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非药物干预措施对降低艾滋病毒/艾滋病感染者疲劳的有效性:一项系统评价与荟萃分析方案

Effectiveness of non-pharmacological interventions to decrease fatigue in people living with HIV/AIDS: a protocol of systematic review and meta-analysis.

作者信息

Xiao Xueling, Reynolds Nancy R, Saligan Leorey, Lei Yunxiao, Wang Min, Wang Honghong

机构信息

Xiangya Nursing School, Central South University, Changsha, Hunan, China.

School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.

出版信息

BMJ Open. 2020 Sep 22;10(9):e040996. doi: 10.1136/bmjopen-2020-040996.

Abstract

INTRODUCTION

Fatigue is a common symptom among people living with HIV (PLWH). It has a substantial adverse impact on functional status and the ability to conduct activities of daily living. Identifying effective strategies to prevent or reduce fatigue is significant to promote the quality of life of this vulnerable population. The purpose of this review is to synthesise the non-pharmacological evidence and assess the effects of interventions on reducing HIV-related fatigue among PLWH.

METHODS AND ANALYSIS

We will comprehensively search literature available up to 30 June 2020, in the following databases: PubMed, Embase, CINAHL, Cochrane Library, Web of Science and PsycINFO. The reference list of selected studies and relevant published reviews will also be screened to retrieve potential articles. Two reviewers will identify the eligible articles, extract data and identify the biases in the selected studies. Any disagreements will be referred to a third reviewer. We will qualitatively synthesise the evidence and pool data with meta-analysis according to the heterogeneity of different studies.

ETHICS AND DISSEMINATION

This systematic review will not raise any ethical issues since it is a secondary data collection and analysis. The results will inform effective strategies to reduce fatigue among PLWH. The final report will be published in a peer-reviewed journal and academic conferences.

PROSPERO REGISTRATION NUMBER

CRD42020153715.

摘要

引言

疲劳是HIV感染者(PLWH)中常见的症状。它对功能状态和进行日常生活活动的能力有重大不利影响。确定预防或减轻疲劳的有效策略对于提高这一弱势群体的生活质量具有重要意义。本综述的目的是综合非药物证据,并评估干预措施对减轻PLWH中与HIV相关疲劳的效果。

方法与分析

我们将全面检索截至2020年6月30日的文献,检索以下数据库:PubMed、Embase、CINAHL、Cochrane图书馆、科学引文索引和PsycINFO。还将筛选所选研究的参考文献列表和相关已发表的综述,以检索潜在文章。两名评审员将确定符合条件的文章,提取数据并识别所选研究中的偏差。如有任何分歧,将提交给第三名评审员。我们将根据不同研究的异质性对证据进行定性综合,并通过荟萃分析汇总数据。

伦理与传播

本系统综述不会引发任何伦理问题,因为它是二次数据收集和分析。研究结果将为减轻PLWH疲劳的有效策略提供依据。最终报告将发表在同行评审期刊和学术会议上。

PROSPERO注册号:CRD42020153715。

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