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肺癌患者咳的非药理干预:系统性审查和元分析
Mengyao Cao1, Xueyan Cheng1, Victor Ho-Fun Lee2
1Li Ka Shing Faculty of Medicine, School of Nursing, University of Hong Kong, Hong Kong, China.
非药物干预有效地管理肺癌咳,改善生活质量. 肺部康复疗法在癌症患者的咳缓解和相关症状方面显示出最有希望的结果.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 综合医学是一个整体的医学.
背景情况:
- 咳是肺癌患者显著且管理不善的症状.
- 对肺癌咳的非药物干预 (NPI) 的证据需要进行系统的评估.
- 在息治疗中,NPI为症状管理提供了潜在的途径.
研究的目的:
- 系统地审查和综合NPI的证据,以管理肺癌患者的咳.
- 评估各种NPI在改善咳严重程度和相关生活质量的有效性.
- 为了确定肺癌相关咳最有效的NPI.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 针对随机对照试验的九个数据库 (开始至2024年12月) 的全面搜索.
- 使用修订后的Cochrane偏差风险工具进行质量评估,并通过元分析,元回归和子组分析进行定量合成.
主要成果:
- 三十八项研究 (2995名患者) 调查了NPI,包括针,肺部康复和正念.
- NPIs显示对咳严重程度和与咳相关的生活质量产生积极影响.
- 与其他NPI相比,肺部康复对咳的严重性有更大的影响,对呼吸障碍和一般生活质量有额外的好处.
结论:
- 在改善肺癌患者的咳,吐,呼吸困难和生活质量方面,NPI是有效的.
- 肺部康复成为管理肺癌咳和相关症状的最有效的NPI.
- 未来的研究应该结合客观的咳措施,并与自我报告的结果进行全面评估.
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