正念减压法对癌症患者知觉压力与睡眠障碍干预效果的系统评价  

Interventional effect of mindfulness-based stress reduction on perceived stress and sleep disturbance in cancer patients:a systematic review

作　　者：王芹[1] 章新琼[1] 王秋萍[1] 张卫[1] 

机构地区：[1]安徽医科大学护理学院,230031

出　　处：《重庆医学》2017年第25期3547-3550,共4页Chongqing medicine

基　　金：安徽省自然科学基金资助项目(1608085MH183)

摘　　要：目的系统评价正念减压法对改善癌症患者知觉压力与睡眠障碍的效果。方法计算机检索PubMed(Medline)、Cochrane、BIOSIS Previews、Web of science、CBM、中国知网、维普和万方数据库,并手工检索相关杂志和纳入研究的参考文献,查找正念减压法用于癌症患者知觉压力与睡眠障碍的随机对照试验。由2位研究者按照纳入与排除标准独立筛选文献,提取资料并评价质量后,采用RevMan 5.3软件进行Meta分析。结果共纳入9篇随机对照试验,共974例患者。Meta分析结果显示:正念减压法组与对照组干预后的知觉压力、睡眠障碍的改善差异有统计学意义[MD=-4.63,95%CI(-5.10,-4.17),P<0.01;MD=-2.18,95%CI(-2.35,-2.01),P<0.01]。但干预后3个月两组的差异并不显著。结论正念减压法能在短期内缓解癌症患者知觉压力及改善睡眠障碍,但长期效果仍需开展更多研究予以验证。Objective To systematically the effect of mindfulness-based stress reduetion（MBSR） on improving perceived stress and sleep disturbance in cancer patients. Metho.ds The databases of PubMed（Medline） ,Cochrane,BIOSIS Previews,Web of Science, CBM, CNKI, VIP and Wanfang Data were retrieved by computer, moreover the related journals and included reference liter- atures were retrieved by manual searching for finding the randomized controlled trials（RCTS） on the application of MBSR in per- ceived stress and sleep disturbance of cancer patients. Two reviewers independently screened the literatures according to the inclu- sion and exclusion criteria,extracted the data,and assessed the quality of RCTs. The meta analysis was conducted by adopting the RevMan 5.3 software. Results Nine RCTs involving 974 patients were included. The meta analysis results indicated that the im- provement of perceived stress and sleep disturbance after intervention had statistical difference between the MBSR group and con- trol group[MD：-4.63,95%CI（-5.10,-4.17）,P〈0. 01,MD=-2. 18,95%CI （-2. 35,-2.01）,P〈0.01],but the difference after 3-month intervention between the two groups was not statistically significant. Conclusion The present evidences show that the MBSR method can relieve the perceived stress and sleep disturbance in cancer patients during a short period,but long term effect still needs to carry out more researches to be verified.

关 键 词：睡眠障碍 正念减压法 压力 随机对照试验 

分 类 号：R473.73[医药卫生—护理学]