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December 05-06, 2019 | Dubai, UAE
29
th
International Conference on
14
th
International Conference on
Nursing Education and Research
Cancer and Cancer Therapy
Joint Event
&
Journal of Intensive and Critical Care Nursing | Volume 2
Health benefits of mindfulness-based interventions for patients with inflammatory
bowel disease: A systematic review and meta-analysis
Zhou Meijing
Nanjing Medical University, China
Introduction:
Given that there is no cure for inflammatory
bowel disease (IBD), psychosocial interventions have been
recommendedasanimportantcomponentofcomplementary
alternative therapies. Mindfulness-based interventions, a
burgeoning psychological interventions, are increasingly
used to reduce stress, alleviate psychological concerns and
improve overall well-being in patients with other chronic
disease. However, there are a lack of consensus regarding the
effectiveness of mindfulness-based interventions in patients
with IBD.
Objectives:
We collected data to explore the efficacy of
mindfulness-based interventions compared to treatment as
usual, in treating psychosocial symptoms associated with IBD.
Methods:
We conducted a systematic review and meta-
analysis of randomized controlled trials. We included
interventions focused onmindfulness-based stress reduction,
mindfulness-based cognitive therapy, dialectical behavior
therapy and acceptance and commitment therapy, with no
restrictions on participants' age and disease severity. We
searched the following electronic databases: MEDLINE,
EMBASE, PsycINFO, CINAHL, the Cochrane Library, China
BiologyMedicine, ChineseNational Knowledge infrastructure,
Wan Fang Data. The review was performed in accordance
with Preferred Reporting Items for Systematic Reviews and
Meta-Analyses guidelines.
Results:
We included six studies in themeta-analysis, with 400
patients. Mindfulness-based interventions showed significant
effects on depression in both the short (SMD=-0.71; 95%CI:
-1.20, -0.22; P=0.004) and long term (SMD=-0.53; 95%CI:
-0.97, -0.10; P=0.02), short term effects on anxiety (SMD
=-0.58; 95%CI: -1.03, -0.14; P=0.01), but not statistically
significant improvements in QOL (SMD=0.18; 95%CI: -0.26,
0.61; P= 0.42) and not statistically significant effects on stress
in both the short (SMD= −1.26; 95%CI: -2.99, 0.48; P=0.15),
and long term (SMD=-0.82; 95%CI: -1.70, 0.06; P=0.07).
Conclusions:
Mindfulness-based interventions are effective
in alleviate depression and anxiety, but do not show an
advantage in improving quality of life and reducing stress
among patients with IBD. Further additional rigorously
designed randomized controlled trials with larger sample size
are urgently warranted to verify this conclusion.
e
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18940860012@163.comJ Intensive Crit Care Nurs | Volume 2