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传统中医运动(导引)如何帮助新冠患者缓解心理症状:一项系统综述与荟萃分析

How traditional Chinese exercise (Daoyin) can help COVID-19 patients relieve psychological symptoms: a systematic review and meta-analysis.

作者信息

Duan Naifan, Chen Feng, Li Yalan, Zhou Linqiong, Zhang Xing, Xu Guihua, Zhang Wei

机构信息

Department of Pulmonary Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Division of Pulmonary, Critical Care, Allergy, and Sleep, Department of Medicine, University of California, San Francisco, San Francisco, CA, United States.

出版信息

Front Psychiatry. 2024 Aug 13;15:1422229. doi: 10.3389/fpsyt.2024.1422229. eCollection 2024.

Abstract

OBJECTIVE

The mental health issues of individuals with coronavirus disease 2019 (COVID-19) are currently widespread. Traditional Chinese exercise (Daoyin) plays an important role in relieving patients' psychological problems. This study aims to assess the efficacy of Daoyin in mitigating mental health issues among individuals diagnosed with COVID-19.

METHODS

PubMed, the Cochrane library, Embase, CNKI, Wanfang, VIP database, and SinoMed were searched from their inception to October 2023. Two researchers independently selected the eligible studies. The analysis and presentation of the findings were conducted using Review Manager 5.2 software. The data were analyzed using mean difference (MD), inverse variance, and 95% confidence intervals (CIs).

RESULTS

A total of 12 studies ( = 1291) were included in this study. The results showed that Daoyin can significantly reduce the scores of the Self-Rating Anxiety Scale (SAS: MD = -13.03, 95% CI -19.56 to -6.49, <.49,yca Self-Rating Depression Scale (SDS: MD = -11.13, 95% CI -14.56 to -7.71, <.71,sion Pittsburgh Sleep Quality Index (PSQI: MD = -2.00, 95% CI -5.43 to 1.43, = 0.25), Hamilton Anxiety Scale (HAMA: MD = -2.42, 95% CI -5.25 to 0.41, = 0.09), and Hamilton Depression Scale (HAMD: MD = -11.17, 95% CI -25.5 to 3.15, = 0.13).

CONCLUSION

In COVID-19 patients, Daoyin can alleviate feelings of anxiety and depression, as well as improve sleep quality. The use of Daoyin has no adverse effects and side effects and can reduce the cost of medication. Therefore, Daoyin can be widely promoted. Further research is warranted to analyze the effect of Daoyin on mental health.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier CRD42023391845.

摘要

目的

2019冠状病毒病(COVID-19)患者的心理健康问题目前普遍存在。传统中医运动(导引)在缓解患者心理问题方面发挥着重要作用。本研究旨在评估导引对减轻COVID-19确诊患者心理健康问题的疗效。

方法

检索PubMed、Cochrane图书馆、Embase、中国知网、万方、维普数据库和中国生物医学文献数据库自建库至2023年10月的文献。两名研究人员独立筛选符合条件的研究。使用Review Manager 5.2软件进行结果的分析和呈现。采用均数差(MD)、逆方差和95%置信区间(CI)对数据进行分析。

结果

本研究共纳入12项研究(n = 1291)。结果显示,导引可显著降低焦虑自评量表(SAS:MD = -13.03,95%CI -19.56至-6.49,P <.001)、抑郁自评量表(SDS:MD = -11.13,95%CI -14.56至-7.71,P <.001)、匹兹堡睡眠质量指数(PSQI:MD = -2.00,95%CI -5.43至1.43,P = 0.25)、汉密尔顿焦虑量表(HAMA:MD = -2.42,95%CI -5.25至0.41,P = 0.09)和汉密尔顿抑郁量表(HAMD:MD = -11.17,95%CI -25.5至3.15,P = 0.13)的得分。

结论

在COVID-19患者中,导引可缓解焦虑和抑郁情绪,并改善睡眠质量。导引的使用无不良反应和副作用,且可降低药物成本。因此,导引可广泛推广。有必要进一步研究分析导引对心理健康的影响。

系统评价注册

https://www.crd.york.ac.uk/PROSPERO/#recordDetails,标识符CRD42023391845。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82e1/11350559/a314e72ee52e/fpsyt-15-1422229-g001.jpg

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