癌症病人疲乏与社会支持相关性的Meta分析  

Correlation between fatigue and social support in cancer patients:a Meta-analysis

作　　者：李海军 王扶娟 杨其洲 李树坪 周江红[2] LI Haijun;WANG Fujuan;YANG Qizhou;LI Shuping;ZHOU Jianghong(Gansu University of Chinese Medicine,Gansu 730030 China)

机构地区：[1]甘肃中医药大学,甘肃730030 [2]甘肃省肿瘤医院

出　　处：《循证护理》2023年第18期3277-3282,共6页Chinese Evidence-Based Nursing

基　　金：兰州市人才创新创业项目,编号:2020-RC-59。

摘　　要：目的:系统评价癌症病人疲乏与社会支持的相关性。方法:计算机检索PubMed、the Cochrane Library、Web of Science、EMbase、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于癌症病人疲乏与社会支持的相关性研究,检索时限自建库至2023年3月1日,由2名研究者独立对文献进行筛选、资料提取、文献质量及偏倚风险评价。采用RevMan 5.3软件进行Meta分析。结果:共纳入16篇文献,其中,中文15篇,英文1篇,涉及2508例癌症病人。Meta分析结果显示,癌症相关疲劳与社会支持的相关系数为-0.319。亚组分析结果显示,消化系统及妇科肿瘤病人的相关性相对较高;随着样本量增高,相关系数不同,有降低趋势,但变化幅度不大;采用不同量表测出的相关系数不同,但变化无规律。结论:现有证据表明,癌症相关疲劳与社会支持呈负相关,社会支持程度越高,癌症相关疲劳症状越轻;但癌症类型不同,癌症相关疲劳与社会支持相关性不同。Objective:To systematically evaluate the relationship between fatigue and social support in cancer patients.Methods:Studies on the correlation between fatigue and social support in cancer patients were retrieved from PubMed,the Cochrane Library,Web of Science,EMbase,CNKI,WanFang Database,VIP,and CBM.The search period was from the establishment of the database to March 1,2023.Two researchers independently conducted literature screening,data extraction,literature quality,and bias risk assessment.Meta-analysis was conducted using RevMan 5.3 software.Result:A total of 16 articles were included,including 15 in Chinese and 1 in English,involving 2508 cancer patients.The Meta-analysis results show that the correlation coefficient between cancer related fatigue and social support was-0.319.The results of subgroup analysis showed that the correlation between patients with digestive system and gynecological tumors was relatively high;As the sample size increased,the correlation coefficient was different and showed a decreasing trend,but the amplitude of change was not significant;The correlation coefficients measured using different scales were different,but the changes were irregular.Conclusion:Existing evidence suggests a negative correlation between cancer related fatigue and social support,with higher levels of social support leading to lighter symptoms of cancer related fatigue.However,the correlation between cancer related fatigue and social support varies depending on the type of cancer.

关 键 词：癌症 癌因性疲乏 社会支持 相关性 META分析 循证护理 

分 类 号：R473.73[医药卫生—护理学]