网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
渐进性肌肉放松训练对癌症患者焦虑干预效果的Meta分析
作者:李莉  陈小菊  董贝  钟红月  任攀  李艳均  瞿海梅 
单位:成都医学院 护理学院, 四川 成都 610083
关键词:渐进性肌肉放松训练 癌症 焦虑 生活质量 Meta分析 
分类号:R493
出版年·卷·期(页码):2023·51·第九期(1206-1213)
摘要:

目的:系统评价渐进性肌肉放松训练对癌症患者焦虑的干预效果。方法:检索Cochrane Library、PubMed、Embase、Web of Science、中国知网、万方数据库、维普中文期刊数据库、中国生物医学文献数据库等8个中英文数据库从建库至2022年3月关于渐进性肌肉放松训练干预癌症患者焦虑症状的随机对照研究,纳入符合标准的文献,进行文献质量评价,选取焦虑、抑郁、生活质量指数等结局指标,使用RevMan 5.4软件进行Meta分析。结果:共纳入文献8篇,其中渐进性肌肉放松训练组516例,常规护理组517例。Meta分析结果显示,渐进性肌肉放松可以降低焦虑评分(SMD =-1.35,95%CI -1.66~-1.04,P<0.001)、抑郁评分(SMD =-1.68,95%CI -2.14~-1.22,P<0.001)和生活质量评分(SMD=-1.33,95%CI -1.63~-0.02,P<0.001)。亚组分析提示,渐进性肌肉放松训练对癌症患者焦虑改善效果的异质性可能来源于结局指标评定工具(P=0.04,I2=68.6%)、干预持续时间(P<0.001,I2=94.9%)、干预频次(P=0.02,I2=75.3%)。结论:渐进性肌肉放松训练可以改善恶性肿瘤患者的焦虑、抑郁情绪,能够提高患者的生活质量。

Objective: To evaluate the effect of progressive muscle relaxation training on anxiety in patients with malignant tumors using a systematic evaluation method. Methods: Cochrane Library, Web of Science, Embase, The PubMed, CNKI, VIP, CBM and Wanfang D atabase were searched for randomized controlled studies on interventions of progressive muscle relaxation training in anxiety in patients with malignant tumors from establishment of the databases to March 2022.Two researchers screened literatures according to inclusion criteria, evaluated literature quality and extracted data, and Meta-analysis was conducted using RevMan 5.4 software. Results: The results of the Meta-analysis showed that progressive muscle relaxation training reduced anxiety scores(SMD=-1.35, 95%CI -1.66--1.04), P<0.001), depression scores(SMD=-1.68, 95%CI -2.14--1.22), P<0.001), and quality of life scores(SMD =-1.33, 95%CI -1.63--1.02, P<0.001). Subgroup analyses suggested that the heterogeneity of the effect of progressive muscle relaxation training on improving anxiety in cancer patients may stem from the outcome indicator rating tool(P=0.04,I2=68.6%), intervention duration(P<0.001,I2=94.9%), and intervention frequency(P=0.02,I2=75.3%).Conclusion: Progressive muscle relaxation training can improve anxiety and depression in patients with malignant tumors and can improve the quality of life of patients.

参考文献:

