Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Departamento de Enfermagem, Vitória, ES, Brazil.
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno Infantil e Saúde Pública, Ribeirão Preto, SP, Brazil.
Rev Esc Enferm USP. 2021 May 19;55:03709. doi: 10.1590/S1980-220X2020025103709. eCollection 2021.
To evaluate the effectiveness of complementary therapies in the management of symptom clusters in children and adolescents with cancer undergoing palliative care.
Systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, resorting to the databases MEDLINE, Web of Science, Central Cochrane, and PsycINFO. The identification, selection, inclusion, extraction, and methodological assessment were conducted by two independent reviewers.
Five quasi-experiments met the eligibility criteria. The heterogeneous characteristics of the studies made meta-analysis impossible. Two studies used therapeutic massage, one used Reiki, one used boswellic acid, and one used Cannabis sativa; three of them (therapeutic massage and Reiki) presented statistically significant results for the management of the cluster pain-anxiety-worry-dyspnea. Most studies presented a moderate risk of bias as per ROBINS-I tool.
Therapeutic massage and Reiki may be effective for the symptom clusters management, especially the pain-anxiety-worry-dyspnea cluster in children and adolescents undergoing palliative care.
评估补充疗法在姑息治疗中管理儿童和青少年癌症症状群的效果。
系统评价遵循《系统评价和荟萃分析的首选报告项目》，并利用 MEDLINE、Web of Science、Cochrane 中心和 PsycINFO 数据库。由两名独立评审员进行识别、选择、纳入、提取和方法学评估。
五项准实验符合入选标准。研究的异质性特征使得荟萃分析变得不可能。两项研究使用了治疗性按摩，一项使用了灵气，一项使用了 Boswellia 酸，一项使用了大麻；其中三项（治疗性按摩和灵气）在管理疼痛-焦虑-担忧-呼吸困难的症状群方面显示出统计学上的显著效果。根据 ROBINS-I 工具，大多数研究存在中度偏倚风险。
治疗性按摩和灵气可能对姑息治疗中儿童和青少年症状群的管理有效，特别是疼痛-焦虑-担忧-呼吸困难的症状群。
