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运动为基础的心脏康复对心肌梗死患者焦虑和抑郁的影响:系统评价和荟萃分析。

Effect of exercise-based cardiac rehabilitation on anxiety and depression in patients with myocardial infarction: A systematic review and meta-analysis.

机构信息

Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China; The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China.

Department of Cardiology, Chinese PLA General Hospital, Beijing, China.

出版信息

Heart Lung. 2019 Jan;48(1):1-7. doi: 10.1016/j.hrtlng.2018.09.011. Epub 2018 Oct 23.

Abstract

BACKGROUND

Cardiac rehabilitation (CR) has been shown to provide the best social, psychological and physical conditions for patient recovery after myocardial infarction (MI).

OBJECTIVES

The aim of present study was to quantify the efficacy of exercise-based CR treatments in terms of relief from symptoms of anxiety and depression symptoms among patients with MI.

METHODS

Literature published up to August 2017 was reviewed systematically using relevant keywords, MeSH terms, and Emtree headings to search PubMed, Embase, CINAHL (Ebsco), Cochrane Central Register of Controlled Trials (CENTRAL) and Web of Science. The results of included studies were compared meta-analytically.

RESULTS

We found that exercise-based CR had a significant effect on decreasing anxiety and depression scores. Furthermore, exercise-based CR may alleviate anxiety and depressive symptoms at different time periods.

CONCLUSIONS

For patients with MI, exercise-based CR has been demonstrated to alleviate anxiety and depressive symptoms. These findings highlight CR as essential and beneficial for minimizing MI patient anxiety and depression during recovery.

摘要

背景

心脏康复(CR)已被证明能为心肌梗死(MI)患者提供最佳的社会、心理和身体条件以促进其恢复。

目的

本研究旨在定量评估基于运动的 CR 治疗在缓解 MI 患者焦虑和抑郁症状方面的疗效。

方法

使用相关关键字、MeSH 术语和 Emtree 标题,系统地检索了截至 2017 年 8 月发表的文献,以搜索 PubMed、Embase、CINAHL(Ebsco)、Cochrane 中央对照试验注册(CENTRAL)和 Web of Science。对纳入研究的结果进行了荟萃分析。

结果

我们发现基于运动的 CR 对降低焦虑和抑郁评分有显著影响。此外,基于运动的 CR 可能在不同的时间段缓解焦虑和抑郁症状。

结论

对于 MI 患者,基于运动的 CR 已被证明可以缓解焦虑和抑郁症状。这些发现强调了 CR 在 MI 患者康复期间最小化焦虑和抑郁的重要性和益处。

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