正念减压法对癌症患者知觉压力与睡眠障碍干预效果的系统评价

发布时间：2018-03-21 09:35

本文选题：睡眠障碍　切入点：正念减压法　出处：《重庆医学》2017年25期 　论文类型：期刊论文

【摘要】：目的系统评价正念减压法对改善癌症患者知觉压力与睡眠障碍的效果。方法计算机检索PubMed(Medline)、Cochrane、BIOSIS Previews、Web of science、CBM、中国知网、维普和万方数据库,并手工检索相关杂志和纳入研究的参考文献,查找正念减压法用于癌症患者知觉压力与睡眠障碍的随机对照试验。由2位研究者按照纳入与排除标准独立筛选文献,提取资料并评价质量后,采用RevMan 5.3软件进行Meta分析。结果共纳入9篇随机对照试验,共974例患者。Meta分析结果显示:正念减压法组与对照组干预后的知觉压力、睡眠障碍的改善差异有统计学意义[MD=-4.63,95%CI(-5.10,-4.17),P0.01;MD=-2.18,95%CI(-2.35,-2.01),P0.01]。但干预后3个月两组的差异并不显著。结论正念减压法能在短期内缓解癌症患者知觉压力及改善睡眠障碍,但长期效果仍需开展更多研究予以验证。
[Abstract]:Objective to evaluate systematically the effect of mindfulness decompression on the improvement of perceptual stress and sleep disorder in cancer patients. A randomized controlled trial using mindfulness decompression method was used in cancer patients with perceptual stress and sleep disorders. Two researchers independently screened the literature according to the inclusion and exclusion criteria, extracted the data and evaluated the quality. Meta analysis was carried out with RevMan 5.3 software. Results 974 patients were included in 9 randomized controlled trials. The results of Meta analysis showed that the perceptual pressure after intervention in the mindfulness decompression group and the control group was analyzed. There was a significant difference in the improvement of sleep disorder between the two groups [MD-4.63C95 CIQ -5.10U -4.17C P0.01N MDP0.01], but there was no significant difference between the two groups three months after intervention. Conclusion mindfulness decompression can relieve the perceived stress and improve sleep disorder in cancer patients in a short time. However, more studies are needed to verify the long-term effects.
【作者单位】：安徽医科大学护理学院;
【基金】：安徽省自然科学基金资助项目(1608085MH183)
【分类号】：R473.73

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