瑜伽运动对乳腺癌患者负性情绪及生活质量影响的meta分析
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摘要
目的系统评价瑜伽运动对乳腺癌患者负性情绪及生活质量的改善作用。方法计算机检索PubMed、Wiley、The Cochrane Library、Science Direct、CNKI、CBM、万方数据库、维普数据库中关于瑜伽运动改善乳腺癌患者负性情绪及生活质量的随机对照研究,筛选相关文献,并对纳入文献进行质量评价和资料提取,采用Rev Man 5.2软件进行meta分析。结果共纳入7篇文献,其中干预组共330例患者,对照组共341例患者。Meta分析显示,瑜伽运动可以改善乳腺癌患者的焦虑症状(SMD=-0.47,95%CI-0.83～-0.10,P=0.01),减轻抑郁症状(SMD=-0.63,95%CI-0.82～-0.43,P<0.01),提高生活质量(MD=10.36,95%CI 5.80～14.93,P<0.01),缓解癌性疲劳,但在改善乳腺癌患者的睡眠质量方面并未显示出明显优势。结论瑜伽运动可以缓解乳腺癌患者的负性情绪,提高生活质量,但在改善睡眠质量方面无明显优势。
Objective To assess the effect of yoga on negative emotions and quality of life in patients with breast cancer. Method We searched the PubMed, Wiley, The Cochrane Library, Science Direct, CNKI, CBM, Wanfang and VIP database to collect all randomized controlled Trials(RCTs) regarding yoga intervention in patients with breast cancer. Two researchers independently select the literature and make quality assessment. Meta-analysis was used with Rev Man 5.2. Result 7 studies were included. The result showed that yoga can improve the level of anxiety symptom [SMD=-0.47, 95%CI(-0.83,-0.10), P=0.01], depression symptom [SMD=-0.63, 95%CI(-0.82,-0.43), P<0.001] and quality of life [MD=10.36, 95%CI(5.80, 14.93), P<0.001] and relieve the cancer-related fatigue. However, yoga has no significance related with improving quality of sleep in breast cancer patients. Conclusion Yoga can relieve negative emotions and improve the quality of life in breast cancer patients, and there was no obvious advantage in terms of sleep quality, a large-scale randomized controlled trial was conducted.
Objective To assess the effect of yoga on negative emotions and quality of life in patients with breast cancer. Method We searched the PubMed, Wiley, The Cochrane Library, Science Direct, CNKI, CBM, Wanfang and VIP database to collect all randomized controlled Trials(RCTs) regarding yoga intervention in patients with breast cancer. Two researchers independently select the literature and make quality assessment. Meta-analysis was used with Rev Man 5.2. Result 7 studies were included. The result showed that yoga can improve the level of anxiety symptom [SMD=-0.47, 95%CI(-0.83,-0.10), P=0.01], depression symptom [SMD=-0.63, 95%CI(-0.82,-0.43), P<0.001] and quality of life [MD=10.36, 95%CI(5.80, 14.93), P<0.001] and relieve the cancer-related fatigue. However, yoga has no significance related with improving quality of sleep in breast cancer patients. Conclusion Yoga can relieve negative emotions and improve the quality of life in breast cancer patients, and there was no obvious advantage in terms of sleep quality, a large-scale randomized controlled trial was conducted.
引文
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[2]Farrokh Nia M,Fath Abady J,Zahidy Z.The effects of cognitive interventions in reducing pain intensity and changes in heart rate and blood oxygen levels[J].J Breast Dis,2011,27(3):9-34.
[3]Byar KL,Berger AM,Bakken SL,et al.Impact of adjuvant breast cancer chemotherapy on fatigue,other symptoms,and quality of life[J].Oncol Nurs Forum,2006,33(1):E18-E26.
[4]张荣花.人性化护理措施对提高乳腺癌患者术后生活质量的疗效观察[J].河南外科学杂志,2016,22(1):151.
