PDF(Pubmed)
Abstract：
BACKGROUND: Palliative care is a medical and humanitarian approach that improves the quality of life of patients, and their families, who are facing problems associated with chronic and life-threatening illnesses. Few studies have evaluated the effectiveness of mindfulness-based interventions for terminally ill or incurable patients. The aim of this study was to systematically review the literature on the effect of mindfulness-based interventions on symptom control and quality of life in patients in palliative care.
METHODS: PubMed, Web of Science and Cochrane databases were searched for articles, published between January 2017 and December 2022, in English, including randomized controlled and clinical trials. Participants: terminally ill or incurable patients. Interventions: any mindfulness-based intervention. Comparators: any. Outcomes: symptom control and quality of life. The risk of bias was analysed through Cochrane\'s ROB-2 tool.
RESULTS: Eight studies were included involving 609 patients and 75 dyads patients-spousal caregivers. The overall risk of bias was low to moderate. Mindfulness-based interventions are helpful in managing suffering, anxiety and depressive symptoms, fatigue, insomnia, drowsiness, appetite, and spiritual well-being.
CONCLUSIONS: Mindfulness-based interventions control several symptoms and improve spiritual quality of life in patients in palliative care. Additionally, their informal caregivers also benefit from these interventions. Future trials are crucial to investigate other effects of mindfulness-based interventions, and their long-term benefits, in patients in palliative care.
METHODS: PubMed, Web of Science and Cochrane databases were searched for articles, published between January 2017 and December 2022, in English, including randomized controlled and clinical trials. Participants: terminally ill or incurable patients. Interventions: any mindfulness-based intervention. Comparators: any. Outcomes: symptom control and quality of life. The risk of bias was analysed through Cochrane\'s ROB-2 tool.
RESULTS: Eight studies were included involving 609 patients and 75 dyads patients-spousal caregivers. The overall risk of bias was low to moderate. Mindfulness-based interventions are helpful in managing suffering, anxiety and depressive symptoms, fatigue, insomnia, drowsiness, appetite, and spiritual well-being.
CONCLUSIONS: Mindfulness-based interventions control several symptoms and improve spiritual quality of life in patients in palliative care. Additionally, their informal caregivers also benefit from these interventions. Future trials are crucial to investigate other effects of mindfulness-based interventions, and their long-term benefits, in patients in palliative care.
摘要：
背景：姑息治疗是一种改善患者生活质量的医疗和人道主义方法，和他们的家人,他们正面临与慢性和危及生命的疾病相关的问题。很少有研究评估基于正念的干预措施对绝症或无法治愈的患者的有效性。这项研究的目的是系统地回顾有关基于正念的干预措施对姑息治疗患者症状控制和生活质量的影响的文献。
方法：PubMed，搜索了WebofScience和Cochrane数据库中的文章，2017年1月至2022年12月，英文版，包括随机对照试验和临床试验。参与者：身患绝症或无法治愈的患者。干预：任何基于正念的干预。比较：任何。结果：症状控制和生活质量。通过Cochrane的ROB-2工具分析偏倚风险。
结果：纳入了8项研究，涉及609名患者和75名患者-配偶照顾者。总体偏倚风险为低至中度。基于正念的干预措施有助于管理痛苦，焦虑和抑郁症状,疲劳,失眠,困倦,食欲,和精神福祉。
结论：基于正念的干预措施控制了姑息治疗患者的几种症状，并改善了精神生活质量。此外,他们的非正式照顾者也受益于这些干预措施。未来的试验对于调查基于正念的干预措施的其他影响至关重要，以及他们的长期利益，姑息治疗的患者。
方法：PubMed，搜索了WebofScience和Cochrane数据库中的文章，2017年1月至2022年12月，英文版，包括随机对照试验和临床试验。参与者：身患绝症或无法治愈的患者。干预：任何基于正念的干预。比较：任何。结果：症状控制和生活质量。通过Cochrane的ROB-2工具分析偏倚风险。
结果：纳入了8项研究，涉及609名患者和75名患者-配偶照顾者。总体偏倚风险为低至中度。基于正念的干预措施有助于管理痛苦，焦虑和抑郁症状,疲劳,失眠,困倦,食欲,和精神福祉。
结论：基于正念的干预措施控制了姑息治疗患者的几种症状，并改善了精神生活质量。此外,他们的非正式照顾者也受益于这些干预措施。未来的试验对于调查基于正念的干预措施的其他影响至关重要，以及他们的长期利益，姑息治疗的患者。
