integrative health

综合保健
  • 文章类型: Systematic Review
    瑜伽是一种越来越受欢迎的补充干预措施,可减少创伤后应激障碍(PTSD)症状和相关合并症,但其安全性和治疗效果尚未确定。我们对瑜伽干预PTSD和相关次要结局的现有随机对照试验(RCT)进行了系统评价和荟萃分析(例如,抑郁症)。初步搜索结果发现超过668篇潜在论文。20个符合纳入标准(例如,对患有PTSD的成年参与者进行RCT,评估安全性或有效性结果)。荟萃分析表明,与对照干预相比,参加瑜伽干预显着改善了自我报告的PTSD(标准化平均差[SMD]:-0.51;95%置信区间[CI]:-0.68,-0.35)和即时(SMD:-0.39;95%CI:-0.56,-0.22)和长期(SMD:-0.44;95%CI:-0.74,-0.13)抑郁症状。然而,使用临床医生报告的评估,瑜伽干预与改善PTSD症状无关。瑜伽类型差异预测结果。敏感性分析显示,当从主要分析中省略每个研究时,效果大小一致。六项研究报告了是否发生任何严重不良事件。没有显示。没有发现发表偏倚,虽然个别干预研究倾向于偏倚高。结果表明,瑜伽可能是减少PTSD患者PTSD和抑郁症状的安全有效的补充干预措施。更严格的RCT是必要的。
    Yoga is an increasingly popular complementary intervention to reduce posttraumatic stress disorder (PTSD) symptoms and related comorbidities, but its safety and treatment efficacy are not firmly established. We conducted a systematic review and meta-analysis of existing randomized control trials (RCTs) of yoga interventions for PTSD and related secondary outcomes (e.g., depression). Initial search results found over 668 potential papers. Twenty met inclusion criteria (e.g., RCTs on adult participants with PTSD that evaluated safety or efficacy outcomes). Meta-analysis indicated that, compared to control interventions, participation in yoga interventions significantly improved self-report PTSD (standardized mean difference [SMD]: -0.51; 95 % confidence interval [CI]: -0.68, -0.35) and immediate (SMD: -0.39; 95 % CI: -0.56, -0.22) and long-term (SMD: -0.44; 95 % CI: -0.74, -0.13) depression symptoms. However, using clinician-reported assessments, yoga interventions were not associated with improved PTSD symptoms. Type of yoga differentially predicted outcomes. Sensitivity analysis showed consistent effect sizes when omitting each study from main analyses. Six studies reported whether any serious adverse events occurred. None were indicated. No publication bias was found, although individual intervention studies tended to be high in bias. Results suggest yoga is likely a safe and effective complementary intervention for reducing PTSD and depressive symptoms in individuals with PTSD. More rigorous RCTs are warranted.
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  • 文章类型: Journal Article
    瑜伽的古老实践已在世界范围内普及,成为人们改善整体健康和福祉的一种方式。这份手稿回顾并考察了瑜伽的历史,它的身体和心理健康的好处,它被纳入印度医疗保健系统,以及印度公众对瑜伽的看法。瑜伽存在许多倡议,包括促进瑜伽的研究,提供有关其好处的教育和信息,并制定以证据为基础的标准化瑜伽治疗指南。考虑到这一点,这篇叙述性评论文章探讨了将瑜伽纳入美国(US)医疗保健系统的潜在好处以及这样做可能面临的挑战。它还为政策制定者和医疗保健专业人员提供了宝贵的见解。
    The ancient practice of yoga has gained worldwide popularity as a way for people to improve their overall health and well-being. This manuscript reviews and examines the history of yoga, its physical and mental health benefits, its incorporation into the Indian healthcare system, and the public perception of yoga in India. Many initiatives for yoga exist, including promoting research on yoga, providing education and information on its benefits, and developing evidence-based standardized yoga therapy guidelines. With this in mind, this narrative review article explores the potential benefits of incorporating yoga into the United States (US) healthcare system and the possible challenges of doing so. It also provides valuable insights for policymakers and healthcare professionals.
