正念减压疗法对乳腺癌患者心理健康及生存质量影响的系统评价  

Effects of mindfulness-based stress reduction on mental health and quality of life in breast cancer patients:a systematic review

作　　者：杨丽梅[1] 刘美玲[1] 张珺[2] 

机构地区：[1]甘肃省人民医院门诊部,甘肃兰州730000 [2]甘肃中医药大学护理学院

出　　处：《护理学杂志》2015年第20期23-27,共5页

摘　　要：目的探讨正念减压疗法对乳腺癌患者心理健康和生存质量的影响。方法检索PubMed、SCI、EBSCO、Cochrane Library、中国生物医学文献数据库及数字化期刊全文数据库等,收集有关对比正念减压疗法和常规护理对乳腺癌患者心理健康及生存质量影响的随机对照试验(RCT)。采用RevMan5.1软件进行统计分析。结果最终纳入4个RCT,包括760例研究对象;2个高质量研究。Meta分析结果显示,与常规护理相比,正念减压疗法可有效改善乳腺癌患者的焦虑、抑郁情绪,提高情感健康(均P<0.01);正念减压疗法有助于提高乳腺癌患者的生存质量。结论正念减压疗法在乳腺癌患者不良情绪的管理和生存质量的提高中有积极意义,是一种有效的辅助治疗方法。未来研究应进一步关注正念减压疗法与其他非药物干预措施效果的孰优孰劣。Objective To quantify the effects of mindfulness-based stress reduction（MBSR）on mental health and quality of life（QOL）in patients with breast cancer.Methods Randomized controlled trials（RCTs）reporting the effects of MBSR versus routine interventions on psychological health and QOL in breast cancer patients were retrieved from the PubMed,SCI,EBSCO,Cochrance Library,CMB,and Wanfang Database.Data were analyzed using the Revman5.1.Results Four studies involving 760 patients were included,and two of them were high-quality researches.Meta-analysis indicated MBSR could relieve anxiety and depression and improve emotional well-being comparing to routine interventions（P〈0.01 for all）.Moreover,MBSR had a positive effect on QOL in breast cancer patients.Conclusion MBSR is an effective adjuvant therapy for management of negative emotions and improvement of QOL in patients with breast cancer.The advantages and disadvantages of MBSR compared to the other non-pharmacological interventions should be further studied.

关 键 词：乳腺癌 正念减压疗法 心理健康 生存质量 系统评价 

分 类 号：R473.6[医药卫生—护理学] G255[医药卫生—临床医学]