Effects of brief mindfulness-based stress reduction on preoperative anxiety in patients undergoing painless gastrointestinal endoscopy

He Yanan; Ma Zuojun; Dong Jie; Li Xiangrui; Zhang Ping; Li Huixin; Xing Na

doi:10.13406/j.cnki.cyxb.003913

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Effects of brief mindfulness-based stress reduction on preoperative anxiety in patients undergoing painless gastrointestinal endoscopy

Clinical research | 更新时间：2025-10-21

- Effects of brief mindfulness-based stress reduction on preoperative anxiety in patients undergoing painless gastrointestinal endoscopy
- Journal of Chongqing Medical University Vol. 50, Issue 10, Pages: 1448-1452(2025)
- 作者机构：
  
  郑州大学第一附属医院麻醉与围手术期及疼痛医学部，河南 450002
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.003913
  CLC： R471
- Received：27 April 2025，
  
  Revised：2025-06-21，
  
  Accepted：03 July 2025，
  
  Published：28 October 2025
- 稿件说明：
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贺亚楠,马作军,董杰,等.短时正念减压疗法对无痛胃肠镜检查患者术前焦虑的影响[J].重庆医科大学学报,2025,50(10):1448-1452.

He Yanan,Ma Zuojun,Dong Jie,et al.Effects of brief mindfulness-based stress reduction on preoperative anxiety in patients undergoing painless gastrointestinal endoscopy[J].Journal of Chongqing Medical University,2025,50(10):1448-1452.
贺亚楠,马作军,董杰,等.短时正念减压疗法对无痛胃肠镜检查患者术前焦虑的影响[J].重庆医科大学学报,2025,50(10):1448-1452. DOI： 10.13406/j.cnki.cyxb.003913.

He Yanan,Ma Zuojun,Dong Jie,et al.Effects of brief mindfulness-based stress reduction on preoperative anxiety in patients undergoing painless gastrointestinal endoscopy[J].Journal of Chongqing Medical University,2025,50(10):1448-1452. DOI： 10.13406/j.cnki.cyxb.003913.

摘要

目的

探讨短时正念减压疗法（mindfulness-based stress reduction，MBSR）对无痛胃肠镜检查患者术前焦虑的影响。

方法

选择2024年9月至2025年4月郑州大学第一附属医院择期进行无痛胃肠镜检查的患者100例

，性别不限，年龄18~60岁，体质指数（boby mass index，BMI）18.0~28.0 kg/m

，美国麻醉医师学会（American Society of Anesthesiologists，ASA）Ⅰ~Ⅱ级，患者采用随机数字表法分为2组（

=50/组）：试验组和对照组。组建短时MBSR方案护理小组，于无痛胃肠镜检查前30 min，2组患者均采用阿姆斯特丹术前焦虑与信息需求量表（amsterdam preoperative anxiety and information scale，APAIS）评价基线焦虑状态，所有患者术前均进行常规术前宣教，试验组实施短时MBSR方案干预，在术前30 min和手术开始前15 min，连续2次，每次12 min，由护士指导患者进行正念身体扫描、正念呼吸和正念听音乐。记录术前30 min（T0）、短时正念干预后（T1）、麻醉诱导前即刻（T2）3个时间节点的APAIS评分、麻醉深度（bispectral index，BIS）、心率（heart rate，HR）、收缩压（systolic blood pressure，SBP）、舒张压（diastolic blood pressure，DBP）和平均动脉压（mean arterial pressure，MAP），监测麻醉恢复室（post anesthesia care unit，PACU）留观时间及术后不良反应，记录转出PACU时点（T3）的APAIS评分和患者满意度评分。

结果

与对照组比较，试验组T1、T2时间节点焦虑评分降低、BIS值降低、心率减慢，T3时点APAIS评分较低、患者满意度较高（

0.05）。各时间节点SBP、DBP和MAP、术后不良反应、PACU留观时间比较，差异无统计学意义（

0.05）。

结论

短时MBSR可有效缓解无痛胃肠镜检查患者的术前焦虑，降低脑电觉醒水平，并提升患者满意度，短时MBSR可作为非药物干预措施，改善围麻醉期患者术前的负性情绪。

Abstract

Objective

To investigate the effects of brief mindfulness-based stress reduction（MBSR） on preoperative anxiety in patients undergoing painless gastrointestinal endoscopy.

Methods

We enrolled 100 patients scheduled to undergo elective painless gastrointestinal endoscopy at The First Affiliated Hospital of Zhengzhou University from September 2024 to April 2025. The inclusion criteria were： age，18-60 years； body mass index，18.0-28.0 kg/m

； American Society of Anesthesiologists physical status，class Ⅰ or Ⅱ； and no gender restriction. The patients were assigned to experimental group（

=50） or control group（

=50） using a random number table. A dedicated nursing team implemented the brief MBSR protocol. At 30 minutes before endoscopy，both groups underwent anxiety assessment using the Amsterdam Preoperative Anxiety and Information Scale（APAIS）. All the patients received routine preoperative

education. Guided by the nurses，the experimental group received the brief MBSR intervention consisting of mindful body scanning，mindful breathing，and mindful music listening，for 12 minutes each at 30 and 15 minutes before the procedure. We recorded the APAIS score，bispectral index（BIS），heart rate（HR），systolic blood pressure（SBP），diastolic blood pressure（DBP），and mean arterial pressure（MAP） at 30 minutes before the procedure（T0），after brief MBSR（T1），and immediately before anesthesia induction（T2）； the length of stay in the post-anesthesia care unit（PACU） and postoperative adverse reactions； and the APAIS score and degree of satisfaction of patients at discharge from the PACU（T3）.

Results

Compared with the control group，the experimental group exhibited significantly lower APAIS scores，significantly reduced BIS values，and significantly lower HR values at T1 and T2 and a significantly lower APAIS score and a significantly higher degree of satisfaction at T3（all

0.05）. However，no significant differences were observed between the groups in SBP，DBP，MAP，postoperative adverse events，or PACU length of stay at any time point（all

0.05）.

Conclusion

Brief MBSR is an effective non-pharmacological intervention to cope with perioperative negative emotions in patients undergoing painless gastrointestinal endoscopy，which can alleviate preoperative anxiety，reduce electroencephalographic arousal，and improve patient satisfaction.

关键词

Keywords

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