WONCA研究论文摘要汇编——运动心率监测仪用于乡村初级保健机构的焦虑治疗:导向性研究

发布时间：2018-08-09 18:09

【摘要】：背景和目的乡村焦虑症患者对传统的生物反馈仪的可得性较差。运动心率监测仪(HRMs)是健身行业使用的反馈工具,可以向运动员反馈心率和调整呼吸策略。HRMs价格便宜、呈独立体且方便公众使用。此研究为随机对照导向性研究,旨在探讨在练习引导性正念、腹式呼吸和渐进性肌肉放松技术的同时使用HRMs作为生物反馈是否比单独使用这些行为技术更有助于缓解焦虑。方法将53例乡村焦虑症患者随机分入HRM组或对照组,两组均由非行为专家念标准指导语引导练习行为技术,HRM组还可以收到心率反馈。训练1次/周,20 min/次,共4次。结果 HRM组的焦虑状态(状态-特质焦虑问卷)和自我效能(一般自我效能量表)有更显著的改善,且该组中有更多的人表示:"感觉可控制他们的焦虑"。结论此前瞻性研究表明这种便宜且便于使用的新型工具可能是有效的焦虑临床干预方法,行为专家和其他初级保健医生均能很容易地将这种工具用于焦虑症患者的个体或者团体生物反馈治疗。此工具还可用于焦虑症患者的自我管理。但为了确保证据的可靠性未来还需做采用盲法设计的大样本研究。
[Abstract]:Background and objective Rural anxiety patients have poor availability of traditional biofeedback instruments. Exercise heart rate monitor (HRMs) is a feedback tool used in fitness industry. It can give athletes feedback on heart rate and adjust breathing strategy. HRMs are cheap, independent and easy to use by the public. This study, a randomized controlled study, was designed to explore whether using HRMs as biofeedback along with guided mindfulness, abdominal breathing and progressive muscle relaxation techniques can help ease anxiety more than using these behavioral techniques alone. Methods 53 patients with rural anxiety disorder were randomly divided into HRM group and control group. Both groups received heart rate feedback. Once a week for 20 min/, a total of 4 times. Results the anxiety state (state-trait anxiety questionnaire) and self-efficacy (general self-efficacy scale) of HRM group were significantly improved, and more people in the group indicated that "feeling can control their anxiety". Conclusion this prospective study suggests that this new, inexpensive and easy-to-use tool may be an effective clinical intervention for anxiety. Behavioural experts and other primary care doctors can easily use this tool for individual or group biofeedback treatment of anxiety patients. This tool can also be used for self-management of patients with anxiety disorders. However, in order to ensure the reliability of the evidence, a large sample study using blind design is needed in the future.
【作者单位】：中国石油天然气集团公司中心医院;
【分类号】：R749.72

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