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  • 文章类型: Systematic Review
    目的:前列腺癌是一种常见的疾病,主要的治疗方法之一是雄激素剥夺治疗,这是一种具有致残副作用的疗法。非药物干预(NPI)是有证据的,对人类健康的非侵入性干预措施。它们分为五类(物理,心理,营养,数字,元素)。NPI领域正在蓬勃发展,在这种情况下仍未得到充分利用。
    方法:根据PRISMA指南(系统评价和Meta分析的首选报告项目)对随机对照试验进行系统评价。我们使用了“Medline”和“KalyaResearch”数据库。搜索和选择合格出版物后,我们纳入了37项随机对照试验.
    结果:大多数文章涉及30项临床研究的物理NPI,3份出版物涉及营养NPI,2篇与心理NPI有关的文章和2篇与基本NPI有关的文章。未找到有关数字NPI的出版物。所有研究都旨在控制和改善治疗的副作用。没有基本的NPI显示出益处。只有一种心理NPI和一种营养NPI有效。五种类型的物理NPI方案已显示出功效。与身体能力有关的主要好处,身体成分,骨质疏松,生活质量,疲劳,降低心血管风险,最终焦虑和抑郁。
    结论:非药物干预措施,尤其是身体上的,在管理和减少与雄激素剥夺治疗相关的副作用方面是有效的,应该在这种情况下提供给患者。
    OBJECTIVE: Prostate cancer is a frequent disease and one of the main treatments used is androgen deprivation therapy, which is a therapy with disabling side effects. Non-pharmacological interventions (NPIs) are evidenced based, non-invasive interventions on human health. They are classified into five categories (physical, psychological, nutritional, digital, elemental). The NPIs sphere is booming and still remains underused in this context.
    METHODS: A systematic review concerning randomized controlled trials was executed according to the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). We used the \"Medline\" and \"Kalya Research\" databases. After searching and selecting eligible publications, we included 37 randomized controlled trials.
    RESULTS: The majority of articles concerned physical NPIs with 30 clinical studies, 3 publications dealt with nutritional NPIs, 2 with psychological NPIs and 2 articles concerned elemental NPIs. No publication about digital NPI was found. All of the studies aimed to manage and improve the side effects of treatment. No elemental NPI has demonstrated benefit. Only one psychological NPI and one nutritional NPI were effective. Five types of physical NPI protocols have shown efficacy. The main benefits related to physical abilities, body composition, osteoporosis, quality of life, fatigue, reduced cardiovascular risk and finally anxiety and depression.
    CONCLUSIONS: Non-pharmacological interventions, especially physical ones, are effective in managing and reducing the side effects associated with androgen deprivation therapy and should be offered to patients in this context.
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  • 文章类型: Journal Article
    低收入和中等收入国家(LMICs)承担着不成比例的高负担的非传染性疾病(NCDs)带来严重的社会经济后果。以信仰为基础或在信仰为基础的环境中进行的有针对性的干预措施对于健康促进和疾病预防计划来说在历史上是可行的。然而,其有效性的证据往往来自高收入国家。本文概述了系统审查低收入和中等收入国家基于信仰和基于信仰的非传染性疾病干预措施的协议。
    确定针对低收入国家非传染性疾病和/或其风险因素的基于信仰和基于信仰的干预措施或基于信仰的干预措施的有效性。
    我们将对PubMed进行系统搜索,Embase,Scopus,世卫组织图书馆,和灰色文献来定位已发表和未发表的研究。我们将考虑定量研究,这些研究报告干预措施(a)具有基于信仰的组成部分或在基于信仰的环境中进行的干预措施(b)预防和控制“全球疾病负担”中列出的十大非传染性疾病或其已知风险因素(c)发生在18岁及以上的成年人中(d)发生在一个或多个低收入国家中。我们将筛选标题,摘要,以及资格条款的全文。包含的文章将由至少两名独立审稿人对质量和基于信仰的组成部分进行严格评估。将针对研究特征和发现进行数据提取。荟萃分析将用于综合结果;如果不可能,将进行叙事合成。
    本综述将尝试综合最新证据,以指导有效的决策,卫生资源配置,以及未来试验的设计,以测试非传染性疾病干预在基于信仰的环境中的疗效。这项研究将增加对现有证据的理解,强调需要额外的证据,并指导公共卫生专业人员和基于信仰的卫生服务提供者之间未来合作的可能方向。
    PROSPEROCRD42020186299。
    Low- and middle-income countries (LMICs) bear a disproportionately high burden of noncommunicable diseases (NCDs) with severe socioeconomic consequences. Targeted interventions that are faith-based or take place in faith-based settings are historically viable for health promotion and disease prevention programmes. However, evidence of their effectiveness often comes from high-income countries. This paper outlines the protocol for the systematic review of faith-based and faith-placed interventions for NCDs in low- and middle-income countries.