[5]Dodd MJ,Cho MH,Cooper BA,et al.The effect of symptom clusters on functional status and quality of life in women with breast cancer.[J].Eur J Oncol Nurs,2010,14(2):101-110.
[6]Bower JE,Ganz PA,Aziz N,et al.T-cell homeostasis in breast cancer survivors with persistent fatigue[J].J Natl Cancer Inst,2003,95(15):1165-1168.
[7]Nugteren A.A history of modern yoga:pata?jali and western esotericism[J].Aries,2004,8(1):107-109.
[8]Chandwani KD,Perkins G,Nagendra HR,et al.Randomized,controlled trial of yoga in women with breast cancer undergoing radiotherapy[J].J Clin Oncol,2014,32(10):1058-1065.
[9]Kiecolt-Glaser JK,Bennett JM,Andridge R,et al.Yoga’s impact on inflammation,mood,and fatigue in breast cancer survivors:a randomized controlled trial[J].J Clin Oncol,2014,32(10):1040-1049.
[10]Chong CS,Tsunaka M,Tsang HW,et al.Effects of yoga on stress management in healthy adults:a systematic review[J].Altern Ther Health Med,2011,17(1):32-38.
[11]Cramer H,Rabsilber S,Lauche R,et al.Yoga and meditation for menopausal symptoms in breast cancer survivors-a randomized controlled trial[J].Cancer,2015,121(13):2175-2184.
[12]Derry HM,Jaremka LM,Bennett JM,et al.Yoga and self-reported cognitive problems in breast cancer survivors:a randomized controlled trial[J].Psychooncology,2015,24(8):958-966.
[13]Harder H,Langridge C,Solis-Trapala I,et al.Post-operative exercises after breast cancer surgery:Results of a RCT evaluating standard care versus standard care plus additional yoga exercise[J].Eur J Integr Med,2015,7(3):202-210.
[14]Rao RM,Raghuram N,Nagendra HR,et al.Effects of an integrated yoga program on self-reported depression scores in breast cancer patients undergoing conventional treatment:a randomized controlled trial[J].Indian J Palliat Care,2015,21(2):174-181.
[15]王国妃,王曙红,姜萍岚,等.瑜伽运动对乳腺癌患者化疗期生存质量的影响[J].中华护理杂志,2015,50(8):937-941.
[16]周丽华,刘丽娜,陈燕虹.自编瑜伽干预对乳腺癌术后化疗患者癌因性疲乏和焦虑的影响[J].蚌埠医学院学报,2016,41(6):827-829.
[17]金翠凤,王莉莉,王蓓.瑜伽运动对乳腺癌患者化疗期癌因性疲乏及生存质量的影响[J].中西医结合护理杂志,2017,3(4):12-15.
[18]Rao RM,Vadiraja HS,Nagaratna R,et al.Effect of yoga on sleep quality and neuroendocrine immune response in metastatic breast cancer patients[J].Indian J Palliat Care,2017,23(3):253-260.
[19]Yamauchi Y,Nakamura Y.Yoga,fatigue,and regular physical activity among Japanese breast cancer survivors[J].Tairyoku Kagaku Jpn J Phys Fit Sports Med,2015,64(4):397-406.
[20]Zhang J,Yang KH,Tian JH,et al.Effects of yoga on psychologic function and quality of life in women with breast cancer:a metaanalysis of randomized controlled trials[J].J Altern Complement Med,2012,18(11):994-1002.
[21]Pan Y,Yang K,Wang Y,et al.Could yoga practice improve treatment-related side effects and quality of life for women with breast cancer?A systematic review and meta-analysis[J].Asia Pac J Clin Oncol,2017,13(2):e79-e95.
[22]Galantino ML,Greene L,Daniels L,et al.Longitudinal impact of yoga on chemotherapy-related cognitive impairment and quality of life in women with early stage breast cancer:a case series[J].Explore(NY),2012,8(2):127-135.