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癌症相关疲劳的心理社会干预治疗:伞式综述。

Psychosocial Interventions for the Treatment of Cancer-Related Fatigue: An Umbrella Review.

机构信息

Department of Psychology, University of Castilla la Mancha, 45600 Talavera de la Reina, Spain.

Doctoral School "Studii Salamantini", University of Salamanca, 37008 Salamanca, Spain.

出版信息

Curr Oncol. 2023 Mar 1;30(3):2954-2977. doi: 10.3390/curroncol30030226.

Abstract

UNLABELLED

Cancer-related fatigue is one of the most common symptoms of cancer and one of those referred by patients as the most disabling. However, we still do not have enough evidence to allow us to recommend effective and personalized approaches.

GOAL

To provide evidence on the efficacy of ASCO-recommended psychosocial interventions for reducing cancer-related fatigue.

METHODOLOGY

A general quantitative systematic review for nonprimary clinical interventions that allows the collection, synthesis and analysis of already published reviews. Systematic reviews of RTCs were selected as these make up the body of knowledge that provides the most evidence in an umbrella format. The results do not provide clear or comparable evidence regarding the different interventions, with moderate evidence standing out for cognitive interventions and mindfulness.

CONCLUSIONS

Research gaps, study biases and the need for further research to ask more precise questions and to make reliable recommendations to mitigate the impact of cancer-related fatigue are evident.

摘要

未加说明

癌症相关疲劳是癌症最常见的症状之一,也是患者认为最致残的症状之一。然而,我们仍然没有足够的证据来推荐有效和个性化的方法。

目的

提供关于 ASCO 推荐的心理社会干预措施减轻癌症相关疲劳的疗效的证据。

方法

一种针对非主要临床干预措施的通用定量系统评价,允许收集、综合和分析已发表的综述。选择随机对照试验的系统评价,因为这些试验构成了提供伞状格式下最具证据的知识体系。结果并没有针对不同的干预措施提供明确或可比的证据,认知干预和正念干预具有中等证据。

结论

研究空白、研究偏倚以及需要进一步研究来提出更精确的问题并做出可靠的建议以减轻癌症相关疲劳的影响是显而易见的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/139e/10047125/f412c92dddd9/curroncol-30-00226-g001.jpg

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