在晚期COPD或癌症中,冥想运动治疗喘息:系统性审查和元分析
Claire M Nolan1,2, Lisa Jane Brighton3,4, Yihan Mo3
1Brunel University London, College of Medicine, Health and Life Sciences, Department of Health Sciences, London, UK claire.nolan@brunel.ac.uk.
概括
冥想运动,包括,太极拳和气功,在晚期COPD或癌症患者中没有显著改善呼吸困难或生活质量. 由于当前研究的方法限制,需要进一步的研究.
科学领域:
- 整合和补充医学是整合和补充医学.
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
背景情况:
- 喘息是COPD和癌症等晚期疾病的常见和令人痛苦的症状.
- 冥想运动实践 (,太极拳,气功) 越来越多地被用于症状管理.
- 关于它们在晚期疾病中治疗喘息的疗效的证据是有限的.
研究的目的:
- 系统地审查和评估有关冥想运动对晚期疾病中呼吸困难的影响的证据.
- 评估对二次结果的影响:生活质量,运动能力,功能表现和心理症状.
主要方法:
- 对11个数据库进行系统审查,包括英语和中文语言试验.
- 包括17项试验,共有1125名参与者 (COPD和癌症患者).
- 使用Cochrane工具评估偏差风险;在适当的情况下进行元分析.
主要成果:
- 冥想运动和对照组之间的喘息没有统计学上显著的差异 (SMD 0.10 [-0.15-0.34]).
- 与健康相关的生活质量和运动能力相似的非显著发现.
- 由于数据的限制,对功能表现和心理症状的元分析是不可能的.
结论:
- 冥想运动似乎没有改善呼吸困难,生活质量或晚期COPD或癌症的运动能力.
- 这些发现的确定性很低,这是由于重要的方法限制和包含的试验中存在偏差的高风险.
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