[1] SUNG H,FERLAY J,SIEGEL R L,et al.Global Cancer Statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer J Clin,2021,71(3):209-249.
[2] WANG Y H,LI J Q,SHI J F,et al.Depression and anxiety in relation to cancer incidence and mortality:a systematic review and meta-analysis of cohort studies[J].Mol Psychiatry,2020,25(7):1487-1499.
[3] 孙迪,张丽娟,刘静茹,等.正念冥想和理性情绪行为疗法改善消化道肿瘤病人焦虑的效果比较[J].护理研究,2021,35(13):2396-2400.
[4] 潘瑞.肺癌化疗患者实施阶段性认知行为干预措施对负性情绪及生活质量的影响[J].黑龙江中医药,2021,50(5):57-58.
[5] 杨漫丽.渐进式肌肉放松训练在乳腺癌化疗患者中的应用及效果评价[D].衡阳:南华大学,2020.
[6] 朱文敏,魏小龙.非药物干预方法对乳腺癌患者康复效果的网状Meta分析[J].中华护理杂志,2020,55(6):862-867.
[7] 杨惠宇.温针灸改善大肠癌术后化疗患者便秘及焦虑、抑郁的临床研究[D].兰州:甘肃中医药大学,2021.
[8] 杨漫丽,万艳平,陈狮,等.渐进式肌肉放松训练在癌症患者中的应用进展[J].中华护理教育,2020,17(5):415-418.
[9] VUTTANON N,FINNEGAN L,LOJANAPIWAT B,et al.Effect of progressive muscle relaxation on symptom clusters in breast cancer patients receiving chemotherapy:a quasi-experimental controlled trial[J].Complement Ther Clin Pract,2019,37:27-31.
[10] 荣丽红,陈永红,邹素珍.肌肉放松训练联合音乐疗法在宫腔镜治疗宫腔粘连患者中的应用效果[J].现代医学,2014,42(7):736-739.
[11] PARÁS-BRAVO P,ALONSO-BLANCO C,PAZ-ZULUETA M,et al.Does Jacobson's relaxation technique reduce consumption of psychotropic and analgesic drugs in cancer patients? A multicenter pre-post intervention study[J].BMC Complement Altern Med,2018,18(1):139.
[12] HUDDAR V,VERNEKAR S,TATPATI N,et al.Comparative effect of progressive relaxation technique and Benson's technique on anxiety and fatigue in cancer survivors-an experimental study[J].Curr Probl Cancer,2023,47(1):100933.
[13] PELEKASIS P,MATSOUKA I,KOUMARIANOU A.Progressive muscle relaxation as a supportive intervention for cancer patients undergoing chemotherapy:a systematic review[J].Palliat Support Care,2017,15(4):465-473.
[14] DEMIRALP M,OFLAZ F,KOMURCU S.Effects of relaxation training on sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy[J].J Clin Nurs 2010,19(7-8):1073-1083.
[15] DE PAOLIS G,NACCARATO A,CIBELLI F,et al.The effectiveness of progressive muscle relaxation and interactive guided imagery as a pain-reducing intervention in advanced cancer patients:a multicentre randomised controlled non-pharmacological trial[J].Complement Ther Clin Pract,2019,34:280-287.
[16] 袁林楠,张飒乐,姚晚侠,等.肌肉放松训练对乳腺癌患者围手术期生活质量的影响[J].护士进修杂志,2017,32(4):296-299.
[17] 侯宁蕊,王慧丽,王燕.渐进性肌肉放松训练对围术期乳腺癌患者焦虑、抑郁和生活质量的影响[J].中华现代护理杂志,2017,23(4):489-493.
[18] 蔡霜,杨庆玲,张玲玲,等.渐进式肌肉放松训练对肺癌放疗患者焦虑情绪的影响[J].广东医学,2016,37(15):2363-2365.
[19] 宋春利.渐进性肌肉放松训练对乳腺癌患者围手术期焦虑、抑郁与免疫功能的影响[D].大连:大连医科大学,2016.
[20] 郑雪梅.渐进式肌肉放松训练对鼻咽癌放疗患者的影响[J].中国医药导报,2017,14(5):161-164.
[21] 苏洁.渐进性放松训练对CML患者焦虑、抑郁及生活质量的影响[J].检验医学与临床,2021,18(22):3318-3321.
[22] CHEUNG Y L,MOLASSIOTIS A,CHANG A M.The effect of progressive muscle relaxation training on anxiety and quality of life after stoma surgery in colorectal cancer patients[J].Psychooncology,2003,12(3):254-266.
[23] 王贺,邹启云,李智,等.渐进性肌肉放松训练联合肠内营养对胃癌化疗患者负性情绪与免疫功能的影响[J].国际精神病学杂志,2020,47(6):1247-1250.
[24] DIKMEN H A,TERZIOGLU F.Effects of reflexology and progressive muscle relaxation on pain,fatigue,and quality of life during chemotherapy in gynecologic cancer patients[J].Pain Manag Nurs,2019,20(1):47-53.
[25] 周晓荣,刘美丽,赵玲,等.渐进性肌肉放松训练对急性心肌梗死病人焦虑状态的影响[J].护理学杂志,2003(10):746-747.
[26] SHAHRIARI M,DEHGHAN M,PAHLAVANZADEH S,et al.Effects of progressive muscle relaxation,guided imagery and deep diaphragmatic breathing on quality of life in elderly with breast or prostate cancer[J].J Edu Health Promot,2017,6:1.
[27] 李玲,李杰,程云.渐进性肌肉放松训练联合有氧锻炼对肺癌放疗患者癌因性疲乏、负性情绪及生活质量的影响[J].徐州医科大学学报,2017,37(11):729-733.
[28] ZHOU K,WANG W,AN J,et al.Effects of progressive upper limb exercises and muscle relaxation training on upper limb function and health-related quality of life following surgery in women with breast cancer:a clinical randomized controlled trial[J].Ann Surg Oncol,2019,26(7):2156-2165.
[29] LIAO J,WU Y,ZHAO Y,et al.Progressive muscle relaxation combined with Chinese medicine five-element music on depression for cancer patients:a randomized controlled Trial[J].Chin J Integr Med,2018,24(5):343-347.
[30] HENDERSON V P,CLEMOW L,MASSION A O,et al.The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients:a randomized trial[J].Breast Cancer Res Treat,2012,131(1):99-109.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 790235 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541