Mindfulness-based supportive therapy on reducing suffering in patients with advanced cancer: randomised controlled trial.

Autor: Tan SB; Medicine, University of Malaya, Kuala Lumpur, Malaysia pramudita_1@hotmail.com., Chee CH; Medicine, University of Malaya, Kuala Lumpur, Malaysia., Ngai CF; Medicine, University of Malaya, Kuala Lumpur, Malaysia., Hii SL; Medicine, University of Malaya, Kuala Lumpur, Malaysia., Tan YW; Medicine, University of Malaya, Kuala Lumpur, Malaysia., Ng CG; Medicine, University of Malaya, Kuala Lumpur, Malaysia., Capelle DP; Medicine, University of Malaya, Kuala Lumpur, Malaysia., Zainuddin SI; Medicine, University of Malaya, Kuala Lumpur, Malaysia., Loh EC; Medicine, University of Malaya, Kuala Lumpur, Malaysia., Lam CL; Medicine, University of Malaya, Kuala Lumpur, Malaysia., Chai CS; Medicine, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia., Ng DLC; Medicine, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
Jazyk: angličtina
Zdroj: BMJ supportive & palliative care [BMJ Support Palliat Care] 2024 Jan 08; Vol. 13 (e3), pp. e1117-e1125. Date of Electronic Publication: 2024 Jan 08.
DOI: 10.1136/bmjspcare-2021-003349
Abstrakt: Objectives: Suffering is common among patients with advanced cancer. The practice of mindfulness during patient care can potentially reduce suffering. We aimed to examine the efficacy of mindfulness-based supportive therapy (MBST) on reducing suffering in patients with advanced cancer.
Methods: We conducted a parallel-group, single-blinded, randomised controlled trial at the University of Malaya Medical Centre, Malaysia. Seventy-three patients with advanced cancer with an overall suffering score ≥4/10 based on the Suffering Pictogram were recruited and randomly assigned into either the MBST group (n=34) or the control group (n=39).
Results: There was a statistically significant reduction in the overall suffering score in the MBST group compared with the control group (U=432.5, median 1 =-2.0, median 2 =-1.0, z=-2.645, p=0.008). There was also significant improvement in the total Hospital Anxiety and Depression Scale score (U=483.5, median 1 =-4.0, median 2 =-3.0, z=-1.994, p=0.046), and the total Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being score (U=252.0, median 1 =+14.5, median 2 =+5.0, z=-4.549, p=0.000) in the MBST group compared with the control group.
Conclusions: The results provided evidence that the practice of MBST during patient care could promote positive psychosocial outcomes.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE