中华护理杂志 ›› 2022, Vol. 57 ›› Issue (9): 1070-1078.DOI: 10.3761/j.issn.0254-1769.2022.09.007
收稿日期:
2021-08-24
出版日期:
2022-05-10
发布日期:
2022-05-12
通讯作者:
叶红芳,E-mail: 13915969627@163.com作者简介:
孙倩倩:女,本科(硕士在读),护师, E-mail:njusqq@163.com
SUN Qianqian(), YE Hongfang(), YANG Li
Received:
2021-08-24
Online:
2022-05-10
Published:
2022-05-12
摘要:
目的 系统评价接纳与承诺疗法对乳腺癌患者的干预效果。方法 计算机检索Cochrane Library、Web of Science、PubMed、Embase、CINAHL、PsycInfo、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于接纳与承诺疗法对乳腺癌患者干预效果的随机对照实验,检索时限为建库至2021年8月。由2名研究者根据纳入和排除标准对文献进行筛选、提取资料和方法学质量评价,运用Revman 5.4软件进行Meta分析。 结果 共纳入13篇随机对照研究,共1 061例患者。Meta分析结果显示,与常规护理相比,接纳与承诺疗法可减少乳腺癌患者的抑郁情绪[SMD=-1.15,95%CI(-1.48,-0.82),P<0.001]、焦虑水平[SMD=-1.28,95%CI(-1.53,-1.04),P<0.001],提升心理灵活性[MD=-12.26,95%CI(-15.02, -9.51),P<0.001]及创伤后成长水平[MD=-12.48,95%CI(-13.55,-11.40),P<0.001],增加患者疾病感知益处[MD=-8.77,95%CI(-10.79,-6.75),P<0.001]。 结论 接纳与承诺疗法能够缓解乳腺癌患者的抑郁及焦虑情绪,提高心理灵活性及创伤后成长水平,增强疾病感知益处,对乳腺癌患者心理状态的改善起到积极作用。
孙倩倩, 叶红芳, 杨莉. 接纳与承诺疗法对乳腺癌患者干预效果的Meta分析[J]. 中华护理杂志, 2022, 57(9): 1070-1078.
SUN Qianqian, YE Hongfang, YANG Li. Effectiveness of acceptance and commitment therapy on breast cancer patients:a Meta-analysis[J]. Chinese Journal of Nursing, 2022, 57(9): 1070-1078.
[1] | Cao W, Chen HD, Yu YW, et al. Changing profiles of cancer burden worldwide and in China:a secondary analysis of the global cancer statistics 2020[J]. Chin Med J(Engl), 2021, 134(7):783-791. |
[2] | 潘明月, 赵佳鑫, 黄海群, 等. 网络化认知行为疗法在乳腺癌患者中的研究进展[J]. 中华护理杂志, 2022, 57(3):363-367. |
Pan MY, Zhao JX, Huang HQ, et al. Research progress of internet-based cognitive behavioral therapy in breast cancer patients[J]. Chin J Nurs, 2022, 57(3):363-367. | |
[3] |
Doege D, Thong MSY, Koch-Gallenkamp L, et al. Age-specific prevalence and determinants of depression in long-term breast cancer survivors compared to female population controls[J]. Cancer Med, 2020, 9(22):8713-8721.
DOI URL |
[4] | 李梦媛, 田丽, 吴婷, 等. 乳腺癌患者乳房重建心理体验质性研究的Meta整合[J]. 中华护理杂志, 2019, 54(7):1091-1096. |
Li MY, Tian L, Wu T, et al. Women’s experience of undergoing reconstructive surgery after breast cancer:a qualitative Meta-synthesis[J]. Chin J Nurs, 2019, 54(7):1091-1096. | |
[5] | Russ TC, Stamatakis E, Batty GD. Psychological distress in relation to site specific cancer mortality[J]. BMJ, 2017, 356:108. |
[6] |
Burns DD, Spangler DL. Do changes in dysfunctional attitudes mediate changes in depression and anxiety in cognitive behavioral therapy?[J]. Behav Ther, 2001, 32(2):337-369.
