic use, and leadership development. Frontiers in Psychology. 2023; 14: 1151626.
Hansell AK, Olmstead R, López Maya E, Banijamali S. Stress reduction for paid home care aides: A feasibility study of mindfulness meditation and Tai Chi interventions. Home Health Care Services Quarterly. 2023; 42: 328–346.
Matiz A, Crescentini C, Boaro E, Piani F, Fabbro F. Studio di follow-up sulla riduzione dei livelli di burnout con la meditazione mindfulness in professionisti socio-sanitari [Follow-up study on the reduction of burnout levels through mindfulness meditation in health care professionals.]. Giornale Italiano di Medicina del Lavoro ed Ergonomia. 2020; 42: 102–108. (In Italian)
Aisenberg-Shafran D, Shturm L. The effects of mindfulness meditation versus CBT for anxiety on emotional distress and attitudes toward seeking mental health treatment: a semi-randomized trial. Scientific Reports. 2022; 12: 19711.
Day MA, Matthews N, Davies JN, Walker C, Bray N, Kim J, et al. Outcome Expectancies, Effects, and Mechanisms of Brief Training in Mindfulness Meditation vs. Loving-Kindness Meditation vs a Control Condition for Pain Management: A Randomized Pilot Study. Journal of Pain & Palliative Care Pharmacotherapy. 2023; 1–11.
Yap WS, Dolzhenko AV, Jalal Z, Hadi MA, Khan TM. Efficacy and safety of lavender essential oil (Silexan) capsules among patients suffering from anxiety disorders: A network meta-analysis. Scientific Reports. 2019; 9: 18042.
Iwanowicz-Palus G, Mróz M, Bień A. Quality of life, social support and self-efficacy in women after a miscarriage. Health and Quality of Life Outcomes. 2021; 19: 16.
Burns JF, Hurwitz LM, Levie KE, Caumont F, Brand TC, Rosner IL, et al. Impact of Subsequent Biopsies on Comprehensive Health Related Quality of Life in Patients with and without Prostate Cancer. The Journal of Urology. 2019; 201: 916–922.
Sabatine MS, Bergmark BA, Murphy SA, O'Gara PT, Smith PK, Serruys PW, et al. Percutaneous coronary intervention with drug-eluting stents versus coronary artery bypass grafting in left main coronary artery disease: an individual patient data meta-analysis. Lancet (London, England). 2021; 398: 2247–2257.
Holm NR, Mäkikallio T, Lindsay MM, Spence MS, Erglis A, Menown IBA, et al. Percutaneous coronary angioplasty versus coronary artery bypass grafting in the treatment of unprotected left main stenosis: updated 5-year outcomes from the randomised, non-inferiority NOBLE trial. Lancet (London, England). 2020; 395: 191–199.
Ma J, Liao HJ, Shi FW, An JH, Zhao SG, Ma QL. Effects of off-pump coronary artery bypass graft on the clinical efficacy, surgical indicators, and cardiac function of patients with coronary heart disease. Annals of Palliative Medicine. 2021; 10: 597–605.
Hayashi J, Nakajima H, Asakura T, Iguchi A, Tokunaga C, Takazawa A, et al. Validity of Ipsilateral Internal Mammary Coronary Artery Bypass Graft of Arteriovenous Fistula. Heart, Lung & Circulation. 2022; 31: 1399–1407.
Nguyen L, Choi C. Intraoperative Transesophageal Echocardiography During Coronary Artery Bypass Graft Surgery (CABG): A Major Step Toward Improving Outcomes in Cardiac Surgery. Journal of Cardiothoracic and Vascular Anesthesia. 2022; 36: 1–3.
Allahwala UK, Ekmejian A, Mughal N, Brieger D, Nour D, Ciofani JL, et al. Impact of coronary artery bypass grafting (CABG) on coronary collaterals in patients with a chronic total occlusion (CTO). The International Journal of Cardiovascular Imaging. 2021; 37: 3373–3380.
Tang YY, Hölzel BK, Posner MI. The neuroscience of mindfulness meditation. Nature Reviews. Neuroscience. 2015; 16: 213–225.
Iwamoto SK, Alexander M, Torres M, Irwin MR, Christakis NA, Nishi A. Mindfulness Meditation Activates Altruism. Scientific Reports. 2020; 10: 6511.
Loucks EB, Britton WB, Howe CJ, Eaton CB, Buka SL. Positive Associations of Dispositional Mindfulness with Cardiovascular Health: the New England Family Study. International Journal of Behavioral Medicine. 2015; 22: 540–550.
Kaushik M, Jain A, Agarwal P, Joshi SD, Parvez S. Role of Yoga and Meditation as Complimentary Therapeutic Regime for Stress-Related Neuropsychiatric Disorders: Utilization of Brain Waves Activity as Novel Tool. Journal of Evidence-Based Integrative Medicine. 2020; 25: 2515690X20949451.
Xu T, Zhu P, Ji Q, Wang W, Qian M, Shi G. Psychological distress and academic self-efficacy of nursing undergraduates under the normalization of COVID-19: multiple mediating roles of social support and mindfulness. BMC Medical Education. 2023; 23: 348.
Alhawatmeh H, Alshammari S, Rababah JA. Effects of mindfulness meditation on trait mindfulness, perceived stress, emotion regulation, and quality of life in hemodialysis patients: A randomized controlled trial. International Journal of Nursing Sciences. 2022; 9: 139–146.
Molero Jurado MDM, Pérez-Fuentes MDC, Barragán Martín AB, Soriano Sánchez JG, Oropesa Ruiz NF, Sisto M, et al. Mindfulness in Family Caregivers of Persons with Dementia: Systematic Review and Meta-Analysis. Healthcare (Basel, Switzerland). 2020; 8: 193.
Kakar E, Ista E, Klimek M, Jeekel J. Implementation of music in the perioperative standard care of colorectal surgery: study protocol of the IMPROVE Study. BMJ Open. 2021; 11: e051878.