基于正念的压力减轻 (MBSR) 对乳腺癌患者的使用-元分析
Xue Dong1, Yan Liu2, Kui Fang3
1Department of Neurosurgery, The First Affiliated Hospital of China Medical University, Shenyang, China.
一个为期8周的基于正念的压力减轻 (MBSR) 干预显著改善了乳腺癌患者的焦虑,抑郁和生活质量. 这些好处,特别是对于抑郁和生活质量,在干预后三个月内持续存在.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 基于证据的医学基于证据的医学.
背景情况:
- 基于正念的压力减轻 (MBSR) 用于癌症患者的症状管理.
- 它对乳腺癌患者的焦虑,抑郁,疲劳,生活质量 (QOL),创伤后生长 (PTG),癌症复发的恐惧 (FCR),疼痛和睡眠的具体影响需要澄清.
研究的目的:
- 系统地审查有关MBSR对乳腺癌患者各种指标的影响的文献.
- 为了比较8周与6周的MBSR干预措施的疗效.
- 评估干预后三个月MBSR的持续影响.
主要方法:
- 在PubMed,科学网,Embase和中国国家知识基础设施中进行了系统的文献搜索.
- 包括随机对照试验 (RCT),报告了焦虑,抑郁,疲劳,QOL,PTG,FCR,疼痛,压力和睡眠.
- 使用Review Manager 5.4进行了元分析,使用标准化的平均差异和95%的置信区间.
主要成果:
- 8周的MBSR干预显著减少了焦虑,抑郁,并在治疗结束时改善了QOL (P < 0.00001).
- 这些改善抑郁和QOL持续在干预后三个月,与6周干预不同.
- MBSR显著改善了PTG,干预后的效果持续了三个月,并在治疗结束时减少了疲劳.
结论:
- 8周的MBSR干预表明,在6周的时间内,在改善乳腺癌患者的质量生活,焦虑,抑郁和疲劳方面,其疗效优越.
- MBSR有效地增强了PTG,并且在干预后3个月内观察到持续的好处.
- 建议进行进一步的研究,以确定MBSR干预措施中最有效的组件.
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