乳腺癌患者自我管理有效性的系統評價_《中國循證醫學雜志》

作者：

寧香香 ,  尹志勤 , 臧苑彤

溫州醫學院護理學院（溫州?325000）;

關鍵詞：

乳腺癌自我管理系統評價 Meta分析隨機對照試驗

DOI：

10.7507/1672-2531.20110173

視頻：

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目的　系統評價乳腺癌患者治療期間自我管理的有效性。
方法　計算機檢索Cochrane Library、PubMed（1966～2010）、OVID、ELSEVIER、CINAHL、EMbase、CNKI（1980～2010）、萬方數據庫、VIP（1989～2010）和CBM（1978～2010），納入關于乳腺癌患者術后自我管理的隨機對照試驗。由2名研究者按照納入與排除標準選擇文獻、評價質量、提取資料并交叉核對后，采用RevMan 5.0軟件進行Meta分析。
結果　共納入10篇隨機對照試驗，均為英文。3個研究結果顯示，自我管理健康教育對患者總的生活質量無影響；3個研究的結果顯示，自我管理健康教育可以增強患者的自護能力（P=0.004）；3個研究結果顯示，自我管理健康教育對患者的焦慮水平無影響；1個研究結果顯示，自我管理健康教育對患者抑郁水平有一定影響。
結論　自我管理健康教育可以增強患者自護能力，對患者總的生活質量，焦慮和抑郁水平的影響還不明確，有待開展更多高質量的隨機對照試驗進行評價。

引用本文： 寧香香,尹志勤,臧苑彤. 乳腺癌患者自我管理有效性的系統評價. 中國循證醫學雜志, 2011, 11(9): 1033-1038. doi: 10.7507/1672-2531.20110173 復制

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6.	杜世正, 袁長蓉. 自我管理模式的研究實踐進展及思考. 中華護理雜志, 2009, 44(11): 1048-1051.
7.	Lev EL, Daley KM, Conner NE, et al . An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patient. Sch Inq Nurs Pract , 2001, 15(3): 277-294.
8.	Wengstrom Y, Haggmark C, Strander H, et al . Effects of a nursing intervention on subjective distress, side effects and quality of life of breast cancer patients receiving curative radiation therapy--a randomized study. Acta Oncol , 1999, 38(6): 763-770.
9.	Wyatt GK, Donze LF, Beckrow KC. Efficacy of an in-home nursing intervention following short-stay breast cancer surgery. Res Nurs Health , 2004, 27(5): 322-331.
10.	Craddock RB, Adams PF, Usui WM, et al . An intervention to increase use and effectiveness of self-care measures for breast cancer chemotherapy patients. Cancer Nurs , 1999, 22(4): 312-319.
11.	Braden CJ, Mishel MH, Longman AJ. Self-Help Intervention Project. Women receiving breast cancer treatment. Cancer Pract , 1998, 6(2): 87-98.
12.	Badger T, Segrin C, Dorros SM, et al . Depression and anxiety in women with breast cancer and their partners. Nurs Res , 2007, 56(1): 44-53.
13.	Williams SA, Schreier AM. The role of education in managing fatigue, anxiety, and sleep disorders in women undergoing chemotherapy for breast cancer. Appl Nurs Res , 2005, 18(3): 138-147.
14.	Allard NC. Day surgery for breast cancer: effects of a psychoeducational telephone intervention on functional status and emotional distress. Oncol Nurs Forum , 2007, 34(1): 133-141.
15.	Cimprich B, Janz NK, Northouse L, et al . Taking CHARGE: A self-management program for women following breast cancer treatment. Psychooncology , 2005, 14(9): 704-717.
16.	Badger TA, Braden CJ, Mishel MH. Depression burden, self-help interventions, and side effect experience in women receiving treatment for breast cancer. Oncol Nurs Forum , 2001, 28(3): 567-574.
17.	Higgins JPT, Green S. Cochrance Handbook for Systematic Reviews of Interventions 4.2.6. 2006: The Cochrane Collaboration.

1. 3 Lorig KR, holman H. Self-management education: History, definition, outcomes, and mechanisms. Ann Behav Med , 2003, 26(1): 1-7.
2. National Breast Cancer Coalition. Facts about breast cancer in the United States: Year 2007. http://www.natlbcc.org/bin /index.asp？strid=427&depid=，2007.
3. 穆麗波, 姜潮, 劉海燕. 影響乳腺癌患者生活質量的心理方面因素. 國外醫學: 社會醫學分冊, 2001, 18(4): 157-160.
4. Swerissen H, Belfrage J, Weeks A, et al . A randomised control trial of a self-management program for people with a chronic illness from Vietnamese, Chinese, Italian and Greek backgrounds. Patient Educ Couns , 2006, 64(1-3): 360-368.
5. 袁萊. 美國保健協會會長關于預防癌癥的建議. 求醫問藥, 2010(5): 14-15.
6. 杜世正, 袁長蓉. 自我管理模式的研究實踐進展及思考. 中華護理雜志, 2009, 44(11): 1048-1051.
7. Lev EL, Daley KM, Conner NE, et al . An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patient. Sch Inq Nurs Pract , 2001, 15(3): 277-294.
8. Wengstrom Y, Haggmark C, Strander H, et al . Effects of a nursing intervention on subjective distress, side effects and quality of life of breast cancer patients receiving curative radiation therapy--a randomized study. Acta Oncol , 1999, 38(6): 763-770.
9. Wyatt GK, Donze LF, Beckrow KC. Efficacy of an in-home nursing intervention following short-stay breast cancer surgery. Res Nurs Health , 2004, 27(5): 322-331.
10. Craddock RB, Adams PF, Usui WM, et al . An intervention to increase use and effectiveness of self-care measures for breast cancer chemotherapy patients. Cancer Nurs , 1999, 22(4): 312-319.
11. Braden CJ, Mishel MH, Longman AJ. Self-Help Intervention Project. Women receiving breast cancer treatment. Cancer Pract , 1998, 6(2): 87-98.
12. Badger T, Segrin C, Dorros SM, et al . Depression and anxiety in women with breast cancer and their partners. Nurs Res , 2007, 56(1): 44-53.
13. Williams SA, Schreier AM. The role of education in managing fatigue, anxiety, and sleep disorders in women undergoing chemotherapy for breast cancer. Appl Nurs Res , 2005, 18(3): 138-147.
14. Allard NC. Day surgery for breast cancer: effects of a psychoeducational telephone intervention on functional status and emotional distress. Oncol Nurs Forum , 2007, 34(1): 133-141.
15. Cimprich B, Janz NK, Northouse L, et al . Taking CHARGE: A self-management program for women following breast cancer treatment. Psychooncology , 2005, 14(9): 704-717.
16. Badger TA, Braden CJ, Mishel MH. Depression burden, self-help interventions, and side effect experience in women receiving treatment for breast cancer. Oncol Nurs Forum , 2001, 28(3): 567-574.
17. Higgins JPT, Green S. Cochrance Handbook for Systematic Reviews of Interventions 4.2.6. 2006: The Cochrane Collaboration.

《中國循證醫學雜志》

乳腺癌患者自我管理有效性的系統評價

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《中國循證醫學雜志》

乳腺癌患者自我管理有效性的系統評價

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