[1]朱天荣,周云仙.基于正念的干预训练对炎症性肠病患者焦虑、抑郁及生活质量影响的Meta分析[J].军事护理,2022,39(04):61-64,80.[doi:10.3969/j.issn.1008-9993.2022.04.016]
 ZHU Tianrong,ZHOU Yunxian.The Effect of Mindfulness-based Intervention on Anxiety,Depression and Quality of Life in Patients with Inflammatory Bowel Disease: A Meta-analysis[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(04):61-64,80.[doi:10.3969/j.issn.1008-9993.2022.04.016]
点击复制

基于正念的干预训练对炎症性肠病患者焦虑、抑郁及生活质量影响的Meta分析
分享到:

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年04期
页码:
61-64,80
栏目:
循证护理
出版日期:
2022-04-15

文章信息/Info

Title:
The Effect of Mindfulness-based Intervention on Anxiety,Depression and Quality of Life in Patients with Inflammatory Bowel Disease: A Meta-analysis
文章编号:
1008-9993(2022)04-0061-05
作者:
朱天荣周云仙
(浙江中医药大学 护理学院,浙江 杭州 310053)
Author(s):
ZHU TianrongZHOU Yunxian
(School of Nursing,Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang Province,China)
关键词:
正念 炎症性肠病 焦虑 抑郁 生活质量
Keywords:
mindfulness inflammatory bowel disease anxiety depression quality of life
分类号:
R473.57
DOI:
10.3969/j.issn.1008-9993.2022.04.016
文献标志码:
A
摘要:
目的 系统评价基于正念的干预训练对炎症性肠病患者焦虑、抑郁和生活质量的影响。 方法 检索PubMed、Embase、Cochrane Library、Web of Science、中国生物医学文献服务系统、中国知网、万方、重庆维普数据库,纳入从建库至2021年4月25日基于正念的干预训练对炎症性肠病患者效果的随机对照试验。采用RevMan 5.3软件进行统计分析。 结果 共纳入11篇文献,703例患者。Meta分析结果显示,正念干预能改善炎症性肠病患者的短期(≤2个月)焦虑[SMD= -0.43,95%CI(-0.84,-0.02),P<0.05]、抑郁[SMD=-0.53,95%CI(-1.05,-0.02),P<0.05)]情绪,但在改善患者生活质量方面无统计学差异(P>0.05)。长期随访(≥4个月)显示,正念干预对焦虑、抑郁、生活质量的改善差异均无统计学意义(均P>0.05)。结论 基于正念的干预训练可以短期改善炎症性肠病患者的焦虑、抑郁水平,但长期效应尚需进一步的随机对照试验证实。
Abstract:
Objective To systematically review the effect of mindfulness-based intervention on anxiety,depression,and quality of life in patients with inflammatory bowel disease(IBD).Methods The database of PubMed,Embase,Cochrane Library,Web of Science,CBM,CNKI,WanFang and VIP were searched for the randomized controlled trials of mindfulness-based intervention for IBD patients from database establishment to April 25,2021.RevMan 5.3 software was used for statistical analysis.Results A total of 11 studies were included,involving 703 patients.Meta-analysis showed that mindfulness-based intervention was able to improve the short-term(≤2 months)anxiety [SMD=-0.43,95%CI(-0.84,-0.02),P<0.05]and depression[SMD=-0.53,95%CI(-1.05,-0.02),P<0.05)]status of IBD patients,but there was no significant difference in improving the quality of life of patients(P>0.05).Long-term follow-up(≥4 months)showed that mindfulness-based intervention had no significant difference in anxiety,depression and quality of life(all P>0.05).Conclusions Mindfulness-based intervention can improve the anxiety and depression levels of IBD patients in the short term,but the long-term effect still needs to be confirmed by further randomized controlled trials.

参考文献/References:

