对于乳腺癌中疲劳的运动和心身疗法:从系统性审查中绘制证据
Guijun Ke1, Siying Tao2, Haobing Xu1
1School of Nursing, Gannan Medical University, Ganzhou, JiangXi, People's Republic of China.
BMJ supportive & palliative care
|December 18, 2025
概括
运动干预措施有效地管理乳腺癌患者的癌症相关疲劳 (CRF). 需要进一步的研究来验证其他非药理疗法来缓解CRF.
科学领域:
- 在瘤学瘤学.
- 基于证据的医学基于证据的医学.
- 康复 康复 康复 康复
背景情况:
- 与癌症相关的疲劳 (CRF) 显著影响乳腺癌患者的生活质量.
- 非药物干预通常用于CRF,但它们的比较疗效需要进行 robust 评估.
- 这项研究解决了对乳腺癌中CRF的非药物干预的证据综合的需求.
研究的目的:
- 系统地比较乳腺癌患者与癌症相关的疲劳 (CRF) 的各种非药物干预措施的有效性.
- 为CRF提供干预措施的全面证据地图.
- 为未来的研究和临床实践指南提供信息.
主要方法:
- 在多个数据库 (CNKI,Wanfang,VIP,CBM,PubMed,Web of Science,Cochrane,EMBASE) 进行了系统的搜索,直到2024年8月.
- 包括的研究使用AMSTAR-2尺度对质量进行了评估.
- 使用证据映射来总结包含的系统性审查和元分析的特点和发现.
主要成果:
- 包括52个系统审查/元分析,分析了各种非药物干预措施.
- 运动干预是最常见的 (34项研究),其次是多维干预 (6) 和心理社会干预 (4).
- 在包括的研究中,41个结论的干预措施是"有益的",9个"可能是有益的",和2个"不确定的"对CRF.
结论:
- 运动干预措施在乳腺癌患者的癌症相关疲劳管理中表现出最一致的有效性.
- 虽然运动是有希望的,但其他非药物疗法的疗效需要进一步研究.
- 建议进行高质量,大规模的前性随机试验和系统性审查,以验证不太常见的干预措施.
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