DOI URL |
[7] |
Hayes SC, Luoma JB, Bond FW, et al. Acceptance and commitment therapy:model,processes and outcomes[J]. Behav Res Ther, 2006, 44(1):1-25.
DOI URL |
[8] |
Johns SA, Stutz PV, Talib TL, et al. Acceptance and commitment therapy for breast cancer survivors with fear of cancer recurrence:a 3-arm pilot randomized controlled trial[J]. Cancer, 2020, 126(1):211-218.
DOI URL |
[9] | Mahdavi A, Aghaei M, Aminnasab V, et al. The effectiveness of acceptance-commitment therapy(ACT) on perceived stress,symptoms of depression,and marital satisfaction in women with breast cancer[J]. Arch breast cancer, 2017, 4(1):16-23. |
[10] | Dehghani Najvani B, Neshatdoost HT, Abedi MR, et al. The effect of acceptance and commitment therapy on depression and psychological flexibility in women with breast cancer[J]. Zahedan J Res Med Sci, 2015, 17(4):e965. |
[11] |
Esmali A, Alizadeh M. The effectiveness of group psychotherapy based on acceptance and commitment on increasing of mental health and the quality of women’s life with breast cancer[J]. Biosci,Biotech Res Asia, 2015, 12(3):2253-2260.
DOI URL |
[12] |
Shari NI, Zainal NZ, Ng CG. Effects of brief acceptance and commitment therapy(ACT) on subjective cognitive impairment in breast cancer patients undergoing chemotherapy[J]. J Psychosoc Oncol, 2021, 39(6):695-714.
DOI URL |
[13] |
Mosher CE, Secinti E, Li RH, et al. Acceptance and commitment therapy for symptom interference in metastatic breast cancer patients:a pilot randomized trial[J]. Support Care Cancer, 2018, 26(6):1993-2004.
DOI URL |
[14] | 范玉屏, 周峥, 丁义涛. 接纳与承诺干预在乳腺癌术后患者中的应用[J]. 解放军护理杂志, 2018, 35(24):20-23,28. |
Fan YP, Zhou Z, Ding YT. Interventions of acceptance and commitment in postoperative patients with breast cancer[J]. Nurs J Chin PLA, 2018, 35(24):20-23,28. | |
[15] | 胡迎冬, 蒋维连. 接纳与承诺疗法对乳腺癌术后患者焦虑抑郁情绪及生命质量的影响[J]. 中国实用护理杂志, 2016, 32(29):2265-2268. |
Hu YD, Jiang WL. Effect of acceptance and commitment therapy on anxiety,depression and quality of life of breast cancer patients after operation[J]. Chin J Pract Nurs, 2016, 32 (29):2265-2268. | |
[16] | 蒋维连, 吕文静, 黄颖健, 等. 接纳与承诺疗法干预对乳腺癌术后患者创伤后成长的影响[J]. 中国实用护理杂志, 2020, 36(2):109-114. |
Jiang WL, Lyu WJ, Huang YJ, et al. Effect of continued acceptance and commitment therapy intervention on post-traumatic growth of postoperative patients with breast cancer[J]. Chin J Pract Nurs, 2020, 36(2):109-114. | |
[17] | 矫蕊, 蒋维连, 胡迎冬. 接纳与承诺疗法对乳腺癌患者术后心理社会适应的影响研究[J]. 中国实用护理杂志, 2016, 32(34):2662-2665. |
Jiao R, Jiang WL, Hu YD. Effect of acceptance and commitment therapy on postoperative psychosocial adaptation in breast cancer patients[J]. Chin J Pract Nurs, 2016, 32(34):2662-2665. | |
[18] | 姚晚侠, 何苗, 李春华, 等. 接纳与承诺疗法在乳腺癌术后化疗患者中的应用及效果观察[J]. 护士进修杂志, 2020, 35(24):2275-2277. |
Yao WX, He M, Li CH, et al. Application and effect observation of acceptance and commitment therapy in breast cancer patients undergoing chemotherapy[J]. J Nurses Train, 2020, 35(24):2275-2277. | |
