目的:探讨幽默疗法对癌症病人情绪控制的效果,为临床辅助治疗与护理提供参考。方法:计算机检索维普数据库、万方数据库、中国知网、the Cochrane Library、PubMed、Web of Science、EBSCO自建库至2023年3月31日公开发表的文献。选取所...目的:探讨幽默疗法对癌症病人情绪控制的效果,为临床辅助治疗与护理提供参考。方法:计算机检索维普数据库、万方数据库、中国知网、the Cochrane Library、PubMed、Web of Science、EBSCO自建库至2023年3月31日公开发表的文献。选取所有幽默疗法对癌症病人情绪控制效果分析的随机、半随机对照试验,并对参考文献进行追踪。研究者独立按照纳入和排除标准筛选文献,评价纳入研究的偏倚风险后,提取有效数据,采用RevMan 5.3软件对结果进行Meta分析,不能合并的数据进行描述性分析。结果:共纳入8项随机对照试验,涉及369例病人。幽默疗法与常规治疗/护理或空白对照相比,抑郁评分[SMD=-0.81,95%CI(-1.06,-0.56),Z=6.42,P<0.00001]、压力评分[SMD=-0.86,95%CI(-1.38,-0.33),Z=3.21,P=0.001]、焦虑评分[SMD=-0.78,95%CI(-1.40,-0.16),Z=2.46,P=0.01],差异有统计学意义。生活质量评分[SMD=0.34,95%CI(-0.47,1.15),Z=0.81,P=0.42],不同治疗/护理方法差异无统计学意义。结论:现有证据显示,幽默疗法能有效缓解癌症病人抑郁、焦虑情绪,降低心理压力,对癌症病人心理疾病治疗/护理具有重要作用。展开更多
The evolution of Holocene climate was investigated using grain size and magnetic susceptibility of the Holocene paleosols from Baicaoyuan(BCY),Xifeng(XF) and Linyou(LY) sections in the northwest,central and southern C...The evolution of Holocene climate was investigated using grain size and magnetic susceptibility of the Holocene paleosols from Baicaoyuan(BCY),Xifeng(XF) and Linyou(LY) sections in the northwest,central and southern Chinese Loess Plateau(CLP).The results show that the Holocene in the B CY,XF and LY paleosol sections could be divided into three phases:during the early Holocene(11.8-10.5 kyr B.P.),increased magnetic susceptibility(χ) and frequency-dependent magnetic susceptibility(χ) and decreased median grain size(Md) indicate that the East Asian Summer Monsoon(EASM) has become more intense and the climate has changed from cold to warm.During the middle Holocene(10.5-5.0 kyr B.P.),the values of χ,χand 2-5 μm grain-size fraction(GT2/5) are higher and Md and 30-63 μm grain-size fraction(GT3 0/6 3) are the lowest,which reflect a warm and humid regional climate.At~8.0 kyr B.P.,there was a transient dry-cold climatic spike corresponding to a Heinrich Event,the cold event was likely due to the collapse of the Laurentide ice sheet.During the late Holocene(5.0-0 kyr B.P.),χ and χvalues are the lowest,while Md and GT30/63 are high,as proxies of a weakened EASM,when the dry-cold climate prevailed in the region.Decreased irradiance since 5.0 kyr B.P.may have caused climatic cooling and drying.Spatially,the increased main peak values and skewness from BCY,XF to LY sections show that the grain size became fine,the East Asian Winter Monsoon(EAWM) reduced,and climate was warmer and wetter from northwest to southeast.In addition,Md can be used as alternative proxy for EAWM,while χis positive with the intensity of EASM under semiarid climate conditions in CLP.展开更多
基金Under the auspices of the Second Tibetan Plateau Scientific Expedition and Research(STEP)program(No.2019QZKK0704)Natural Science Foundation of China(No.41772168,42103046)Natural Science Foundation of Gansu Province(No.20JR5RA272,20JR5RA226)。
文摘The evolution of Holocene climate was investigated using grain size and magnetic susceptibility of the Holocene paleosols from Baicaoyuan(BCY),Xifeng(XF) and Linyou(LY) sections in the northwest,central and southern Chinese Loess Plateau(CLP).The results show that the Holocene in the B CY,XF and LY paleosol sections could be divided into three phases:during the early Holocene(11.8-10.5 kyr B.P.),increased magnetic susceptibility(χ) and frequency-dependent magnetic susceptibility(χ) and decreased median grain size(Md) indicate that the East Asian Summer Monsoon(EASM) has become more intense and the climate has changed from cold to warm.During the middle Holocene(10.5-5.0 kyr B.P.),the values of χ,χand 2-5 μm grain-size fraction(GT2/5) are higher and Md and 30-63 μm grain-size fraction(GT3 0/6 3) are the lowest,which reflect a warm and humid regional climate.At~8.0 kyr B.P.,there was a transient dry-cold climatic spike corresponding to a Heinrich Event,the cold event was likely due to the collapse of the Laurentide ice sheet.During the late Holocene(5.0-0 kyr B.P.),χ and χvalues are the lowest,while Md and GT30/63 are high,as proxies of a weakened EASM,when the dry-cold climate prevailed in the region.Decreased irradiance since 5.0 kyr B.P.may have caused climatic cooling and drying.Spatially,the increased main peak values and skewness from BCY,XF to LY sections show that the grain size became fine,the East Asian Winter Monsoon(EAWM) reduced,and climate was warmer and wetter from northwest to southeast.In addition,Md can be used as alternative proxy for EAWM,while χis positive with the intensity of EASM under semiarid climate conditions in CLP.
