认知行为疗法对癌症患者恐惧疾病进展影响的系统评价

doi:10.3761/j.issn.1672-9234.2022.03.009

摘要/Abstract

摘要：

目的系统评价认知行为疗法在癌症患者恐惧疾病进展中的应用效果。方法计算机检索PubMed、the Cochrane Library、Web of Science、Embase、中国知网、万方数据库、维普数据库、中国医学生物文献服务系统中关于认知行为疗法改善癌症患者恐惧疾病进展的随机对照试验,检索日期为建库至2021年5月。经过文献筛选、质量评价、资料提取后,采用RevMan 5.3软件进行Meta分析。结果纳入9篇文献,总样本量为863例。Meta结果显示,认知行为干预可降低癌症患者的恐惧疾病进展水平[MD=-3.06,95%CI（-3.50,-2.61）,Z=13.51,P<0.001]。亚组分析结果显示,不同评价工具、随访时间的试验组干预效果优于对照组。结论认知行为疗法可以降低癌症患者恐惧疾病进展水平,但尚需高质量、大样本、长时间随访的研究进一步验证其效果。

关键词: 肿瘤, 认知行为疗法, 恐惧疾病进展, 系统评价

Abstract:

Objective To systematically evaluate the effects of cognitive behavioral therapy on fear of disease progression in cancer patients. Methods The databases of PubMed,Web of Science,the Cochrane Library,Embase,CNKI,WanFang,VIP,and CBM were searched from their inception to May 2021. The randomized controlled trials of cognitive behavioral therapy to improve the fear of progression in cancer patients were retrieved. After article screening,quality evaluation,and data extraction,data were analyzed by using RevMan 5.3. Results Nine articles were included with a total sample size of 863. Meta analysis showed that the cognitive behavioral therapy reduced the level of fear of disease progression in cancer patients[MD=-3.06,95%CI（-3.50,-2.61）,Z=13.51,P<0.001]. The results of the subgroup analysis showed that the intervention with various evaluation tools and follow-up times was more effective in the test group than in the control group. Conclusion Cognitive behavioral therapy can reduce the level of the fear of disease progression in cancer patients. However,studies with high quality,large sample,and long follow-up periods are needed to further validate the effectiveness of cognitive behavioral therapy.

Key words: Neoplasms, Cognitive behavioral therapy, Fear of disease progression, Systematic review

张乐乐,李瑞玲,程秋泓,崔倩,曲瑞杰. 认知行为疗法对癌症患者恐惧疾病进展影响的系统评价[J]. 中华护理教育, 2022, 19(3): 242-247.

ZHANG Le-le,LI Rui-ling,CHENG Qiu-hong,CUI Qian,QU Rui-jie. A systematic review of the cognitive behavioral therapy on fear of disease progression in cancer patients[J]. Chinese Journal of Nursing Education, 2022, 19(3): 242-247.

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