CAJ | 학술논문

目的：系统评价正念减压法干预癌因性疲乏的有效性。方法计算机检索PubM ed、M edline、EM base、Web of Science、Cochrane Central Register of Controlled T rials、CBM和万方数据库，查找关于正念减压法干预癌因性疲乏的相关研究文献，检索时限均从建库至2014年12月。由2位评价员按纳入与排除标准独立筛选文献、提取资料并评价质量后，采用RevMan 5．1软件进行Meta分析。结果共纳入3篇RCT ，381例患者。Meta分析结果显示：接受正念减压疗法组患者干预前后疲乏降低的程度与对照组患者相比，差异有统计学意义[SMD＝－0．36，95％ CI（－0．53，－0．20），P＜0．0001]。结论现有证据表明，正念减压法训练能缓解癌因性疲乏。鉴于纳入研究数量有限，上述结论尚需开展更多研究予以验证。
목적：계통평개정념감압법간예암인성피핍적유효성。방법계산궤검색PubM ed、M edline、EM base、Web of Science、Cochrane Central Register of Controlled T rials、CBM화만방수거고，사조관우정념감압법간예암인성피핍적상관연구문헌，검색시한균종건고지2014년12월。유2위평개원안납입여배제표준독립사선문헌、제취자료병평개질량후，채용RevMan 5．1연건진행Meta분석。결과공납입3편RCT ，381례환자。Meta분석결과현시：접수정념감압요법조환자간예전후피핍강저적정도여대조조환자상비，차이유통계학의의[SMD＝－0．36，95％ CI（－0．53，－0．20），P＜0．0001]。결론현유증거표명，정념감압법훈련능완해암인성피핍。감우납입연구수량유한，상술결론상수개전경다연구여이험증。
Objective To evaluate the effectiveness of the effectiveness of cancer related fatigue intervention by mindful‐ness‐based stress reduction .Method Systematic searches were carried out in PubMed ,Medline ,EMbase ,Web of Science , Cochrane Central Register of Controlled Trials ,CBM and Wanfang databases from their inception through December 2014 for relevant RCTs .Papers were screened ,data was extracted and quality appraised .The dates was analyzed by two review‐ers independently using predefined criteria and Review Manager Software (5 .0 .1 version) .Result Three RCTs (n=381 , participants) were included in the final meta‐analysis .Mindfulness‐based Stress Reduction(MBSR) has a moderate effect on cancer related fatigue compared with the usual care[SMD= -0 .36 ,95% CI(-0 .53 ,-0 .20) ,P<0 .0001] .Conclusion MBSR training could alleviate cancer relate fatigue from this meta‐analysis .However ,in view of current limited trials ,fur‐ther research is recommended to contribute further evidence .