许多癌症患者使用各种各样的技术来改善他们的身心健康,包括放松疗法,具体来说,进行性肌肉松弛(PMR)。然而,没有强有力的证据支持该技术的有效性.
我们的目的是回顾关于使用PMR作为接受化疗的癌症患者的支持性干预措施的证据。
对六个数据库进行了电子搜索:AMED,Cochrane图书馆,MEDLINE,心理信息,Scopus,和WebofScience.删除重复项后,筛选了700份出版物,并确定了57份潜在相关出版物。从记录识别到研究纳入的信息流是根据PRISMA声明进行的。在同行评审期刊上发表的研究PMR作为干预措施的原始文章,随机分组或纳入匹配的对照组,包括接受化疗的患者。将PMR与其他干预措施相结合的研究被排除。使用Jadad量表和CONSORT指南评估纳入试验的方法学质量。
57篇论文中有5篇达到了预设标准,并被纳入我们的系统评价。我们的研究结果表明,PMR可能会改善舒适度,降低化疗引起的焦虑水平和副作用,除了呕吐。尽管如此,所有纳入研究的质量都极低.
有证据表明,PMR可能对接受化疗的患者有一些益处。尽管如此,纳入的研究数量少,质量差限制了我们研究结果的意义.尽管控制副作用的药物方法可能会充分发挥其潜力,并且PMR等综合治疗可能会进一步有用,在建议将该技术作为标准癌症治疗的一部分采用之前,有必要进行更多高质量的试验来测试该技术的有效性.
Many cancer patients use a wide variety of techniques to improve their physical and mental well-being, including relaxation therapy and, specifically, Progressive Muscle Relaxation (PMR). However, there is no strong evidence that supports the efficacy of this technique.
Our aim was to
review the evidence regarding the use of PMR as a supportive intervention for cancer patients undergoing chemotherapeutic treatment.
Six databases were electronically searched: AMED, the Cochrane Library, MEDLINE, PsychINFO, Scopus, and the Web of Science. After removing duplicates, 700 publications were screened and 57 identified as potentially relevant. The flow of information from record identification to study inclusion was conducted in accordance with the PRISMA statement. Original articles published in peer-reviewed journals that studied the use of PMR as an intervention, were randomized or included a matched control group, and that included patients receiving chemotherapy were included. Studies that combined PMR with other interventions were excluded. The methodological quality of included trials was assessed using the Jadad Scale and the CONSORT guidelines.
A total of 5 of the 57 papers fulfilled the preset criteria and were included in our systematic
review. Our findings indicate that PMR might improve comfort and reduce the anxiety levels and side effects caused by chemotherapy, with the exception of vomiting. Nonetheless, the quality of all the included studies was extremely low.
There is evidence that PMR might have a few benefits for patients undergoing chemotherapy. Still, the small number of studies included and their poor quality limit the significance of our results. Despite the fact that pharmaceutical approaches for controlling side effects might be reaching their full potential and that there might be further usefulness for such integrative treatments as PMR, the need to run more high-quality trials testing the efficacy of this technique is warranted before suggesting its adoption as part of standard cancer care.