摘要
目的采用Meta分析评价身心运动对乳腺癌患者的干预效果。方法计算机检索PubMed、Cochrane Library、Embase、Web of Science、中国知网、万方数据库、维普数据库以及中国生物医学文献数据库中有关身心运动对乳腺癌患者干预效果的随机对照试验,检索时限均为建库至2023年11月30日,同时追溯纳入文献的参考文献。由2名评价人员独立筛选文献、提取资料与评价文献质量后,采用RevMan 5.3软件进行Meta分析。结果共纳入23篇随机对照试验,共1730例乳腺癌患者。Meta分析结果显示,与常规护理相比,身心运动能改善乳腺癌患者(SMD=-0.46,95%CI:-0.71~-0.21,P<0.01)和乳腺癌化疗患者(SMD=-0.30,95%CI:-0.54~-0.07,P=0.01)焦虑情绪;身心运动能减轻乳腺癌患者抑郁情绪,亚组分析发现,八段锦组(SMD=-1.13,95%CI:-1.63~-0.64,P<0.01)在缓解抑郁情绪方面优于瑜伽组(SMD=-0.24,95%CI:-0.41~-0.07,P<0.01),但身心运动在改善乳腺癌患者睡眠质量方面无统计学意义(SMD=-0.41,95%CI:-0.89~0.06,P=0.09);在身心运动对乳腺癌患者疲乏水平的影响方面,亚组分析显示,八段锦(SMD=-0.91,95%CI:-1.26~-0.55,P<0.01)和太极拳(SMD=-0.57,95%CI:-0.92~-0.21,P<0.01)能降低疲乏水平,而瑜伽(SMD=-0.43,95%CI:-0.98~0.12,P=0.13)对于改善乳腺癌患者的疲乏水平方面无统计学意义。结论身心运动能够降低乳腺癌患者焦虑、抑郁情绪,缓解其疲乏水平,不同运动方式对改善乳腺癌患者睡眠质量存在差异。
ObjectiveTo evaluate the effects of mind-body exercise on breast cancer patients using a Meta-analysis.MethodsRandomized controlled trials(RCTs)on the effects of mind-body exercises on breast cancer patients were systematically searched in PubMed,Cochrane Library,Embase,Web of Science,China National Knowledge Infrastructure,WanFang data,VIP,and China Biology Medicine disc,with a search period from database inception to November 30,2023.The references of the included studies were also reviewed.After two reviewers independently screened the literature,extracted information,and evaluated the quality of the included studies,a Meta-analysis was performed using RevMan 5.3 software.ResultsA total of 23 RCTs involving 1730 breast cancer patients were included.The Meta-analysis showed that,compared to conventional care,mind-body exercise significantly reduced anxiety in breast cancer patients[SMD=-0.46,95%CI(-0.71,-0.21),P<0.01],as well as in those undergoing chemotherapy[SMD=-0.30,95%CI(-0.54,-0.07),P=0.01].Mind-body exercise also alleviated depression in breast cancer patients.Subgroup analysis found that the Baduanjin group[SMD=-1.13,95%CI(-1.63,-0.64),P<0.01]was more effective in alleviating depression than the yoga group[SMD=-0.24,95%CI(-0.41,-0.07),P<0.01].However,there was no statistically significant effect of mind-body exercise on improving the quality of sleep in breast cancer patients[SMD=-0.41,95%CI(-0.89,0.06),P=0.09].In terms of the effect of mind-body exercise on fatigue levels in breast cancer patients,subgroup analysis showed that Baduanjin[SMD=-0.91,95%CI(-1.26,-0.55),P<0.01]and Tai Chi[SMD=-0.57,95%CI(-0.92,-0.21),P<0.01]significantly reduced fatigue levels,while yoga[SMD=-0.43,95%CI(-0.98,0.12),P=0.13]did not show a statistically significant effect on reducing fatigue levels in breast cancer patients.ConclusionsMind-body exercises can reduce anxiety and depression and alleviate the level of fatigue in breast cancer patients.However,the effects of different exercise modalities on improving sleep quality in breast cancer patients vary.
作者
薛艳
俞萍
吕凯丽
Xue Yan;Yu Ping;Lyu Kaili(Wuxi School of Medicine,Jiangnan University,Wuxi 214122,China;Department of Nursing,Wuxi No.2 People's Hospital,Wuxi 214000,China)
出处
《中华现代护理杂志》
2024年第31期4262-4269,共8页
Chinese Journal of Modern Nursing
关键词
乳腺肿瘤
身心运动
焦虑
抑郁
睡眠质量
疲乏
META分析
Breast neoplasms
Mind-body exercise
Anxiety
Depression
Sleep quality
Fatigue
Meta-analysis
作者简介
通信作者:俞萍,Email:yuping4470@163.com。
