护理学报 ›› 2020, Vol. 27 ›› Issue (5): 22-27.doi: 10.16460/j.issn1008-9969.2020.05.022
接纳与承诺疗法对慢性疼痛干预效果的Meta分析
陈雯1,2, 尹朱丹1, 王赛男1, 厉姝岑1, 张雪芳2
- 1.南京中医药大学 护理学院,江苏 南京 210046;
2.南京中医药大学附属南京中医院,江苏 南京 210046
摘要： 目的 系统评价接纳与承诺疗法对慢性疼痛患者的干预效果。方法 计算机检索PubMed、Web of Science、Cochrane Library、EBSCO、中国知网、中国生物医学文献数据库、万方数据库及维普全文数据库中接纳与承诺疗法对慢性疼痛患者干预效果的随机对照试验,检索时限均为建库至2019年4月。对符合质量标准的随机对照试验采用Rev Man 5.3进行Meta分析。结果 共纳入13篇文献,1 136例患者。Meta分析结果显示,接纳与承诺疗法组与对照组干预后当天的疼痛强度[SMD=-0.44,95%CI（-0.80,-0.09）,P=0.01]、干预后当天及干预后3个月、6个月的慢性疼痛接受度[WMD=11.97,95%CI（8.39,15.55）,P<0.01]、[WMD=7.28,95%CI（2.53,12.03）,P<0.01]、[WMD=8.89,95%CI（2.48,15.31）,P<0.01]、干预后当天及干预后3个月疼痛功能障碍[SMD=-0.50,95%CI（-0.74,-0.25）,P<0.01]、[SMD=-0.49,95%CI（-0.72,-0.26）,P<0.01]的改善具有统计学意义,但对于疼痛强度（>3个月）的长期疗效2组差异无统计学意义。结论 接纳与承诺疗法能有效缓解患者疼痛强度、增加慢性疼痛接受度,减少相关疼痛功能障碍,但对于疼痛强度的远期疗效仍需开展更多研究予以验证。
中图分类号:
- R471
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