接纳与承诺疗法对癌症患者心理健康和生活质量影响的meta分析  

Effect of acceptance and commitment therapy on mental health and quality of life in cancer patients:A meta-analysis

作　　者：龚财芳 赵俊宇 游川[2] Gong Caifang;Zhao Junyu;You Chuan(Graduate School of North Sichuan Medical College,Nanchong 637000,China;Department of Hepatobiliary Surgery,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]川北医学院研究生院,四川南充637000 [2]川北医学院附属医院肝胆外科,四川南充637000

出　　处：《临床荟萃》2024年第2期101-107,共7页Clinical Focus

基　　金：南充市社科研究“十四五”规划项目疼痛护理管理模式与晚期癌症患者生命质量的效果研究(NC23C119)。

摘　　要：目的系统评价接纳与承诺疗法(acceptance and commitment therapy,ACT)对癌症患者心理健康和生活质量的影响。方法检索建库至2022年11月在CBM、万方、知网、维普、PubMed、Cochrane Library、Web of Science、EMbase数据库发表的有关ACT对癌症患者心理健康和生活质量影响的随机对照试验。由2名研究者根据纳入及排除标准独立筛选文献、质量评价并提取数据,采用RevMan 5.4进行meta分析。结果共纳入14篇文献,1063例癌症患者。Meta分析结果显示,ACT在改善癌症患者的焦虑[SMD=-1.04,95%CI(-1.19,-0.89),P<0.01]、抑郁情绪[SMD=-0.73,95%CI(-0.88,-0.59),P<0.01],提升心理灵活性[MD=-2.17,95%CI(-2.77,-1.57),P<0.01]及生活质量[MD=5.27,95%CI(3.57,6.98),P<0.01]方面差异具有统计学意义。结论ACT有助于缓解癌症患者的焦虑及抑郁情绪,提升心理灵活性及生活质量,对促进癌症患者的心理健康和生活质量具有积极作用。Objective To systematically evaluate the effect of acceptance and commitment therapy(ACT)on the mental health and quality of life of cancer patients.Methods Randomized clinical trials(RCTs)reporting the influence of ACT on mental health and quality of life in cancer patients were searched in the CBM,WanFang,CNKI,VIP,PubMed,Cochrane Library,Web of Science and EMbase databases,and the retrieval time was from the time of building the database to November 2022.Literature screening based on inclusion and exclusion criteria,quality assessment and data extraction were performed by two investigators.A meta-analysis was conducted using Revman5.4 software.Results A total of 14 RCTs representing 1,063 cancer patients were enrolled.Meta-analysis results showed that ACT significantly improved anxiety(SMD=-1.04,95%CI[-1.19,-0.89],P<0.01),depression(SMD=-0.73,95%CI[-0.88,-0.59],P<0.01),psychological flexibility(MD=-2.17,95%CI[-2.77,-1.57],P<0.01)and quality of life in cancer patients(MD=5.27,95%CI[3.57,6.98],P<0.01).Conclusion ACT can relieve anxiety and depression,improve psychological flexibility and quality of life,and positively promoting physical and mental health of cancer patients.

关 键 词：接纳与承诺疗法 癌症 心理护理 META分析 

分 类 号：R473.73[医药卫生—护理学]