Author Affiliations:School of Nursing and Midwifery, Western Sydney University, NSW, Australia (Drs Pathrose, Everett, Salamonson and Ramjan); Research and Youth Cancer Services, CanTeen, Newtown, NSW, Australia (Drs Patterson and McDonald); Stressed Teens, Campbell, California, USA (Ms Biegel); Translational Health Research Institute, Western Sydney University, NSW, Australia (Dr Ussher).
Cancer Nurs. 2021;44(5):349-360. doi: 10.1097/NCC.0000000000000821.
Mindfulness-based interventions (MBIs) have demonstrated benefits for adults with chronic illness and are becoming increasingly popular among children and young people. Mindfulness-based interventions could have benefits for young people with cancer throughout the treatment journey, through to survivorship.
The aim was to review intervention studies about MBI used with young people with cancer between the ages of 10 and 29 years.
Six electronic databases were searched. The methodological quality of the included studies was assessed using the Joanna Briggs Institute critical appraisal tools.
Six contemporary studies met the inclusion criteria. Three studies adapted MBI to be age appropriate and some studies modified the intervention based on cancer-specific needs of young people. Formal and informal MBI activities were found to be acceptable by young people; however, recruitment of the participants was identified as a barrier. Variability in psychosocial outcomes was noted in the review by some demonstrating improvement in areas such as mindfulness, anxiety, and social isolation and others not eliciting significant benefits.
Mindfulness-based intervention shows promise as an acceptable intervention that may improve psychosocial well-being for young people with cancer. Future research studies with adequate sample sizes are warranted to determine the effectiveness of MBI among young people with cancer.
Mindfulness-based intervention seems to be a promising approach to promote psychosocial well-being and reduce disease burden in young people with cancer. As validated MBI may be implemented without expert training, this could be promoted by healthcare providers, including nurses who care for young people with cancer.
正念干预（MBI）已被证明对患有慢性疾病的成年人有益，并且在儿童和年轻人中越来越受欢迎。正念干预可能对癌症患者从治疗到生存期间的年轻人有益。
旨在回顾针对 10 至 29 岁癌症青年的 MBI 干预研究。
搜索了六个电子数据库。使用 Joanna Briggs 研究所的批判性评估工具评估了纳入研究的方法学质量。
符合纳入标准的有六项当代研究。三项研究对 MBI 进行了适当的改编，并且一些研究根据年轻人的癌症特定需求对干预措施进行了修改。年轻人认为正式和非正式的 MBI 活动是可以接受的；但是，研究人员发现招募参与者是一个障碍。该研究中注意到心理社会结果的变异性，一些研究表明正念、焦虑和社会隔离等方面有所改善，而其他研究则没有明显的益处。
正念干预作为一种可接受的干预方法，可能会改善癌症青年的心理社会幸福感。未来需要进行足够大样本量的研究，以确定 MBI 在癌症青年中的有效性。
正念干预似乎是一种有前途的方法，可以促进癌症青年的心理社会幸福感并减轻疾病负担。由于已验证的 MBI 可以在没有专家培训的情况下实施，因此包括照顾癌症青年的护士在内的医疗保健提供者可以推广这种方法。
