Effectiveness of Mindfulness Meditation Programs in the Promotion of Quality of Life in Patients with Heart Failure: A Systematic Review

Abstract

Heart failure (HF) is a disabling illness with significant morbidity and mortality, affecting at least 26 million people worldwide, and is increasing in prevalence. 1 In spite of optimal medical treatment, many patients continue to show a high prevalence of symptoms, 2-6 including dyspnea, fatigue, edema, 7 as well as psychosocial distress. [8][9][10][11] This burden of symptoms contributes to a high morbidity and poor health-related quality of life -HRQoL. 7,12,13 The HF patient's quality of life itself is associated with prognosis, hospitalizations, and mortality. 14,15 Mindfulness is described as the ability to pay attention in a particular way: on purpose, at the present moment, and non-judgmentally. 16 Mindfulness-based intervention (MBI) includes meditative exercises, using focused breathing as a tool, and has been effective in reducing stress, anxiety, and depressive symptoms, 17,18 as well as in improving physical functioning 17,19,20 and decreasing cardiovascular sympathetic activity in randomized controlled trials-RCTs. 19,20 Over the past decade, many RCT's have presented evidence on the effectiveness of MBI in several chronic conditions, such as cancer, depression, chronic pain,

Impacto de um Programa de Redução do Estresse, Meditação e Mindfulness em Pacientes com Insuficiência Cardíaca Crônica: Um Ensaio Clínico Randomizado

“… 35 Tal resultado foi demonstrado por apenas dois estudos prévios envolvendo a prática de atenção plena em portadores de IC, 29 , 36 sendo um deles estudo piloto, conforme apontado em revisão sistemática prévia. 37 Há de se salientar que esta variável é considerada mais importante do que a longevidade com a progressão da IC. 38 …”

“… 35 This result was demonstrated by only two previous studies involving mindfulness practice in patients with HF, 29 , 36 one of which was a pilot study, as pointed out in a previous systematic review. 37 It should be noted that this variable is considered more important than longevity with the progression of HF. 38 …”

“…Avaliando o resultado obtido na ACM, nota-se que existe diferença entre os grupos no período pós (p-valor=0,033). O FMI-Br do grupo intervenção foi maior (43,1) do que o controle (37,3). Quanto à qualidade de vida (MLHFQ) houve efeito significativo na interação.…”

The Role of Trait Mindfulness in the Quality of Life of the Adult Population: A Systematic Review

“…Revisiones sistemáticas (RS) y metaanálisis (MA) han explorado la relación entre CV y mindfulness, pero la mayoría se han centrado en poblaciones clínicas (Cavalcante et al, 2022;Chen et al, 2021;Goyal et al, 2014;Han, 2021a;Hearn y Cross, 2020;Li et al, 2022;Newland y Bettemcourt, 2020;Nnate et al, 2021;Zhang et al, 2019a;Zhang et al, 2019b). Otros MA buscaron evaluar la relación en cuidadores familiares de personas con demencia (Han, 2021b), y en población iraní (Aghaie et al, 2018).…”