Online mindfulness training in percutaneous coronary intervention: a randomized clinical trial

  • Naizhen Liu Department of Anesthesiology, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China
  • Wenji Xie Department of Anesthesiology, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China
Keywords: coronary disease, mindfulness, percutaneous coronary intervention, stress disorder

Abstract

Background: Mindfulness training exhibits favorable effects on both psychological and physiological outcomes. We aimed at assessing its effects on post-percutaneous coronary intervention (PCI) patients.

Methods: We recruited 357 patients arranged with PCI and randomized them in a ratio of 1:1 (n = 178 versus n = 179) into a 3-month mindfulness training class in addition to usual care. The primary outcomes were the physiological and health-related quality of life outcomes of patients post-PCI. The secondary outcomes were the psychological outcomes of the patients.

Results: Compared to the control group, the 3-month mindfulness training improved the physiological outcomes including systolic blood pressure, body mass index, total cholesterol level, low-density lipoprotein-cholesterol, and triglyceride levels of patients post-PCI. The psychological outcomes including depression, anxiety, self-efficacy, and stress of these patients were also improved statistically.

Conclusion: Mindfulness training exhibited benefits on both physiological and psychological outcomes of patients post-PCI.

Downloads

Download data is not yet available.

References

Bhatt DL. Percutaneous coronary intervention in 2018. JAMA 2018; 319(20): 2127–8. doi: 10.1001/jama.2018.5281

Gulanick M, Bliley A, Perino B, Keough V. Patients’ responses to the angioplasty experience: a qualitative study. Am J Crit Care 1997; 6(1): 25–32. doi: 10.4037/ajcc1997.6.1.25

Zhang P. Study of anxiety/depression in patients with coronary heart disease after percutaneous coronary intervention. Cell Biochem Biophys 2015; 72(2): 503–7. doi: 10.1007/s12013-014-0495-2

van Montfort E, Denollet J, Widdershoven J, Kupper N. Interrelation and independence of positive and negative psychological constructs in predicting general treatment adherence in coronary artery patients – results from the THORESCI study. J Psychosom Res 2016; 88: 1–7. doi: 10.1016/j.jpsychores.2016.06.009

Trotter R, Gallagher R, Donoghue J. Anxiety in patients undergoing percutaneous coronary interventions. Heart Lung 2011; 40(3): 185–92. doi: 10.1016/j.hrtlng.2010.05.054

Rolley JX, Salamonson Y, Dennison CR, Davidson PM. Nursing care practices following a percutaneous coronary intervention: results of a survey of Australian and New Zealand cardiovascular nurses. J Cardiovasc Nurs 2010; 25(1): 75–84. doi: 10.1097/JCN.0b013e3181bb419d

Creswell JD. Mindfulness interventions. Annu Rev Psychol 2017; 68: 491–516. doi: 10.1146/annurev-psych-042716-051139

Hofmann SG, Gomez AF. Mindfulness-based interventions for anxiety and depression. Psychiatr Clin North Am 2017; 40(4): 739–49. doi: 10.1016/j.psc.2017.08.008

Tang YY, Holzel BK, Posner MI. The neuroscience of mindfulness meditation. Nat Rev Neurosci 2015; 16(4): 213–25. doi: 10.1038/nrn3916

Reich RR, Lengacher CA, Klein TW, Newton C, Shivers S, Ramesar S, et al. A randomized controlled trial of the effects of mindfulness-based stress reduction (MBSR[BC]) on levels of inflammatory biomarkers among recovering breast cancer survivors. Biol Res Nurs 2017; 19(4): 456–64. doi: 10.1177/1099800417707268

Kaliman P, Alvarez-Lopez MJ, Cosin-Tomas M, Rosenkranz MA, Lutz A, Davidson RJ. Rapid changes in histone deacetylases and inflammatory gene expression in expert meditators. Psychoneuroendocrinology 2014; 40: 96–107. doi: 10.1016/j.psyneuen.2013.11.004

Carlson LE. Mindfulness-based interventions for coping with cancer. Ann N Y Acad Sci 2016; 1373(1): 5–12. doi: 10.1111/nyas.13029

