身心锻炼对乳腺癌幸存者抑郁症的疗效比较:系统综述和网络荟萃分析。

IF 3.4 2区 医学 Q1 NURSING
Worldviews on Evidence-Based Nursing Pub Date : 2023-12-01 Epub Date: 2023-08-01 DOI:10.1111/wvn.12669
Liangrong Geng, Yi Duan, Xiaoyu Li, Shujin Yue, Ruxue Li, Hongxia Liu, Chunxiang Su
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引用次数: 0

摘要

背景:由于药物治疗通常会导致不良反应,身心锻炼(MBE)疗法已成为治疗乳腺癌(BC)患者抑郁症的一种更受欢迎的选择。目的:本系统综述和网络荟萃分析(NMA)旨在比较不同心身锻炼模式对乳腺癌患者抑郁症的疗效:在以下数据库中系统检索了从开始到 2023 年 3 月 25 日的随机对照试验 (RCT):EMBASE、PubMed、Web of Science、Cochrane Library、中国国家知识基础设施、万方数据、中国生物医学、OpenGrey 和 ClinicalTrials.gov。采用随机效应模型进行了传统的荟萃分析,以直接评估各种 MBE 干预措施的有效性。进行 NMA 时使用了 Stata 16.0 软件:对 32 项符合条件的 RCT(包括 2361 名参与者)进行了 NMA 分析。MBE疗法对抑郁症的疗效排序如下:六味地黄丸(累积排名曲线下表面值 [SUCRA] = 95.4%)>太极拳(SUCRA = 76.9%)>瑜伽(SUCRA = 55.0%)>八段锦(SUCRA = 53.9%)>普拉提(SUCRA = 38.6%)>舞蹈(SUCRA = 30.2%)>气功(SUCRA = 28.1%)>对照组(SUCRA = 21.9%):我们的研究表明,六字诀和太极拳可能是对缓解 BC 幸存者抑郁症最有效的 MBE 干预方法。医疗保健专业人员可考虑推荐六子精舍和太极拳作为一种辅助疗法,用于治疗患有抑郁症的 BC 幸存者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative efficacy of mind-body exercise for depression in breast cancer survivors: A systematic review and network meta-analysis.

Background: As pharmacotherapy often leads to adverse reactions, mind-body exercise (MBE) treatments have become a more popular option for treating depression in people living with breast cancer (BC). However, the most effective type of MBE treatment for this population remains unclear.

Aims: The aim of this systematic review and network meta-analysis (NMA) was to compare the efficacy of the different MBE modes for depression in people with BC.

Methods: A systematic search for randomized controlled trials (RCTs) from inception to March 25, 2023, was conducted in the following database: EMBASE, PubMed, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Wanfang Data, China Biology Medicine, OpenGrey, and ClinicalTrials.gov. A traditional meta-analysis was conducted using the random-effects model to directly assess the effectiveness of various MBE interventions. Stata 16.0 software was used for performing the NMA.

Results: The NMA was performed in 32 eligible RCTs including 2361 participants. The efficacy of MBE treatments on depression was ranked as the following: Liuzijue (surface under the cumulative ranking curve [SUCRA] = 95.4%) > Tai chi (SUCRA = 76.9%) > yoga (SUCRA = 55.0%) > Baduanjin (SUCRA = 53.9%) > Pilates (SUCRA = 38.6%) > dance (SUCRA = 30.2%) > Qigong (SUCRA = 28.1%) > control (SUCRA = 21.9%).

Linking evidence to action: Our research showed that Liuzijue and Tai chi might be the most significantly effective MBE intervention for mitigating depression among BC survivors. Healthcare professionals could consider recommending Liuzijue and Tai Chi as a complementary therapy for BC survivors who experience depression.

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来源期刊
CiteScore
6.10
自引率
11.60%
发文量
72
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.
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