Psychoeducational interventions to alleviate hot flashes: a systematic review
Psychoeducational interventions to alleviate hot flashes: a systematic review
复制标题
缓解潮热的心理教育干预措施：系统评价
DOI：
10.1097/gme.0b013e31805c08dc
复制
发表时间：
2007
期刊：
影响因子：
2.7
通讯作者：
S. Aranda
中科院分区：
文献类型：
--
作者：
A. Tremblay;Lisa Sheeran;S. Aranda
目的：潮热在绝经期妇女和乳腺癌幸存者中是常见且令人烦恼的。大多数药物干预或草药治疗潮热有局限性，因为禁忌症在乳腺癌幸存者，副作用，或缺乏证明的疗效。本研究的目的是评估心理教育干预，包括放松，对更年期妇女和妇女先前诊断为乳腺癌潮热的影响。设计图：检索MEDLINE、CINAHL、PsycInfo、科克伦图书馆和参考文献列表中1980年1月至2006年12月发表的相关文章。数据提取和质量评估由两位作者进行。结果：纳入了14项研究，涉及475例患者。五项研究评估了心理教育干预措施，包括教育，咨询，认知行为策略和基于正念的减压。所有人的血管扩张症状都有所改善，尽管两项研究中包含最多参与者的实验组也接受了药物治疗。9项试验评估了放松技术改善潮热的疗效。其中5项研究显示潮热有显著改善。14项研究中只有3项评估了乳腺癌幸存者的心理教育干预。其中2例显示潮热显著改善。结论：心理教育干预，包括放松，似乎可以缓解更年期妇女和乳腺癌幸存者的潮热;然而，已发表的研究的方法质量是公平或穷人。在将心理教育干预作为一种治疗选择之前，需要进行更多的研究，特别是在只有少数研究可用的乳腺癌人群中。
Objective: Hot flashes are frequent and bothersome in menopausal women and breast cancer survivors. Most pharmacological interventions or herbal therapies for hot flashes have limitations because of contraindications in breast cancer survivors, side effects, or lack of proven efficacy. The aim of this study was to assess the effects of psychoeducational interventions, including relaxation, on hot flashes in menopausal women and women previously diagnosed with breast cancer. Design: MEDLINE, CINAHL, PsycInfo, the Cochrane Library, and reference lists of articles were searched for relevant articles published between January 1980 and December 2006. Data extraction and quality assessment were carried out by two of the authors. Results: Fourteen studies involving 475 patients were included. Five studies evaluated psychoeducational interventions, including education, counseling, cognitive-behavioral strategies, and mindfulness-based stress reduction. All showed an improvement in vasomotor symptoms, although the experimental group in the two studies containing the largest numbers of participants also received pharmacological therapies. Nine trials evaluated the efficacy of relaxation techniques to improve hot flashes. Five of these studies showed a significant improvement in hot flashes. Only three of the 14 studies evaluated a psychoeducational intervention in breast cancer survivors. Two of these showed a significant improvement in hot flashes. Conclusions: Psychoeducational interventions, including relaxation, seem to alleviate hot flashes in menopausal women and breast cancer survivors; however, the methodological quality of published research is either fair or poor. More studies are required, especially in the breast cancer population where only a few studies are available, before psychoeducational interventions are offered as a treatment option.
影响因子：
45.3
作者：
COUZI, RJ;HELZLSOUER, KJ;FETTING, JH
通讯作者：
FETTING, JH