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基于正念的干预对更年期症状的有效性:随机对照试验的系统审查和元分析

Hongjuan Wang¹, Hui Wang², Jojo Yan Yan Kwok³

¹Xiangya School of Nursing, Central South University, Changsha, Hunan Province, China.

Journal of affective disorders

|April 7, 2025

概括

基于正念的干预措施 (MBI) 显著改善更年期症状,生活质量,睡眠和情绪. 本综述支持MBI对更年期期间妇女健康的研究,尽管需要更多的研究.

科学领域:

妇女健康妇女健康
综合医学是一个整体的医学.
心理健康心理健康

背景情况:

更年期显著影响女性的情绪和幸福感.
健康结果,如生活质量和更年期症状经常受到影响.
基于正念的干预措施 (MBI) 正在探索如何管理这些变化.

研究的目的:

系统地检查MBI对更年期妇女各种健康结果的有效性.
关键结果包括更年期症状,生活质量 (QOL),睡眠质量,焦虑,抑郁症状,压力,正念水平和性功能.
本综述旨在综合有关更年期健康的MBI的当前证据.

主要方法:

在8个数据库中进行了系统的搜索,搜索到2024年11月4日的随机对照试验 (RCT).
两位研究人员独立选择,提取数据,并使用Cochrane协作工具评估偏差风险.
进行了元分析,子组分析,灵敏度分析和元回归,证据质量通过GRADE进行评估.

主要成果:

确定了19项研究 (1670名参与者);18项被纳入了元分析.
MBIs显著改善了更年期症状,QOL,睡眠质量,焦虑,抑郁症状,压力和正念水平.
由于局限性,证据质量低到中等;然而,MBI显示了高可接受性与低磨损 (6%) 和高坚持 (79%).

结论:

基于正念的干预措施有助于改善更年期妇女的健康结果.
需要进一步严格的RCT和更长的随访,以了解MBI的机制并加强临床应用.
MBIs显示出作为一个有价值的工具来管理更年期带来的多方面的健康挑战的潜力.

关键词:

更年期的症状更年期的症状更年期绝经绝经正念是一种正念.生活质量生活的质量.系统审查和元分析.

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