基于正念的干预措施对肺癌呼吸困难的有效性:一个元分析
Yueying Wang1, Yan Li1, Yule Hu1
1School of Nursing (Y.W., Y.L., Y.H., K.L., M.L., Y.D., N.T., J.Y.), Hong Kong Polytechnic University, Hong Kong SAR, China.
Journal of pain and symptom management
|December 4, 2025
概括
基于正念的干预措施并没有显著改善肺癌患者的呼吸困难. 然而,将正念与呼吸功能训练相结合,有望缓解呼吸困难并改善肺功能.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 心理学 心理学 心理学
背景情况:
- 呼吸困难是肺癌患者的主要痛苦症状.
- 没有系统性审查评估了针对肺癌喘息的基于正念的干预措施.
研究的目的:
- 评估基于正念的干预措施在肺癌中对呼吸困难,肺功能和心理健康的有效性.
- 综合来自随机对照试验 (RCT) 的证据.
主要方法:
- 在2025年2月之前,在十个数据库中进行系统的文献搜索,遵守PRISMA指南.
- 仅包括随机对照试验 (RCT).
- 来自14个RCT (N=1190) 的汇总数据的元分析.
主要成果:
- 与对照组相比,基于正念的干预措施并没有显著改善自我报告的呼吸困难 (SMD = -0.44).
- 观察到肺功能显著改善 (生命能力,峰值呼气流,FEV1,FVC,FEV1/FVC).
- 心理困扰的显著减少,包括抑郁症状 (SMD = -1.28) 和焦虑 (SMD = -1.54) 的显著减少.
结论:
- 基于正念的干预措施本身并没有在统计学上显著地改善呼吸困难.
- 将正念与呼吸功能训练相结合可能会增强呼吸困难的缓解.
- 为了确定最佳剂量和长期效果,需要进一步进行高质量的RCT.
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