Application of a mindfulness based self-care intervention program for chronic heart failure patients and their caregivers
10.3969/j.issn.1006-5725.2025.17.003
- VernacularTitle:慢性心力衰竭患者及其照顾者正念自我关怀干预方案的应用
- Author:
Yinglan HUANG
1
;
Fuwei LIU
;
Li XIAO
;
Jing WANG
;
Hongping HU
;
Jun LUO
Author Information
1. 南方医院赣州医院(赣州市人民医院)心血管内科(江西 赣州 341000)
- Publication Type:Journal Article
- Keywords:
dual disease management theory;
chronic heart failure;
mindfulness;
self-care
- From:
The Journal of Practical Medicine
2025;41(17):2624-2630
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a mindfulness-based self-care intervention program for patients with chronic heart failure(CHF)and their caregivers based on binary disease management theory and explore its small-scale application effect.Methods A prospective study was conducted on 100 pairs of CHF patients admitted to our hospital and their caregivers from January 2024 to October 2024.After excluding those with invalid survey data,92 pairs were finally included and randomly divided into an observation group and a control group,each consisting of 46 pairs.The control group received routine nursing care,while the observation group received the mindfulness-based self-care program based on binary disease management theory in addition to routine nursing care.The Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Self Compassion Scale(SCS),and Mindfulness Attention Awareness Scale(MAAS)were used to compare the anxiety,depression,self-care,and mindfulness levels of patients and caregivers at three time points:pre-intervention(T1),right post-intervention(T2),and one month post-intervention(T3).The Caregiver Positive Perception Scale(PAC)was used to evaluate the caregiver's positive perception at each time point.Results The HAMA and HAMD scores of patients and caregivers in the observation group were lower than those in the control group at T2 and T3,while the SCS scores were signifi-cantly higher(all P<0.05).Repeated-measures analysis of variance showed significant differences in HAMA,The mindfulness-based self-care intervention program based on binary disease management theory effectively reduces negative emotions in patients and caregivers,and improves mindfulness and self-care,showing clinical application potential.
