Résumé
ObjectiveTo conduct a systematic review of the health benefits of mindfulness interventions for older adults with insomnia disorders. MethodsThematic keyword search was conducted in databases including Web of Science, PubMed, Embase, EBSCO, CNKI, VIP and Wanfang data, for literature on the impact of mindfulness intervention on sleep quality in older adults with insomnia disorders, published up to August, 2023. The methodological quality of the researches was evaluated using the Physiotherapy Evidence Database (PEDro) scale. Insomnia disorders, sleep function and mindfulness interventions were coded using International Classification of Diseases 11th Revision, International Classification of Functioning, Disability and Health, and International Classification of Health Interventions Beta-3； and a systematic review was conducted following the PRISMA. ResultsNine researches from four countries were included, involving 800 participants, and all the researches were randomized controlled trials. The average score of PEDro scale was 7.1. The health-related conditions were insomnia disorders and insomnia disorders complicated with mild cognitive impairment. Mindfulness interventions used included mindfulness-based therapy for insomnia, mindfulness-based stress reduction, mindfulness-based cognitive therapy and mindfulness meditation. Interventions were implemented in institutions or health centers, care facilities, and community health service centers, varying from six to eight weeks. Health benefits of mindfulness intervention included improvements in sleep quality and psychological and behavioral health. ConclusionMindfulness interventions effectively improve sleep quality in older adults with insomnia disorders, alleviate negative emotional states such as depression, anxiety and perceived stress, and improve the quality of life.
Résumé
The incidence of chronic pain is very high, which seriously affects the quality of life of patients.It is an important problem to be solved urgently in clinic. At present, people recognize the important role of biopsychology in the process of chronic pain management. Mindfulness intervention, as a cognitive and psychological intervention, has a positive effect on relieving the intensity of chronic pain, changing the perception of pain, improving the ability of pain management, and improving pain-related functional and emotional disorders. This paper reviews the clinical effect, mechanism and health economics of mindfulness intervention on chronic pain, and points out that network-based mindfulness intervention has broad prospects for development in the future, which is suitable for the current situation of large population base and few related practitioners in China.
Résumé
The incidence of chronic pain is very high,which seriously affects the quality of life of patients. It is an important problem to be solved urgently in clinic. At present,people recognize the important role of biopsychology in the process of chronic pain management. Mindfulness intervention,as a cognitive and psychological intervention,has a positive effect on relieving the intensity of chronic pain,changing the per-ception of pain,improving the ability of pain management,and improving pain-related functional and emotion-al disorders. This paper reviews the clinical effect,mechanism and health economics of mindfulness interven-tion on chronic pain,and points out that network-based mindfulness intervention has broad prospects for de-velopment in the future,which is suitable for the current situation of large population base and few related practitioners in China.