School of Nursing, Sun Yat-Sen University, Guangzhou, China.
Department of Breast Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
J Adv Nurs. 2023 Sep;79(9):3192-3213. doi: 10.1111/jan.15639. Epub 2023 Mar 14.
To evaluate the effects of couple-based dyadic interventions on breast cancer patients and their intimate partners and compare the effects between interventions with different durations (<3 months; =3 months; >3 months).
A systematic review and meta-analysis.
Six English databases, PubMed, Embase, Web of Science Core Collection, the Cochrane Library, Medline, PsycINFO, and three Chinese databases, China National Knowledge Infrastructure (CNKI), WanFang, and Weipu (VIP), from database inception to 19 February 2022.
The quality of the included RCTs was evaluated using the Cochrane risk-of-bias tool and the data analysis was performed by using RevMan 5.4 and Stata 15. The outcomes were categorized into five aspects: dyadic relationship, overall quality of life (QOL), physical health, psychological health and social adjustment.
Nineteen RCTs were included. For patients' overall effects, couple-based dyadic interventions can improve sexual frequency, psychological health (anxiety; depression; well-being; body image) and social adjustment (family function-cohesion; social function-total). In the subgroup analysis, it can adjust patients' relationship satisfaction (>3 months), sexual frequency (>3 months), depression (<3 months and >3 months), well-being (>3 months), and body image (3 months). For intimate partners, no statistically significant overall effects were found, and all results in the subgroup analyses showed no statistical significance.
The results revealed the different effects of couple-based dyadic interventions on dyads. It also suggested that tailored intervention duration should be a focus in future studies to obtain the potential actor-partner benefits.
This study revealed that the overall effects of the couple-based dyadic interventions include enhancing patients' sexual frequency, psychological health and social adjustment. Clinical practitioners should consider the intimate partners' outcomes and conduct couple-based dyadic interventions that contain more tailored elements to achieve better effects.
Registration: The systematic review and meta-analysis of RCTs has been registered in PROSPERO (Number: CRD 42021286679).
评估夫妻互动式干预对乳腺癌患者及其亲密伴侣的影响，并比较不同干预时长（<3 个月；=3 个月；>3 个月）的干预效果。
系统综述和荟萃分析。
从数据库建立至 2022 年 2 月 19 日，共检索了 6 个英文数据库（PubMed、Embase、Web of Science 核心合集、Cochrane 图书馆、Medline、PsycINFO）和 3 个中文数据库（中国知网、万方和维普）。
使用 Cochrane 偏倚风险工具评估纳入的随机对照试验的质量，采用 RevMan 5.4 和 Stata 15 进行数据分析。结果分为五个方面：夫妻关系、整体生活质量（QOL）、身体健康、心理健康和社会适应。
纳入 19 项 RCT。对于患者的整体效果，夫妻互动式干预可以提高性频率、心理健康（焦虑、抑郁、幸福感、身体形象）和社会适应（家庭功能-凝聚力；社会功能-总分）。在亚组分析中，它可以调整患者的关系满意度（>3 个月）、性频率（>3 个月）、抑郁（<3 个月和>3 个月）、幸福感（>3 个月）和身体形象（3 个月）。对于亲密伴侣，没有发现统计学上的整体效果，所有亚组分析的结果均无统计学意义。
结果揭示了夫妻互动式干预对夫妻的不同影响。这也表明，在未来的研究中，应关注定制干预时长，以获得潜在的共同作用者的益处。
本研究表明，夫妻互动式干预的整体效果包括提高患者的性频率、心理健康和社会适应。临床医生应考虑亲密伴侣的结果，并进行包含更多定制元素的夫妻互动式干预，以获得更好的效果。
本系统综述和荟萃分析的注册：PROSPERO（编号：CRD42021286679）。
