延续性护理对乳腺癌术后患者癌性疲乏影响的系统评价

摘要

目的:探讨延续性护理防治乳腺癌术后患者癌性疲乏的效果. 方法:计算机检索Cochrane library、JBI library 、PubMed、Web of Science、OVID、EMBse、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,结合手工检索收集相关随机对照试验.2名研究者独立评价文献质量,并提取资料,应用RevMan5.3软件对符合质量标准的文献进行Meta分析. 结果:纳入5项RCT试验,Meta 分析结果显示,延续性护理可以改善乳腺癌术后患者癌性疲乏[MD=-1.91,95%CI(-2.63,-1.19),P<0.00001],有统计学意义.结论:延续性护理防治乳腺癌术后患者癌性疲乏效果显著,值得临床推广.%Objective:To explore the effect of continuous nursing on prevention and treatment of cancer fatigue in patients with hreast cancer.Methods:By searching the Cochrane library,JBI library,PubMed,Web of Science,OVID,EMBse,CNKI,Wanfang database,VIP database,Chinese biomedical literature datahase hy computer and manual search. The relevant randomized controlled trials were collected.Two investigators inclepenclently evaluated the quality of the literature and extracted the data.Meta-analysis was performed in papers which were meet quality standards hy using RevMan 5.3 software.Results:Being included in 5 RCT trials.Meta-analysis showed that continuous nursing could improve cancer fatigue in postoperative patients with breast cancer[MD=-1.91,95% CI(- 2.63,-1.19).P< 0.00001],which was statistically significant.Conclusion:The effect of continuous nursing on prevention annd treatment of cancer fatigue in patients with breast cancer is significant ancl it deserves clinical promotion.