[1] 中华医学消化病学分会炎症性肠病学组,中华医学会肠外与肠内营养学分会胃肠病与营养协作组.炎症性肠病营养支持治疗专家共识(第二版)[J].中华炎性肠病杂志,2018,2(3):154-172.
[2] DUBINSKY M C,DOTAN I,RUBIN D T,et al.Burden of comorbid anxiety and depression in patients with inflammatory bowel disease:a systematic literature review[J].Expert Rev Gastroenterol Hepatol,2021,15(9):985-997.
[3] DAVIS S P,BOLIN L P,CRANE P B,et al.Non-pharmacological interventions for anxiety and depression in adults with inflammatory bowel disease:a systematic review and meta-analysis[J/OL].[2021-08-02].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676293/.DOI:10.3389/fpsyg.2020.538741.
[4] BISHOP S R,LAU M,SHAPIRO S,et al.Mindfulness:a proposed operational definition[J].Clin Psychol(New York),2004,9(3):76-80.
[5] EWAIS T,BEGUN J,KENNY M,et al.A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease[J].J Psychosom Res,2019,116:44-53.
[6] HOOD M M,JEDEL S.Mindfulness-based interventions in inflammatory bowel disease[J].Gastroenterol Clin North Am,2017,46(4):859-874.
[7] 叶圆圆,裴文层,黄英.正念干预对炎症性肠病患者抑郁、焦虑及生活质量影响的Meta分析[J].四川精神卫生,2020,33(3):244-248.
[8] 林梦月,任鹏娜,王谊,等.正念疗法在炎症性肠病患者中应用的系统评价[J].现代消化及介入诊疗,2021,26(2):227-233.
[9] The Cochrane Collaboration.Cochrane handbook for systematic reviews of interventions Version 5.1.0.2011[EB/OL].[2020-09-18].
[10]WYNNE B,MCHUGH L,GAO W,et al.Acceptance and commitment therapy reduces psychological stress in patients with inflammatory bowel diseases[J].Gastroenterology,2019,156(4):935-945.
[11]吕蕊,刘思含,蒙娜,等.基于接纳与承诺疗法的护理干预在炎症性肠病患者中的应用[J].中华现代护理杂志,2020,26(36):5086-5090.
[12]SCHOULTZ M,ATHERTON I,WASTON A.Mindfulness-based cognitive therapy for inflammatory bowel disease patients:findings from an exploratory pilot randomised controlled trial[J/OL].[2021-08-02].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4549082/.DOI:10.1186/s13063-015-0909-5.
[13]NEILSON K,FTANOU M,MONSHAT K,et al.A controlled study of a group mindfulness intervention for individuals living with inflammatory bowel disease[J].Inflamm Bowel Dis,2016,22(3):694-701.
[14]BERRILL J W,SADLIER M,HOOD K,et al.Mindfulness-based therapy for inflammatory bowel disease patients with functional abdominal symptoms or high perceived stress levels[J].J Crohns Colitis,2014,8(9):945-955.
[15]JEDEL S,HOFFMAN A,MERRIMAN P,et al.A randomized controlled trial of mindfulness-based stress reduction to prevent flare-up in patients with inactive ulcerative colitis[J].Digestion,2014,89(2):142-155.
[16]杜志茜.正念减压疗法对溃疡性结肠炎患者心理状况及睡眠质量的影响[J].航空航天医学杂志,2019,30(7):868-869.
[17]GERBARG P L,JACOB V E,STEVENS L,et al.The effect of breathing,movement,and meditation on psychological and physical symptoms and inflammatory biomarkers in inflammatory bowel disease:a randomized controlled trial[J].Inflamm Bowel Dis,2015,21(12):2886-2896.
[18]CRAMER H,SCHAFER M,SCHOLS M,et al.Randomised clinical trial:yoga vs written self-care advice for ulcerative colitis[J].Aliment Pharmacol Ther,2017,45(11):1379-1389.
[19]SHARMA P,POOJARY G,DWIVEDI S N,et al.Effect of yoga-based intervention in patients with inflammatory bowel disease[J].Int J Yoga Therap,2015,25(1):101-112.
[20]杨秀芳,冯雯雯,徐丹丹,等.瑜伽休息术对克罗恩病术前患者的影响[J].中国误诊学杂志,2011,11(27):6608.
[21]GARLAND E L,FARB N A,GOLDIN P,et al.Mindfulness broadens awareness and builds eudaimonic meaning:a process model of mindful positive emotion regulation[J].Psychol Inq,2015,26(4):293-314.
[22]GOTINK R A,VERNOOIJ M W,IKRAM M A,et al.Meditation and yoga practice are associated with smaller right amygdala volume:the Rotterdam study[J].Brain Imaging Behav,2018,12(6):1631-1639.
[23]BOLIER L,HAVERMAN M,WESTERHOF G J,et al.Positive psychology interventions:a meta-analysis of randomized controlled studies[J/OL].[2021-08-02].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599475/.DOI:10.1186/1471-2458-13-119.
[24]齐妍妍,王爱平.炎症性肠病患者生存质量及影响因素分析[J].护士进修杂志,2020,35(24):2297-2300.
[25]HUPPERTZ H G,LIE H M,JELSNESS J L P,et al.Health-related quality of life in patients with inflammatory bowel disease 20 years after diagnosis:Results from the ibsen study[J].Inflamm Bowel Dis,2016,22(7):1679-1687.
[26]BALLOU S,KEEFER L.Psychological interventions for irritable bowel syndrome and inflammatory bowel diseases[J/OL].[2021-08-02].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5288603/.DOI:10.1038/ctg.2016.69.

相似文献/References:

[1]倪飞霞,蔡婷婷,顾艳荭,等.患者报告结局测量信息系统在炎症性肠病患者中的研究进展[J].军事护理,2021,38(07):64.[doi:10.3969/j.issn.1008-9993.2021.07.016]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-08-24 【 修回日期 】 2022-01-15
【 基金项目 】 2021年浙江省基础公益研究项目(LGF21C 090001)
【 作者简介 】 朱天荣,硕士在读,从事慢性病管理方向研究
【 通信作者 】 周云仙,电话:0571-86633121
更新日期/Last Update: 2022-04-15