渐进性肌肉放松训练对癌症患者焦虑干预效果的Meta分析-现代医学

渐进性肌肉放松训练对癌症患者焦虑干预效果的Meta分析

单位：成都医学院护理学院, 四川成都 610083

分类号：R493

出版年·卷·期（页码）：2023·51·第九期（1206-1213）

摘要：

目的：系统评价渐进性肌肉放松训练对癌症患者焦虑的干预效果。方法：检索Cochrane Library、PubMed、Embase、Web of Science、中国知网、万方数据库、维普中文期刊数据库、中国生物医学文献数据库等8个中英文数据库从建库至2022年3月关于渐进性肌肉放松训练干预癌症患者焦虑症状的随机对照研究，纳入符合标准的文献,进行文献质量评价,选取焦虑、抑郁、生活质量指数等结局指标,使用RevMan 5.4软件进行Meta分析。结果：共纳入文献8篇，其中渐进性肌肉放松训练组516例，常规护理组517例。Meta分析结果显示，渐进性肌肉放松可以降低焦虑评分(SMD =-1.35，95%CI -1.66～-1.04，P＜0.001)、抑郁评分(SMD =-1.68，95%CI -2.14～-1.22，P＜0.001)和生活质量评分(SMD=-1.33，95%CI -1.63～-0.02，P＜0.001)。亚组分析提示，渐进性肌肉放松训练对癌症患者焦虑改善效果的异质性可能来源于结局指标评定工具(P=0.04，I²=68.6%)、干预持续时间(P＜0.001，I²=94.9%)、干预频次(P=0.02，I²=75.3%)。结论：渐进性肌肉放松训练可以改善恶性肿瘤患者的焦虑、抑郁情绪，能够提高患者的生活质量。

Objective: To evaluate the effect of progressive muscle relaxation training on anxiety in patients with malignant tumors using a systematic evaluation method. Methods: Cochrane Library， Web of Science， Embase， The PubMed， CNKI， VIP, CBM and Wanfang D atabase were searched for randomized controlled studies on interventions of progressive muscle relaxation training in anxiety in patients with malignant tumors from establishment of the databases to March 2022.Two researchers screened literatures according to inclusion criteria, evaluated literature quality and extracted data, and Meta-analysis was conducted using RevMan 5.4 software. Results: The results of the Meta-analysis showed that progressive muscle relaxation training reduced anxiety scores(SMD=-1.35, 95%CI -1.66--1.04), P<0.001), depression scores(SMD=-1.68, 95%CI -2.14--1.22), P<0.001), and quality of life scores(SMD =-1.33, 95%CI -1.63--1.02, P<0.001). Subgroup analyses suggested that the heterogeneity of the effect of progressive muscle relaxation training on improving anxiety in cancer patients may stem from the outcome indicator rating tool(P=0.04，I²=68.6%), intervention duration(P＜0.001，I²=94.9%), and intervention frequency(P=0.02，I²=75.3%).Conclusion: Progressive muscle relaxation training can improve anxiety and depression in patients with malignant tumors and can improve the quality of life of patients.

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