[19] | 周小帅. 接纳与承诺疗法在乳腺癌根治术后患者护理中的应用效果[J]. 中国民康医学, 2020, 32(11):151-153. |
Zhou XS. Application effect of acceptance and commitment therapy in nursing of patients after radical mastectomy[J]. Med J Chin People’s Heal, 2020, 32(11):151-153. | |
[20] | 欧丽嫦, 郭小平, 蒙远珍. 接纳与承诺疗法对乳腺癌术后患者心理弹性及疾病感知益处的影响[J]. 现代临床护理, 2017, 16(2):14-18. |
Ou LC, Guo XP, Meng YZ. Effect of admission and commitment therapy on psychological resilience and disease awareness in patients with breast cancer surgery[J]. Mod Clin Nurs, 2017, 16(2):14-18. | |
[21] | Green S, Higgins JP. Cochrane handbook for systematic reviews of interventions version 5.1.0[R]. The Cochrane Collaboration, 2011. |
[22] | Zung WWK. A self-rating depression scale[J]. Arch Gene Psy, 1965, 12:63-70. |
[23] | 韩静, 张莉, 汪宝银, 等. 乳腺癌患者疾病接纳干预方案的构建及可行性研究[J]. 中华护理教育, 2020, 17(10):874-879. |
Han J, Zhang L, Wang BY, et al. The development of disease acceptance intervention and its feasibility evaluation for patients with breast cancer[J]. Chin J Nurs Educ, 2020, 17(10):874-879. | |
[24] |
Hawkes AL, Pakenham KI, Chambers SK, et al. Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life:a randomized controlled trial[J]. Ann Behav Med, 2014, 48(3):359-370.
DOI PMID |
[25] | 薛翠翠, 刘均娥, 苏娅丽, 等. 乳腺癌康复者自我形象的团体接纳与承诺干预方案构建及其初步验证[J]. 中国护理管理, 2015, 15(1):8-12. |
Xue CC, Liu JE, Su YL, et al. Development and preliminary verification of the group acceptance and commitment intervention program on body image of rehabilitative breast cancer survivors[J]. Chin Nurs Manag, 2015, 15(1):8-12. | |
[26] |
Ah DV, Kang DH. Correlates of mood disturbance in women with breast cancer:patterns over time[J]. J Adv Nurs, 2008, 61 (6):676-689.
DOI URL |
[27] | 刘艳, 吕美荣, 张爱华. 接纳承诺疗法对癌症患者心理灵活性影响的meta分析[J]. 中国心理卫生杂志, 2021, 35(8):657-663. |
Liu Y, Lyu MR, Zhang AH. A meta-analysis of acceptance and commitment therapy on psychological flexibility for patients with cancer[J]. Chin Ment Heal J, 2021, 35(8):657-663. | |
[28] | Li HT, Wu J, Ni QQ, et al. Systematic review and meta-analysis of effectiveness of acceptance and commitment therapy in patients with breast cancer[J]. Nurs Res, 2021, 70(4):E152-E160. |
[29] |
Tedeschi RG, Calhoun LG. TARGET ARTICLE:“posttraumatic growth:conceptual foundations and empirical evidence”[J]. Psychol Inq, 2004, 15(1):1-18.
DOI URL |
[30] | 马兰, 李惠萍, 王德斌. 乳腺癌患者创伤后成长及影响因素的研究进展[J]. 中华护理杂志, 2013, 48(7):664-666. |
Ma L, Li HP, Wang DB. Research progress on posttraumatic growth and its influencing factors in breast cancer patients[J]. Chin J Nurs, 2013, 48(7):664-666. | |
[31] | 宋小花, 陈红涛, 陈紫航, 等. 喉癌术后患者疾病感知与创伤后成长的纵向研究[J]. 中华护理教育, 2020, 17(10):65-69. |
Song XH, Chen HT, Chen ZH, et al. Illness perception and post-traumatic growth in postoperative patients with laryngeal cance:a longitudinal study[J]. Chin J Nurs Edu, 2020, 17(10):65-69. |
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