不同非药物疗法对癌症患者癌症相关疲劳的疗效：一项网络荟萃分析。

IF 7.5 1区医学 Q1 NURSING

International Journal of Nursing Studies Pub Date : 2024-09-07 DOI:10.1016/j.ijnurstu.2024.104904

Yingyin Long , Zhenfeng Zhou , Shuang Zhou , Guijuan Zhang

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引用次数: 0

摘要

背景：癌症相关性疲劳是癌症患者最常见的主观持续性症状，几乎贯穿了患者发病、治疗和康复的全过程，严重影响了抗肿瘤治疗的效果，降低了患者的生活质量。非药物治疗是缓解癌症相关性疲劳的关键环节之一，然而非药物治疗种类繁多，相关指南并未推荐癌症相关性疲劳的最佳护理方案。在我们的研究中，我们采用了网络 Meta 分析法来比较不同非药物疗法对癌症相关性疲劳的疗效，以使其治疗和护理更具临床价值：方法：在中国知网、万方数据知识服务平台、中文科技期刊数据库、中国生物医学数据库、Google Scholar、Pubmed、Web of science、Cochrane Library、Sci-Hub、ScienceDirect等中英文数据库以及Medlive、丁香园等相关医学网站检索癌症相关性疲劳非药物疗法的随机对照试验。检索时间为数据库建立至 2023 年 12 月。由两名经过培训的研究人员使用 Cochrane 偏倚风险评估工具对纳入的随机对照试验进行质量评估，并从纳入的文献中独立提取数据，使用 Stata 18.0 统计软件进行网状 Meta 分析：共纳入49项研究，24种非药物治疗方法，3887名患者。网络荟萃分析结果显示，与常规护理措施和其他非药物疗法相比，使用按摩疗法改善癌症患者的癌症相关性疲劳具有更显著的优势，其次是红外线激光灸和具有中医特色的隔姜灸，而效果最差的是加强切除术：结论：现有证据表明，按摩疗法对癌症相关疲劳的干预效果最好。结论：现有证据表明，按摩疗法在癌症相关疲劳的干预中效果最好，但由于非药物疗法的多样性以及每种疗法纳入研究的数量较少，本研究的覆盖面还不够广，未来还需要更多的大样本、多中心、高质量的随机对照试验来进一步验证。

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The effectiveness of different non-pharmacological therapies on cancer-related fatigue in cancer patients:A network meta-analysis

Background

Cancer-related fatigue is the most common symptom of subjective and persistent nature in cancer patients, which almost runs through the whole process of disease and treatment and rehabilitation, seriously affects the effect of anti-tumor treatment and reduces the quality of life of patients. Non-pharmacological management is one of the key links to relieve cancer-related fatigue, however, there are many types of non-pharmacological management and the related guidelines do not recommend the optimal nursing program for cancer-related fatigue. In our study, Network Meta-analysis was used to compare the effectiveness of different non-pharmacological therapies in Cancer-related fatigue to make their treatment and care more clinically valuable.

Methods

Randomized controlled trials about non-pharmacological therapies for cancer-related fatigue were searched in Chinese and English databases including China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, Chinese Scientific Journal database, Chinese Biomedical Database, Google Scholar, Pubmed, Web of science, Cochrane Library, Sci-Hub, ScienceDirect, and other relevant medical websites including Medlive and DingXiangYuan. The search time was from the establishment of the database to December 2023. The quality of the included Randomized controlled trials was evaluated by two trained researchers using the Cochrane Risk of Bias Assessment Tool, and data were independently extracted from the included literature and analyzed by reticulated Meta-analysis using Stata 18.0 statistical software.

Results

A total of 49 studies with 24 non-drug management methods, and 3887 patients were included. The results of network meta-analysis showed that the use of massage therapy to improve cancer-related fatigue had a more significant advantage over conventional nursing measures and other non-pharmacological therapies in cancer patients, followed by infrared laser moxibustion and ginger-isolated moxibustion with traditional Chinese medicine characteristics, while the worst effect was strengthening excise.

Conclusions

The existing evidence shows that massage therapy has the best effect in the intervention of cancer-related fatigue. However, due to the diversity of non-pharmacological therapies and the small number of studies included in each therapy, the coverage of this study is insufficient, and more large-sample, multi-center and high-quality randomized controlled trials are needed for further verification in the future.

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来源期刊

International Journal of Nursing Studies 医学-护理

CiteScore

15.00

自引率

2.50%

发文量

181

审稿时长

21 days

期刊介绍： The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).