Fang Jing, Yu Chun, Liu Jinping, Mao Xiaorong, Jia Xueyan, Luo Jing, Liu Ruyao
Department of Breast Surgery Nursing, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Chinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, China.
Transl Cancer Res. 2022 Mar;11(3):548-558. doi: 10.21037/tcr-22-428.
Muscle relaxation training is a method of gradually relaxing the whole body by consciously controlling the process of muscle contraction and relaxation, which is mostly used to improve the physical and mental health of breast cancer patients and improve the quality of life of patients. We conducted a systematic review to compare the effects of muscle relaxation training and conventional nursing on the psychological health and quality of life (QoL) of breast cancer patients. The results of this study provide a basis for nursing program selection of breast cancer patients.
The PubMed, EMbase, Web of Science, The Cochrane Library, China national knowledge infrastructure (CNKI), WanFang Data, (China Biology Medicine disc) CBM, and WWW.CQVIP.COM (VIP) databases were searched to retrieve articles on randomized controlled trials (RCTs) or quasi-RCTs on the effects of muscle relaxation training on the mental health and QoL of breast cancer patients. The search period ran from the establishment of the databases to August 31st, 2021. Two researchers independently screened the literature, extracted the data, and The Cochrane Handbook for Systematic Reviews of Interventions assessed the risk of bias in the included studies. Stata 15.0 software was then used for the meta-analysis.
Funnel plots were analyzed by E Egger's test and Begg's test. The results of the test (P>0.05) showed that the possibility of publication bias was small. A total of 13 RCTs and quasi-RCTs, comprising 1,355 patients, were included in the meta-analysis. The results for the outcome measures were as follows: level of depression [weighted mean difference (WMD) =-9.31, 95% confidence interval (CI): -11.96 to -6.65, level of anxiety (WMD =-8.96, 95% CI: -10.06 to -7.86)], and QoL (WMD =13.13, 95% CI: 7.24, 19.02). The results showed that muscle relaxation training can significantly reduce depression and anxiety in breast cancer patients, improve their quality of life, and can be used as the first choice for breast cancer patients to improve negative emotions.
Muscle relaxation training significantly reduced the depression and anxiety of breast cancer patients, improved their QoL, and brought about both psychological and QoL improvements.
肌肉放松训练是一种通过有意识地控制肌肉收缩和放松过程来逐渐放松全身的方法，多用于改善乳腺癌患者的身心健康及提高患者生活质量。我们进行了一项系统评价，以比较肌肉放松训练与常规护理对乳腺癌患者心理健康和生活质量（QoL）的影响。本研究结果为乳腺癌患者护理方案的选择提供了依据。
检索PubMed、EMbase、Web of Science、Cochrane图书馆、中国知网（CNKI）、万方数据、中国生物医学文献数据库（CBM）和维普资讯网（VIP）数据库，以获取关于肌肉放松训练对乳腺癌患者心理健康和生活质量影响的随机对照试验（RCT）或半随机对照试验的文章。检索时间段为各数据库建库至2021年8月31日。两名研究人员独立筛选文献、提取数据，并依据《Cochrane干预措施系统评价手册》评估纳入研究的偏倚风险。然后使用Stata 15.0软件进行荟萃分析。
采用Egger检验和Begg检验对漏斗图进行分析。检验结果（P>0.05）表明发表偏倚的可能性较小。荟萃分析共纳入13项RCT和半随机对照试验，涉及1355例患者。结局指标结果如下：抑郁水平[加权均数差（WMD）=-9.31，95%置信区间（CI）：-11.96至-6.65]、焦虑水平（WMD=-8.96，95%CI：-10.06至-7.86）和生活质量（WMD=13.13，95%CI：7.24，19.02）。结果表明，肌肉放松训练可显著降低乳腺癌患者的抑郁和焦虑情绪，提高其生活质量，可作为乳腺癌患者改善负面情绪的首选方法。
肌肉放松训练显著降低了乳腺癌患者的抑郁和焦虑情绪，提高了其生活质量，在心理和生活质量方面均有改善。
