Effectiveness of acceptance and commitment therapy on psychological flexibility, fatigue, sleep disturbance, and quality of life of patients with cancer: A meta-analysis of randomized controlled trials.

IF 3.4 2区医学 Q1 NURSING

Worldviews on Evidence-Based Nursing Pub Date : 2023-12-01 Epub Date: 2023-05-16 DOI:10.1111/wvn.12652

Yalin Zhang, Yuxin Ding, Xiaoli Chen, Yunhuan Li, Juejin Li, Xiaolin Hu

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引用次数: 1

Abstract

Background: Current studies have revealed that acceptance and commitment therapy (ACT) can alleviate the adverse effects of cancer; however, its effectiveness on the psychological flexibility, fatigue, sleep disturbance, and quality of life of patients with cancer remains unclear.

Aims: The aims of this study were to identify the effectiveness of ACT on psychological flexibility, fatigue, sleep disturbance, and quality of life of patients with cancer, and to explore moderators.

Methods: PubMed, Embase, Web of Science, CENTRAL, PsycINFO, CINAHL, CNKI, VIP, and Wanfang electronic databases were searched from inception to September 29, 2022. The Cochrane Collaboration's risk-of-bias assessment tool II and the Grading of Recommendations Assessment, Development, and Evaluation approach were used to evaluate evidence certainty. The data were analyzed using R Studio. The study protocol was registered with PROSPERO (CRD42022361185).

Results: The study included 19 relevant studies (1643 patients) published between 2012 and 2022. The pooled results showed that ACT significantly improved psychological flexibility (mean difference [MD] = -4.22, 95% CI [-7.86, -0.58], p = .02) and quality of life (Hedges' g = 0.94, 95% CI [0.59, 1.29], Z = 5.31, p < .01) but did not significantly improve fatigue (Hedges' g = -0.03, 95% CI [-0.24, 0.18], p = .75) or sleep disturbance (Hedges' g = -0.26, 95% CI [-0.82, 0.30], p = .37) in patients with cancer. Additional analyses revealed a 3-month sustainable effect on psychological flexibility (MD = -4.36, 95% CI [-8.67, -0.05], p < .05), and moderation analysis showed that intervention duration (β = -1.39, p < .01) and age (β = 0.15, p = .04) moderated the effects of ACT on psychological flexibility and sleep disturbance, respectively.

Linking evidence to action: Acceptance and commitment therapy demonstrates effectiveness for psychological flexibility and quality of life of patients with cancer, but there is a lack of evidence regarding its effects on fatigue and sleep disturbance. In clinical practice, ACT should be designed in more detail and rounded to achieve better results.

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接纳与承诺疗法对癌症患者心理灵活性、疲劳、睡眠障碍和生活质量的影响：随机对照试验的荟萃分析。

背景：目的：本研究旨在确定接纳与承诺疗法（ACT）对癌症患者心理灵活性、疲劳、睡眠障碍和生活质量的影响，并探讨其调节因素：检索了从开始到2022年9月29日的PubMed、Embase、Web of Science、CENTRAL、PsycINFO、CINAHL、CNKI、VIP和万方等电子数据库。采用 Cochrane 协作组织的偏倚风险评估工具 II 和推荐分级评估、发展和评价方法来评估证据的确定性。数据使用 R Studio 进行分析。研究方案已在 PROSPERO 注册（CRD42022361185）：研究纳入了 19 项发表于 2012 年至 2022 年的相关研究（1643 名患者）。汇总结果显示，接纳与承诺疗法显著改善了心理灵活性（平均差 [MD] = -4.22，95% CI [-7.86, -0.58]，P = .02）和生活质量（Hedges' g = 0.94，95% CI [0.59, 1.29]，Z = 5.31，P 将证据与行动联系起来：接纳与承诺疗法对癌症患者的心理灵活性和生活质量有效，但缺乏有关其对疲劳和睡眠障碍影响的证据。在临床实践中，应该对接纳与承诺疗法进行更详细、更全面的设计，以取得更好的效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Worldviews on Evidence-Based Nursing 医学-护理

CiteScore

6.10

自引率

11.60%

发文量

审稿时长

>12 weeks

期刊介绍： The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.