基于互联网的正念干预在癌症患者中应用效果的Meta分析

Effect of internet-based mindfulness intervention on cancer patients:a meta-analysis

目的:系统评价基于互联网的正念干预对癌症患者的干预效果。方法:通过计算机检索PubMed、Cochrane Library、Embase、Web of Science、CINAHL、Sinomed、中国知网、万方及维普数据库,检索时间从建库至2023年11月,收集关于基于互联网的正念干预应用于癌症患者的随机对照研究,利用RevMan 5.4软件进行Meta分析。结果:共纳入10篇文献,937例癌症患者。结果显示,基于互联网的正念干预可以改善癌症患者的焦虑情绪[SMD=-1.21,95%CI(-2.27,-0.16),P=0.02]、抑郁情绪[SMD=-1.32,95%CI(-2.55,-0.09),P=0.04],降低压力水平[SMD=-0.67,95%CI(-1.21,-0.13),P=0.01],但对创伤后成长[MD=-2.31,95%CI(-6.69,2.07),P=0.30]及生活质量[SMD=0.30,95%CI(-0.07,0.66),P=0.11]无明显效果。结论:现有证据表明,基于互联网的正念干预能改善癌症患者的焦虑、抑郁及压力水平,对于创伤后成长及生活质量的影响还需要进一步研究。

Objective:To systematically evaluate the effects of internet-based mindfulness-based intervention(MBI)on cancer patients.Methods:PubMed,the Cochrane Library,Embase,Web of Science,CINAHL,Sinomed,CNKI,Wanfang and VIP databases were searched by computer to collect randomized controlled trials on internet-based mindfulness intervention in cancer patients.The search time was from database inception to November 2023.RevMan 5.4 software was used to conduct a meta-analysis of the included literature.Results:A total of 10 studies involving 937 cancer patients were included.Results showed that the internet-based mindfulness intervention can relieve the anxiety of patients with cancer[SMD=-1.21,95%CI(-2.27,-0.16),P=0.02),depression[SMD=-1.32,95%CI(-2.55,-0.09),P=0.04),and stress level[SMD=-0.67,95%CI(-1.21,-0.13),P=0.01],but there had no obvious effect on post-traumatic growth[MD=-2.31,95%CI(-6.69,2.07),P=0.30]and quality of life[SMD=0.30,95%CI(-0.07,0.66),P=0.11].Conclusion:Existing evidence shows that internet-based mindfulness interventions can relieve the anxiety,depression and stress levels of cancer patients.The effects of internet-based mindfulness interventions on post-traumatic growth and quality of life need further study.