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Abstract：
BACKGROUND: Effective pain and anxiety management during the perioperative phase remains a challenge for patients undergoing surgeries and other invasive procedures. The current standard of care involves prescribing analgesics to treat these conditions; however, there has been recent interest in applying multimodal strategies that limit the use of these medications. One such modality is meditation, which has been shown to be effective in alleviating various physical and psychological symptoms in other settings. This systematic review aims to assess how current meditative practices affect perioperative pain and anxiety.
METHODS: We conducted a systematic review of randomized controlled trials following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search was conducted using PubMed MEDLINE, Embase, PsycINFO, APA PsycINFO, EBM Reviews, Scopus, and Web of Science for all available dates. Our primary outcomes of interest were patient-reported pain and anxiety scores using the Visual Analog Scale, the Brief Pain Inventory, the Depression Anxiety Stress Scale, the State-Trait Anxiety Inventory (STAI), and the Hospital Anxiety and Depression Scale (HADS). For the HADS and STAI scales, only the anxiety and anxiety-state subgroups were reported, respectively.
RESULTS: The literature search yielded 1746 articles. A total of 286 full-text articles were screened, and 16 studies were included in this systematic review. A total of eight studies assessed pain scores after invasive procedures; five reported improvements in pain scores, and three reported no change after meditative practices. Ten studies assessed anxiety outcomes after invasive procedures: nine reported a decrease in overall anxiety levels as a result of meditation practices while one study reported no change in anxiety scores.
CONCLUSIONS: Data from this limited literature suggests that different meditation practices could be effective in alleviating pain and anxiety within the perioperative phase for patients undergoing various types of invasive procedures. Future prospective studies are needed to determine whether routine meditation in the perioperative setting is effective in mitigating perioperative pain and anxiety.
METHODS: We conducted a systematic review of randomized controlled trials following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search was conducted using PubMed MEDLINE, Embase, PsycINFO, APA PsycINFO, EBM Reviews, Scopus, and Web of Science for all available dates. Our primary outcomes of interest were patient-reported pain and anxiety scores using the Visual Analog Scale, the Brief Pain Inventory, the Depression Anxiety Stress Scale, the State-Trait Anxiety Inventory (STAI), and the Hospital Anxiety and Depression Scale (HADS). For the HADS and STAI scales, only the anxiety and anxiety-state subgroups were reported, respectively.
RESULTS: The literature search yielded 1746 articles. A total of 286 full-text articles were screened, and 16 studies were included in this systematic review. A total of eight studies assessed pain scores after invasive procedures; five reported improvements in pain scores, and three reported no change after meditative practices. Ten studies assessed anxiety outcomes after invasive procedures: nine reported a decrease in overall anxiety levels as a result of meditation practices while one study reported no change in anxiety scores.
CONCLUSIONS: Data from this limited literature suggests that different meditation practices could be effective in alleviating pain and anxiety within the perioperative phase for patients undergoing various types of invasive procedures. Future prospective studies are needed to determine whether routine meditation in the perioperative setting is effective in mitigating perioperative pain and anxiety.
摘要：
背景：围手术期的有效疼痛和焦虑管理对于接受手术和其他侵入性手术的患者仍然是一个挑战。目前的护理标准包括处方镇痛药来治疗这些疾病；然而，最近有兴趣应用限制这些药物使用的多模式策略.一种这样的方式是冥想，这已被证明是有效的缓解各种身体和心理症状在其他环境中。本系统综述旨在评估当前的冥想实践如何影响围手术期疼痛和焦虑。
方法：我们根据系统评价和荟萃分析指南的首选报告项目对随机对照试验进行了系统评价。使用PubMedMEDLINE进行了全面的文献检索，Embase,PsycINFO,APAPsycINFO,EBM评论,Scopus,和WebofScience的所有可用日期。我们感兴趣的主要结果是使用视觉模拟量表的患者报告的疼痛和焦虑评分，简短的疼痛清单，抑郁焦虑压力量表，状态特质焦虑量表(STAI)，和医院焦虑和抑郁量表（HADS）。对于HADS和STAI量表,仅报告了焦虑和焦虑状态亚组，分别。
结果：文献检索产生1746篇文章。共筛选了286篇全文,本系统综述纳入了16项研究.共有8项研究评估了侵入性手术后的疼痛评分；5项研究报告了疼痛评分的改善，三个报告冥想练习后没有变化。10项研究评估了侵入性手术后的焦虑结果：9项报告由于冥想练习而导致整体焦虑水平下降，而一项研究报告焦虑评分没有变化。
结论：来自此有限文献的数据表明，对于接受各种类型侵入性手术的患者，不同的冥想练习可以有效缓解围手术期的疼痛和焦虑。需要进一步的前瞻性研究来确定围手术期的常规冥想是否有效减轻围手术期的疼痛和焦虑。
方法：我们根据系统评价和荟萃分析指南的首选报告项目对随机对照试验进行了系统评价。使用PubMedMEDLINE进行了全面的文献检索，Embase,PsycINFO,APAPsycINFO,EBM评论,Scopus,和WebofScience的所有可用日期。我们感兴趣的主要结果是使用视觉模拟量表的患者报告的疼痛和焦虑评分，简短的疼痛清单，抑郁焦虑压力量表，状态特质焦虑量表(STAI)，和医院焦虑和抑郁量表（HADS）。对于HADS和STAI量表,仅报告了焦虑和焦虑状态亚组，分别。
结果：文献检索产生1746篇文章。共筛选了286篇全文,本系统综述纳入了16项研究.共有8项研究评估了侵入性手术后的疼痛评分；5项研究报告了疼痛评分的改善，三个报告冥想练习后没有变化。10项研究评估了侵入性手术后的焦虑结果：9项报告由于冥想练习而导致整体焦虑水平下降，而一项研究报告焦虑评分没有变化。
结论：来自此有限文献的数据表明，对于接受各种类型侵入性手术的患者，不同的冥想练习可以有效缓解围手术期的疼痛和焦虑。需要进一步的前瞻性研究来确定围手术期的常规冥想是否有效减轻围手术期的疼痛和焦虑。
