非药物干预对乳腺癌患者益处发现影响的网状Meta分析
Network Meta-analysis of the effect of non-pharmacological intervention on benefit finding of breast cancer patients
汪昊兰 1高丽 1杨翠莲 1刘宇 1徐耀峥 1刘均娥1
作者信息
- 1. 首都医科大学护理学院,北京 100069
- 折叠
摘要
目的 采用网状Meta分析方法评价非药物干预对乳腺癌患者益处发现的影响.方法 计算机检索中国知网、维普网、万方数据、中国生物医学文献数据库、PubMed、Web of Science、Cochrane Library、EBSCO、Embase、Medline、Ovid、CINAHL等数据库中关于非药物干预对乳腺癌患者益处发现影响的临床随机对照试验.检索时限均为建库至2023年10月15日,由2名研究者独立进行文献筛选及数据提取,并采用Cochrane手册5.1.0版随机对照试验偏倚风险评估量表对纳入的文献进行质量评价,采用Stata 14.0软件进行网状Meta分析.结果 共纳入10篇文献.网状Meta分析结果显示,认知行为疗法对于提高乳腺癌患者益处发现的效果最优,不同非药物干预方法的效果依次为:认知行为疗法＞瑜伽＞接纳与承诺疗法＞自我表露＞肌肉拉伸.结论 现有证据表明,认知行为疗法在提高乳腺癌患者益处发现方面的效果最佳,但未来仍需寻找更有价值的证据支持和高质量的随机对照试验研究以进一步验证.
Abstract
Objective To evaluate the effect of non-pharmacological interventions on benefit finding of breast cancer patients by using network Meta-analysis.Methods Randomized controlled trials on the effect of non-pharmacological interventions on the benefit finding of breast cancer patients were retrieved by computer fromCNKI,VIP,WanfangDate,China Biology Medicine disc,PubMed,Web of Science,Cochrane Library,EBSCO,Embase,Medline,Ovid,CINAHL and other databases.The retrieval time was from establishment of the databases to October 15th,2023.Literature screening and data extraction were carried out independently by two researchers.The Cochrane Manual 5.1.0 randomised Controlled Trial Bias Risk Assessment Scale were used to evaluate the included literature.And the Stata 14.0 were used for Network Meta-analysis.Results A total of 10 literatures were included.The results of Network Meta-analysis showed that cognitive behavior therapy was the best intervention in improving the benefit finding of breast cancer patients.The effects of different non-pharmacological intervention methods in descending order were cognitive behavior therapy,yoga,acceptance and commitment therapy,self disclosure and muscle stretching.Conclusions Existing evidence suggests that cognitive behavioral therapy is most effective in improving benefiting finding in breast cancer patients,but more valuable evidence support and high-quality randomized controlled trial studies are needed to further validate.
关键词
乳腺肿瘤/益处发现/干预效果/网状Meta分析Key words
Breast neoplasms/Benefit finding/Intervention effect/Network Meta-analysis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据