正念减压疗法对癌症患者照顾者干预效果的meta分析  

Mindfulness-based stress reduction for caregivers of people with cancer:a meta-analysis

作　　者：尤丽丽[1] 王田田 弓宸 马慧颖 王峥 续嘉牛 李莉[3] You Lili;Wang Tiantian;Gong Chen;Ma Huiying;Wang Zheng;Xu Jianiu;Li Li(Department of Gastroenterology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;不详)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院消化内科,100730 [2]中国医学科学院北京协和医学院北京协和医院护理部,100730 [3]中国医学科学院北京协和医学院北京协和医院人事处,100730 [4]中国医学科学院北京协和医学院护理学院

出　　处：《北京医学》2021年第5期421-424,430,共5页Beijing Medical Journal

摘　　要：目的评价正念减压疗法(mindfulness-based stress reduction,MBSR)在癌症患者照顾者中的应用效果。方法收集建库至2020年6月30日公开发表的随机对照研究,系统检索Cochrane Library、Pubmed、Embase、中国生物医学文献数据库、中国知网、万方数据库及中国维普全文数据库,按照纳入与排除标准筛选文献,对其进行质量评估和数据提取后,用RevMan5.3软件进行meta分析。结果共纳入5篇文献,197例患者。与对照组相比,MBSR可显著提高癌症患者照顾者的正念水平,差异有统计学意义(MD=6.70,95%CI:1.45~11.95,P=0.01);而在焦虑(MD=-0.68,95%CI:-2.55~1.19,P=0.47)、抑郁(MD=-1.30,95%CI:-3.12~0.51,P=0.16)及照顾者负担(MD=1.77,95%CI:-3.90~7.45,P=0.54)方面,差异均无统计学意义。结论MBSR可改善癌症患者照顾者的正念水平,但对降低癌症患者照顾者的焦虑、抑郁水平及照顾者负担作用不明显,未来仍需开展更多研究以验证MBSR在癌症患者照顾者中的应用效果。Objective To assess the effectiveness of mindfulness-based stress reduction(MBSR)for caregivers of people with cancer.Methods Literatures were searched on Cochrane Library、Pubmed,Embase,CBMdisc(China Biology Medicine disc),CNKI(China National Knowledge Infrastructure),Wan Fang Data,and VIP(China Science and Technology Journal Database)to collect randomized controlled trails(RCTs)about the effectiveness of MBSR for caregivers of people with cancer.Meta-analysis was conducted using RevMan 5.3 software for eligible RCTs.Results Five RCTs were included which involving 197 caregivers to evaluate the effectiveness of MBSR.Compared with the controls,MBSR significantly improved the level of mindfulness(MD=6.70,95%CI:1.45-11.95,P=0.01).There were no significant differences on anxiety(MD=-0.68,95%CI:-2.55-1.19,P=0.47),depression(MD=-1.30,95%CI:-3.12-0.51,P=0.16)and the burden of caregivers(MD=1.77,95%CI:-3.90-7.45,P=0.54).Conclusions MBSR could improve the level of mindfulness,but it has no effect on anxiety,depression and burden of caregivers.More high-quality studies with larger sample size in this field are needed to be carried out to evaluate the effectiveness of MBSR.

关 键 词：正念减压疗法 癌症患者照顾者 META分析 

分 类 号：R473.73[医药卫生—护理学]