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基于正念的在线干预对癌症患者心理和身体健康结果的影响：一项随机对照试验的系统评价和荟萃分析

Effects of online mindfulness-based interventions on mental and physical health outcomes in cancer patients: A systematic review and meta-analysis of randomized controlled trials.

作者信息

Xu Lichun, Guan Aixuan, Huang Yuxin

机构信息

Department of Nursing, Zhongshan Hospital Affiliated to Xiamen University, Xiamen, China.

Department of Respiratory and Critical Care Medicine, Longyan First Hospital Affiliated to Fujian Medical University, Longyan, China.

出版信息

Medicine (Baltimore). 2025 Mar 21;104(12):e41870. doi: 10.1097/MD.0000000000041870.

DOI:10.1097/MD.0000000000041870
PMID:40128036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11936609/
Abstract

BACKGROUND

To determine whether online mindfulness-based interventions (MBIs) help improve the physical and mental health of cancer patients, we conducted a systematic review and meta-analysis of relevant randomized controlled trials (RCTs).

METHODS

We searched PubMed, Web of Science, Scopus, Embase, Cochrane, Medline, and CINAHL databases for RCTs published up to April 31, 2023. Two reviewers selected and critically appraised the trials and extracted the data. Fourteen RCTs met the inclusion criteria.

RESULTS

A total of 14 RCTs with 1316 participants were part of this meta-analysis. The results showed that the online MBI was effective in improving the anxiety level (standardized mean difference [SMD] = -0.30, 95% confidence interval [CI] (-0.59, -0.01), P = .04), stress [SMD = -0.65, 95% CI (-1.23, -0.07), P = .03], quality of life [SMD = 0.33, 95% CI (0.17, 0.50), P < .0001], sleep quality [SMD = -0.38, 95% CI (-0.65, -0.10), P = .007], and fatigue severity [weighted mean difference (WMD) = -3.81, 95% CI (-6.11, -1.51), P = .001] in cancer patients. Not shown to affect depression [SMD = -0.19, 95% CI (-0.54, 0.17), P = .30].

CONCLUSION

Online MBIs may be effective in the reduction of psychological distress and other symptoms in cancer patients. However, in view of the limitations of the current study, more rigorously designed RCTs will be needed in the future.

摘要

背景

为了确定基于正念的在线干预措施（MBIs）是否有助于改善癌症患者的身心健康，我们对相关随机对照试验（RCTs）进行了系统评价和荟萃分析。

方法

我们检索了截至2023年4月31日发表的RCTs的PubMed、Web of Science、Scopus、Embase、Cochrane、Medline和CINAHL数据库。两名评价者选择并严格评估了这些试验，并提取了数据。14项RCTs符合纳入标准。

结果

共有14项RCTs（1316名参与者）纳入了该荟萃分析。结果显示，在线MBIs在改善癌症患者的焦虑水平（标准化平均差[SMD]=-0.30，95%置信区间CI，P=.04）、压力（SMD=-0.65，95%CI(-1.23,-0.07)，P=.03）、生活质量（SMD=0.33，95%CI(0.17,0.50)，P<.0001）、睡眠质量（SMD=-0.38,95%CI(-0.65,-0.10)，P=.007）和疲劳严重程度（加权平均差[WMD]=-3.81，95%CI(-6.11,-1.51)，P=.001）方面有效。未显示对抑郁有影响（SMD=-0.19，95%CI(-0.54,0.17)，P=.30）。

结论

在线MBIs可能对减轻癌症患者的心理困扰和其他症状有效。然而，鉴于当前研究的局限性，未来将需要更严格设计的RCTs。

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