摘要
目的评价正念干预(MBI)对糖尿病患者身心症状的效果。方法检索有关正念干预对糖尿病患者身心症状研究的类实验研究或者随机对照试验,检索从建库开始截至2016年5月,并追溯纳入研究的参考文献。按照纳入和排除标准筛选文献并进行质量评价,从中提取数据。采用Review Manager 5.3软件进行Meta分析。结果共纳入9项研究的474例患者,其中MBI组251例,对照组223例。Meta分析显示,MBI组在有效缓解糖尿病患者的抑郁、焦虑、压力及糖尿病相关困扰症状方面明显优于对照组[MD=-5.35,95%CI:-7.11^-3.59;MD=-1.91,95%CI:-3.04^-0.79;MD=-4.65,95%CI:-6.68^-2.44;MD=-6.37,95%CI:-10.84^-1.90],差异均有统计学意义(P<0.05),且负性情绪的改善具有长期效应,患者可持续获益。正念干预对于生存质量的效果,无论是短期还是长期效应结论均不一致,有待进一步验证;对血糖控制的影响,MBI组总体上均趋向优于对照组的趋势。结论正念干预对2型糖尿病患者减轻抑郁、焦虑、压力及糖尿病相关困扰是一种有益的非药物辅助治疗,而对于提高生存质量和改善血糖控制的作用有待于进一步验证。
Objective To evaluate the effect of mindfulness intervention(MBI) on physical and mental symptoms inpatients with diabetes mellitus. Methods Data of the relevant MBI in the physical and psychological symptoms werereviewed in patients with diabetes. The quasi-experimental studies or randomized controlled trials were used to retrievalfrom May 2016, and back into the study of references. According to the inclusion and exclusion criteria, the literature wasscreened and the quality was evaluated to extract the data. Review Manager 5.3 software was used for Meta-analysis.Results The total of 9 studies and 474 patients were included in this study. Patients were divided into MBI group(n=251)and control group(n=223). Meta-analysis showed that mindfulness therapy was effective in relieving depression, anxiety,stress and diabetes distress symptoms in diabetic patients compared with those of controls [MD=-5.35, 95%CI:-7.11--3.59;MD=-1.91, 95%CI:-3.04--0.79; MD=-4.65, 95%CI:-6.68--2.44; MD=-6.37, 95%CI:-10.84--1.90], the differenceswere statistical significance(P < 0.05). The improvement of the negative emotions was sustained long-term effect, andpatients can benefit from it. The effects of MBI on the quality of life, whether short-term or long-term, were inconsistent andrequired further verification. The effects of glycemic control were generally better in MBI group than those of the controlgroup. Conclusion Mindfulness intervention shows beneficial non-drug adjuvant therapy in reducing depression, anxiety,stress and diabetes related distress in patients with type 2 diabetes. The effects of MBI on improving the quality of life, bloodglucose control need further verification.
出处
《天津医药》
CAS
2017年第10期1099-1107,共9页
Tianjin Medical Journal
基金
2016年成都医学院四川应用心理学研究中心资助项目(CSXL-162102)
2017年四川省教育厅人文社科重点项目(17SA0032)
关键词
糖尿病
META分析
正念干预
心理干预
系统评价
diabetes mellitus
Meta-analysis
mindfulness-based intervention
psychological intervention
systematic review
