Jesu li duhovne intervencije korisne za pacijente s rakom?: Meta-analiza randomiziranih kontroliranih ispitivanja nakon PRISMA-e.
Medicine
Sažetak istraživanja
Istorijat Pored fizičkog opterećenja, kvalitet života i preživljavanje pacijenata obolelih od raka mogu biti smanjeni i zbog psihičkog stresa, kao što su duhovna kriza, anksioznost i depresija. Mnoge studije su potvrdile da duhovnost može smanjiti anksioznost i depresiju i poboljšati kvalitetu života i prilagođavanje na rak. Međutim, postoji nesigurnost u pogledu efikasnosti duhovnih intervencija kod pacijenata sa rakom.
Svrha ove meta-analize je korištenje randomiziranih kontroliranih ispitivanja (RCT) za procjenu efekata duhovnih intervencija na duhovne i psihološke ishode i kvalitet života pacijenata sa rakom.
Metode Svi RCT-ovi koji koriste duhovne intervencije relevantne za ishode pacijenata sa rakom preuzeti su iz sljedećih baza podataka: Embase, PubMed, PsycINFO, Ovid, Springer Online Library, Wiley Online Library, Oxford Journals, Cochrane Database of Systematic Reviews i Cochrane Trials Central Register of Controlled. Referentne liste identifikovanih RCT-ova su takođe pregledane. Za procjenu kvaliteta studija korišten je Cochrane alat za rizik od pristranosti, RevMan (5.3) je korišten za analizu podataka, a GRADE (3.6.1) je korišten za procjenu kvaliteta dokaza kombinovanih rezultata.
Rezultati Uključeno je deset RCT studija koje su uključivale 1239 pacijenata. Duhovne intervencije su upoređene sa kontrolnom grupom koja je primala uobičajenu njegu ili druge psihosocijalne intervencije. Prosečna ponderisana veličina efekta u studijama bila je 0,46 (P = .003, I = 78%) za duhovno blagostanje, 0,19 (P = ,005, I = 46%) za kvalitet života, -0,33 (P = ,01, I = 50%) za depresiju, -0,58 (P = ,005, I = 46%) za depresiju i -0,58 (P = ,07,03%). = .008, I = 0%) za beznađe. U analizi podgrupa prema tipu karcinoma, samo ponderisana prosečna veličina efekta duhovnog blagostanja kod pacijenata sa karcinomom dojke imala je statističku značajnost (standardizovana srednja razlika 0,78, P = ,01, I = 70%).
Zaključak Duhovne intervencije mogu poboljšati duhovno blagostanje i kvalitet života, te smanjiti depresiju, anksioznost i beznađe kod pacijenata s rakom. Međutim, zbog mješovitog dizajna studije i značajne heterogenosti, neki dokazi su i dalje slabi. Potrebna su rigoroznija istraživanja.
Prikaži originalni naslov i sažetak na engleskom
Are spiritual interventions beneficial to patients with cancer?: A meta-analysis of randomized controlled trials following PRISMA.
Background In addition to the physical burden, the quality of life and survival in patients with cancer may also be reduced because of psychological distress, such as spiritual crisis, anxiety, and depression. Many studies have verified that spirituality could reduce anxiety and depression and improve quality of life and adjustment to cancer. However, there is uncertainty regarding the effectiveness of spiritual interventions in patients with cancer. The purpose of this meta-analysis is to use randomized controlled trials (RCTs) to evaluate the effects of spiritual interventions on spiritual and psychological outcomes and quality of life in patients with cancer.
Methods All RCTs using spiritual interventions relevant to the outcomes of patients with cancer were retrieved from the following databases: Embase, PubMed, PsycINFO, Ovid, Springer Online Library, Wiley Online Library, Oxford Journals, the Cochrane Database of Systematic Reviews, and the Cochrane Central Register of Controlled Trials. The reference lists of identified RCTs were also screened. The Cochrane risk of bias tool was used to evaluate the quality of the studies, RevMan (5.3) was used to analyze the data, and GRADE (3.6.1) was used to evaluate the evidence quality of the combined results.
Results Ten RCTs involving 1239 patients were included. Spiritual interventions were compared with a control group receiving usual care or other psychosocial interventions. The weighted average effect size across studies was 0.46 (P = .003, I = 78%) for spiritual well-being, 0.19 (P = .005, I = 46%) for quality of life, -0.33 (P = .01, I = 50%) for depression, -0.58 (P = .03, I = 77%) for anxiety, and -0.38 (P = .008, I = 0%) for hopelessness. In subgroup analysis according to the type of cancer, only the weighted average effect size of spiritual well-being in patients with breast cancer had statistical significance (standardized mean difference 0.78, P = .01, I = 70%).
Conclusion Spiritual interventions may improve spiritual well-being and quality of life, and reduce depression, anxiety, and hopelessness for patients with cancer. However, due to the mixed study design and substantial heterogeneity, some evidence remains weak. More rigorously designed research is needed.
Izvorni podaci
- DOI
- 10.1097/md.0000000000011948
- PMID
- 30170390
- PMCID
- PMC6392566
- Provjereno
- 2026-07-26
Naslov i sažetak prevedeni su automatski i prijevod može sadržavati netačnosti ili neprecizne stručne izraze. Za sve detalje, citiranje i medicinsko tumačenje pregledajte originalnu englesku verziju članka. Ne donosite zdravstvene odluke samo na osnovu ovog prijevoda.
Pregledaj originalni članak na engleskom