护理学报 ›› 2019, Vol. 26 ›› Issue (8): 31-36.doi: 10.16460/j.issn1008-9969.2019.08.031
正念减压疗法对乳腺癌患者干预效果的Meta分析
刘熠, 欧阳艳琼, 黄毅, 聂小菲
- 武汉大学 健康学院,湖北 武汉 430071
摘要： 目的 评价正念减压疗法对乳腺癌患者心理健康及生活质量的作用效果。方法 计算机检索Cochrane Library、PubMed、Web of Science、EMbase、CINAHL Complete、中国知网、万方数据库、维普数据库中研究正念减压疗法对乳腺癌患者焦虑、抑郁、压力及生活质量作用效果的随机对照试验。检索年限从建库到2018年11月31日。文献质量评价依照Cochrane Review Handbook 5.1.0质量评价标准,质量评价后运用RevMan 5.3软件进行Meta分析。结果 共检索文献615篇,经筛选后纳入12篇。Meta分析结果表明,正念减压疗法可以改善乳腺癌患者干预后的压力程度[MD=-4.81,95%CI(-5.25,-4.36),P<0.001],抑郁状况[SMD=-0.66,95%CI(-0.98,-0.33),P<0.001]以及焦虑情绪[SMD=-0.67,95%CI(-1.06,-0.29),P<0.001]。同时,随访后的压力程度[MD=-0.90,95%CI(-1.39,-0.42),P<0.001]和焦虑情绪[SMD=-0.30,95%CI(-0.57,-0.03),P=0.030]也有所缓解。结论 正念减压疗法可以有效缓解乳腺癌患者干预后及长期的压力程度和焦虑情绪,但对抑郁程度只有干预后的效果,而对生活质量的短期和长期效果均不显著。
中图分类号:
- R471
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