强光疗法对癌症患者的睡眠质量有积极影响:荟萃分析

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY
Fengxia Lai , Zhen Luo , Jiyin Zhang , Wangjie Xia , Li Tian
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引用次数: 0

摘要

癌症患者经常会遇到与睡眠质量不佳有关的困难。亮光疗法(BLT)作为一种创新的治疗方法,在提高睡眠质量方面显示出良好的前景。然而,多篇文献综述显示的结果相互矛盾,因此应就BLT对睡眠的详细设置进行更多分析。本荟萃分析旨在全面评估BLT对癌症患者睡眠质量的影响。共纳入了 12 项研究,679 名患者。与对照组相比,BLT 在睡眠质量[g = -0.34]、总睡眠时间[g = 0.24]、睡眠开始后唤醒[g = -0.80]和疲劳[g = -0.54]方面均有显著改善。不过,它对睡眠效率、睡眠开始潜伏期和失眠严重程度的影响在统计学上并不显著。在光照设置方面,光照强度为5000lux、干预持续时间≥4周、光谱发射峰值为464∼465 nm、使用灯箱的干预措施在改善睡眠方面具有更高的疗效。BLT可被视为改善癌症患者睡眠质量的一种辅助治疗方法。不过,还需要进行更广泛、更严格的研究,以确定 BLT 的最佳照射时间及其对不同年龄段癌症患者的适用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bright light therapy has a positive effect on sleep quality in patients with cancer: A meta-analysis

Cancer patients frequently encounter difficulties associated with suboptimal sleep quality. Bright Light Therapy (BLT), an innovative treatment approach, has shown promise in enhancing sleep quality. However, several literature reviews showed conflicting results, and more analysis should be conducted regarding detailed BLT settings on sleep. This meta-analysis was undertaken to comprehensively assess the impact of BLT on sleep quality among cancer patients. Twelve studies with 679 patients were included. Compared with the control group, BLT overall resulted in significant improvements in terms of sleep quality [g = −0.34], total sleep time [g = 0.24], wake after sleep onset [g = −0.80], and fatigue [g = −0.54]. However, it did not yield a statistically significant effect on sleep efficiency, sleep onset latency, and insomnia severity. Regarding light settings, interventions featuring light intensities >5000lux, intervention duration ≥4 weeks, spectral emission peak at 464∼465 nm, and using a lightbox demonstrated heightened efficacy in improving sleep. BLT may be considered a supplementary therapeutic option to improve sleep quality among cancer patients. However, more extensive and rigorous studies are necessary to determine the optimal timing of BLT delivery and its applicability to cancer patients across different age groups.

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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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