Williams H, Simmons LA, Tanabe P. Mindfulness-based stress reduction in advanced nursing practice: a nonpharmacologic approach to health promotion, chronic disease management, and symptom control. J Holist Nurs 2015; 33(3): 247–59. doi: 10.1177/0898010115569349

Younge JO, Wery MF, Gotink RA, Utens EM, Michels M, Rizopoulos D, et al. Web-based mindfulness intervention in heart disease: a randomized controlled trial. PLoS One 2015; 10(12): e0143843. doi: 10.1371/journal.pone.0143843

Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67(6): 361–70. doi: 10.1111/j.1600-0447.1983.tb09716.x

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983; 24(4): 385–96. doi: 10.2307/2136404

Pedersen SS, Spinder H, Erdman RA, Denollet J. Poor perceived social support in implantable cardioverter defibrillator (ICD) patients and their partners: cross-validation of the multidimensional scale of perceived social support. Psychosomatics 2009; 50(5): 461–7. doi: 10.1016/S0033-3182(09)70838-2

Moons P, Van Deyk K, De Bleser L, Marquet K, Raes E, De Geest S, et al. Quality of life and health status in adults with congenital heart disease: a direct comparison with healthy counterparts. Eur J Cardiovasc Prev Rehabil 2006; 13(3): 407–13. doi: 10.1097/01.hjr.0000221864.19415.a0

McHorney CA, Ware JE, Jr., Raczek AE. The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 1993; 31(3): 247–63. doi: 10.1097/00005650-199303000-00006

Shimonaga T, Kurisu S, Watanabe N, Ikenaga H, Higaki T, Iwasaki T, et al. Myocardial injury after percutaneous coronary intervention for in-stent restenosis versus de novo stenosis. Intern Med 2015; 54(18): 2299–305. doi: 10.2169/internalmedicine.54.5003

De Candia G. Percutaneous coronary intervention risk scores. Minerva Cardioangiol 2018; 66(5): 569–75. doi: 10.23736/S0026-4725.18.04661-3

Olsen SJ, Schirmer H, Wilsgaard T, Bonaa KH, Hanssen TA. Cardiac rehabilitation and symptoms of anxiety and depression after percutaneous coronary intervention. Eur J Prev Cardiol 2018; 25(10): 1017–25. doi: 10.1177/2047487318778088

Gu G, Zhou Y, Zhang Y, Cui W. Increased prevalence of anxiety and depression symptoms in patients with coronary artery disease before and after percutaneous coronary intervention treatment. BMC Psychiatry 2016; 16: 259. doi: 10.1186/s12888-016-0972-9

Black DS. Mindfulness-based interventions: an antidote to suffering in the context of substance use, misuse, and addiction. Subst Use Misuse 2014; 49(5): 487–91. doi: 10.3109/10826084.2014.860749

Black DS, Slavich GM. Mindfulness meditation and the immune system: a systematic review of randomized controlled trials. Ann N Y Acad Sci 2016; 1373(1): 13–24. doi: 10.1111/nyas.12998

Hsu SM, Tang SM, Chen MF. [Application of mindfulness-based health-promotion behavior in people with chronic diseases: SMILE strategy]. Hu Li Za Zhi 2019; 66(6): 20–6.

Johns SA, Brown LF, Beck-Coon K, Talib TL, Monahan PO, Giesler RB, et al. Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors. Support Care Cancer 2016; 24(10): 4085–96. doi: 10.1007/s00520-016-3220-4

Armani Kian A, Vahdani B, Noorbala AA, Nejatisafa A, Arbabi M, Zenoozian S, et al. The impact of mindfulness-based stress reduction on emotional wellbeing and glycemic control of patients with type 2 diabetes mellitus. J Diabetes Res 2018; 2018: 1986820. doi: 10.1155/2018/1986820

Dowsey M, Castle D, Knowles S, Monshat K, Salzberg M, Nelson E, et al. The effect of mindfulness training prior to total joint arthroplasty on post-operative pain and physical function: a randomised controlled trial. Complement Ther Med 2019; 46: 195–201. doi: 10.1016/j.ctim.2019.08.010

Published
2022-10-10
How to Cite
LiuN., & XieW. (2022). Online mindfulness training in percutaneous coronary intervention: a randomized clinical trial. STEMedicine, 3(4), e143. https://doi.org/10.37175/stemedicine.v3i4.143
Section
Research articles