基于网络化认知行为疗法对癌症病人负性情绪和生活质量干预效果的Meta分析

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Effects of Internet based cognitive behavioral therapy on negative emotions and quality of life in cancer patients： a Meta⁃analysis

WANG Yue， LI Xia， DONG Liyuan， JIAO Hui， XU Miaomiao

Nursing College， Shanxi Medical University， Shanxi 030001 China

Corresponding Author  LI Xia， E⁃mail： 1527266943@qq.com

Abstract  Objective：To systematically evaluate the intervention effect of Internet based cognitive behavioral therapy（ICBT） on negative emotions and quality of life in cancer patients.Methods：RCTs on the application of ICBT in cancer patients were searched in the Cochrane Library，PubMed，EMbase，Web of Science，Science Direct，CBM，CNKI，Wanfang Data and VIP.The retrieval time was from establishment of database to September 1，2021.Two investigators screened the literatures and performed data extraction and quality assessment.Meta⁃analysis of the included literature was performed using RevMan 5.4 software.Results：Ten RCTs including 1 278 cancer patients were finally included.The Meta analysis showed that ICBT could improve anxiety［SMD=-2.19，95%CI（-3.35，-1.03），P=0.000 2］，depression［SMD=-1.85，95%CI（-2.90，-0.80），P=0.000 5］，fear of cancer recurrence ［MD=-3.48，95%CI（-3.26，-3.33），P<0.000 1］ and quality of life ［SMD=1.25，95%CI（0.52，1.99），P=0.000 9］ in cancer patients.Conclusion：Current existing evidence showed that ICBT can reduce the level of anxiety，depression，fear of cancer recurrence and improve quality of life in cancer patients.

Keywords  cancer； internet based cognitive behavioral therapy， ICBT； anxiety； depression； fear of recurrence； quality of life； Meta⁃analysis

摘要  目的：系统评价网络化认知行为疗法（ICBT）对癌症病人负性情绪和生活质量的干预效果。（剩余13604字）