正念癌症康复对癌症病人情绪、压力、生活质量干预效果的Meta分析

Effect of mindfulness-based cancer recovery on mood,stress level,and quality of life in cancer patients:a Meta-analysis

目的:探讨正念癌症康复对癌症病人的干预效果。方法:检索中国知网、万方数据库、PubMed、Web of Science、EBSCO-Host、OVID数据库中关于正念癌症康复对癌症病人疗效的随机对照试验,检索时限为各数据库建库至2020年12月。根据Cochrane Handbook 5.1.0手册进行文献质量评价,由2名研究人员根据纳入及排除标准提取数据并整合。结果:最终共纳入6篇随机对照试验,涉及506例病人。结果显示,与常规护理方法相比,正念癌症康复能有效改善病人的情绪[MD=-10.76,95%CI(-12.61,-8.91),P<0.00001],减轻病人的压力症状[MD=-10.96,95%CI(-18.52,-3.40),P=0.005],提高病人的正念水平[MD=2.68,95%CI(2.00,3.35),P<0.00001],及生活质量[MD=3.19,95%CI(1.91,4.47),P<0.00001]。结论:实施正念癌症康复能够提高病人正念水平,减轻病人的压力症状,改善情绪,提高生活质量。

Objective:To investigate the intervention effect of mindfulness-based cancer recovery for cancer patients.Methods:Randomized controlled trials on the efficacy of mindfulness-based cancer recovery for cancer patients were retrieved from CNKI,WanFang Database,PubMed,Web of Science,EBSCO-Host and OVID databases.Literature quality was evaluated according to Cochrane Handbook 5.1.0,and data was extracted and integrated according to inclusion and exclusion criteria by 2 researchers.Results:A total of 6 randomized controlled trials involving 506 patients were included.The results showed that compared with conventional nursing methods,mindfulness-based cancer recovery can effectively improve the patient′s mood[MD=-10.76,95%CI(-12.61,-8.91),P<0.00001];reduce the patient′s stress symptoms[MD=-10.96,95%CI(-18.52,-3.40),P=0.005];improve the patient′s mindfulness level[MD=2.68,95%CI(2.00,3.35),P<0.00001]and quality of life[MD=3.19,95%CI(1.91,4.47),P<0.00001].Conclusion:The implementation of mindfulness-based cancer recovery can improve the patient′s mindfulness level,reduce the patient′s stress symptoms,improve their mood,and improve the quality of life.