    To determine the effectiveness of faith-based and faith-placed interventions or interventions within faith-based settings targeted at NCDs and/or their risk factors in LMICs.
    We will conduct a systematic search of PubMed, Embase, Scopus, WHO Library, and grey literature to locate published and unpublished studies. We will consider quantitative studies that report on interventions (a) with faith-based components or that take place in faith-based settings (b) for the prevention and control of one or more of the top ten NCDs listed in the Global Burden of Disease or their known risk factors (c) occurring among adults aged 18 and above (d) that take place in one or more LMICs. We will screen the titles, abstracts, and full text of articles for eligibility. Included articles will be critically appraised for quality and the inclusion of faith-based components by at least two independent reviewers. Data extraction will be performed for study characteristics and findings. A meta-analysis will be used to synthesize the results; if impossible, a narrative synthesis will be performed.
    This review will attempt to synthesize up-to-date evidence to guide effective decision-making, allocation of health resources, and the design of future trials to test the efficacy of NCD interventions in faith-based settings. The study will increase the understanding of the existing evidence, highlight the need for additional evidence, and guide possible directions for future collaborations between public health professionals and faith-based health service providers.
    PROSPERO CRD42020186299.
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  • 文章类型: Journal Article
    目的:系统评价分析互补和综合健康(CIH)的沟通率,如“披露”,“是衡量和操作的。
    方法:我们搜索了7个数据库,寻找2010年至2018年间发表的关于患者与生物医学临床医生沟通CIH的定量测量的研究。我们分析了用于描述患者报告CIH使用情况的沟通术语。我们还检查了所提供的CIH的概念和操作定义,以及这些术语是否已明确操作。我们汇总了百分比,rate,或按疾病类型和地理区域与临床医生交流CIH的CIH用户的比例。
    结果:对7882项研究进行了筛选,其中89项纳入了综述。研究对CIH使用了广泛的概念和操作定义,以及23个不同的术语来报告与报告CIH使用相关的通信。用法因疾病类型和地理区域而异。
    结论:CIH和CIH交流的研究可以衡量不同类型的社会和交流现象,这使得国际研究之间的比较具有挑战性。
    结论:未来的研究应采用标准化,用于定义CIH和报告CIH通信的可复制度量。临床医生可以结合以前的问题,电流,以及在就诊期间使用futureCIH。
    OBJECTIVE: A systematic review to analyze communication rates of complementary and integrative health (CIH) and analyze how communication terms, such as \"disclosure,\" are measured and operationalized.
    METHODS: We searched seven databases for studies published between 2010 and 2018 with quantitative measurements of patients\' communication of CIH to a biomedical clinician. We analyzed communication terms used to describe patients reporting CIH usage. We also examined the conceptual and operational definitions of CIH provided and whether those terms were explicitly operationalized. We aggregated the percentage, rate, or ratio of CIH users that communicated about CIH with their clinicians by disease type and geographical region.
    RESULTS: 7882 studies were screened and 89 included in the review. Studies used a wide range of conceptual and operational definitions for CIH, as well as 23 different terms to report communication related to reporting CIH usage. Usage varied by disease type and geographical region.
    CONCLUSIONS: Studies of CIH and CIH communication may measure different kinds of social and communicative phenomena, which makes comparison across international studies challenging.
    CONCLUSIONS: Future studies should employ standardized, replicable measures for defining CIH and for reporting CIH communication. Clinicians can incorporate questions about prior, current, and future CIH use during the medical visit.
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