曼陀罗染色对冠状动脉造影患者焦虑、压力、血流动力学参数和皮质醇水平的影响：一项随机对照研究
The Effect of Mandala Coloring on Anxiety, Stress, Hemodynamic Parameters, and Cortisol Levels in Patients Undergoing Coronary Angiography: A Randomized Controlled Study.
摘要(中文译文)
评估冠状动脉造影前实施的基于正念的曼荼罗着色对患者焦虑、压力、血流动力学参数和血浆皮质醇水平的影响。单盲、两组、随机对照试验。该研究于2023年6月至2024年10月在一家州立医院的冠状动脉重症监护室进行。共有90名患者（45名曼荼罗着色和45名对照）参与了这项研究。使用状态焦虑量表、痛苦温度计和血流动力学变量和皮质醇水平监测表收集数据。曼荼罗着色组在首次入院时（T0）表现出更高的压力和焦虑水平；这些水平在血管造影前曼荼罗着色干预后15分钟（T1）和血管造影后转移到病房后30分钟（T2）显著降低（P<0.05）。曼荼罗着色组和对照组在所有时间点的血流动力学参数方面没有显著差异（P>0.05）。此外，曼荼罗着色组的皮质醇水平在血管造影后显著降低（P<0.05）。这项研究具有重要意义，因为它首次证明了基于正念的曼荼罗着色是一种有效的非药物干预措施，可以降低患者在血管造影前的焦虑和压力水平，以及降低血浆皮质醇水平等生理压力标志物。
Abstract
To evaluate the effect of mindfulness-based mandala coloring implemented before coronary angiography on patients' anxiety, stress, hemodynamic parameters, and plasma cortisol levels. Single-blind, two-group, randomized controlled trial. The study was conducted in the coronary intensive care unit of a state hospital between June 2023 and October 2024. A total of 90 patients (45 mandala coloring and 45 control) participated in the study. Data were collected using the State Anxiety Inventory, the Distress Thermometer, and the Hemodynamic Variables and Cortisol Level Monitoring Form. The mandala coloring group exhibited higher stress and anxiety levels at initial admission to the unit (T0); these levels were significantly reduced at 15 minutes after mandala coloring intervention before angiography (T1) and 30 minutes after transfer to the ward following angiography (T2) (P < .05). No significant differences were observed between the mandala coloring and control groups in terms of hemodynamic parameters across all time points (P > .05). Furthermore, cortisol levels in the mandala coloring group were significantly decreased after angiography (P < .05). This study is significant as it is the first to demonstrate that a mindfulness-based mandala coloring is an effective nonpharmacological intervention for reducing patients' perceived levels of anxiety and stress before angiography, as well as for decreasing physiological stress markers such as plasma cortisol levels.
如何引用
AMA
Didem Kandemir, Zeynep Temiz, Semiha Öztürk Akın, Ufuk Aydoğdu. The Effect of Mandala Coloring on Anxiety, Stress, Hemodynamic Parameters, and Cortisol Levels in Patients Undergoing Coronary Angiography: A Randomized Controlled Study.. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses. 2026; doi:10.1016/j.jopan.2026.02.009.
APA
Didem Kandemir, Zeynep Temiz, Semiha Öztürk Akın, Ufuk Aydoğdu (2026). The Effect of Mandala Coloring on Anxiety, Stress, Hemodynamic Parameters, and Cortisol Levels in Patients Undergoing Coronary Angiography: A Randomized Controlled Study.. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses. https://doi.org/10.1016/j.jopan.2026.02.009
GB/T 7714
Didem Kandemir, Zeynep Temiz, Semiha Öztürk Akın, Ufuk Aydoğdu. The Effect of Mandala Coloring on Anxiety, Stress, Hemodynamic Parameters, and Cortisol Levels in Patients Undergoing Coronary Angiography: A Randomized Controlled Study.[J]. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2026 doi:10.1016/j.jopan.2026.02.009.
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