乳腺癌化疗患者癌因性疲乏非药物干预的证据图谱
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女,硕士,护士

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Evidence mapping of non-pharmacological interventions for cancer-related fatigue in breast cancer patients undergoing chemotherapy
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    目的 通过证据图谱方法,系统识别、描述和评价乳腺癌化疗患者癌因性疲乏非药物干预的相关证据。 方法 检索中英文数据库中乳腺癌化疗患者癌因性疲乏非药物干预的随机对照试验和系统评价/Meta分析,并对文献进行质量评价;通过Python软件绘制气泡图,呈现研究人群、干预类别、样本量及研究结论信息。 结果 纳入随机对照试验87篇,系统评价/Meta分析5篇。研究人群以乳腺癌辅助化疗患者为主(55篇);干预措施有运动康复类、心理行为干预类、物理因子类和综合多模式类,其中以运动康复类为主(38篇)。在癌因性疲乏相关疗效方面随机对照试验研究结论以可能有益(50篇)和有益(32篇)为主。5篇系统评价/Meta分析结论均为有益。 结论 乳腺癌化疗患者癌因性疲乏非药物干预措施形式多样,现有研究的方法学质量普遍较低。未来应开展更多方法学严谨的高质量研究,并针对不同治疗阶段的人群特点构建分层、个体化的循证干预方案。

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    Objective To systematically identify, describe and appraise the evidence on non-pharmacological interventions for cancer-related fatigue (CRF) in breast cancer patients undergoing chemotherapy using an evidence mapping approach. Methods Rando-mized controlled trials (RCTs) and systematic reviews/meta-analyses on non-pharmacological interventions for CRF in breast can-cer patients undergoing chemotherapy were retrieved from Chinese and English databases.The methodological quality of the inclu-ded literature was assessed.Bubble charts were generated using Python software to present information on study populations, intervention types, sample sizes, and research conclusions. Results A total of 87 RCTs and 5 systematic reviews/meta-analyses were included. Fifty-five studies involved patients undergoing adjuvant chemotherapy.The interventions included exercise rehabilitation, psychological and behavioral interventions, physical modality interventions, and comprehensive multimodal interventions, with exercise rehabilitation being the most common (38 studies).Regarding efficacy on CRF, the conclusions of RCTs were predominantly "possibly beneficial" (50 studies) and "beneficial" (32 studies).All five systematic reviews/meta-analyses concluded that the interventions were beneficial. Conclusion Non-pharmacological interventions for CRF in breast cancer patients undergoing che-motherapy are diverse; however, the methodological quality of existing studies is generally low.Future research should focus on conducting more methodologically rigorous high-quality studies and develop stratified, individualized evidence-based intervention protocols tailored to the characteristics of patient at different treatment stages.

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杜慧敏,贺伊蓓,吴畅,陈文兵,付阿丹.乳腺癌化疗患者癌因性疲乏非药物干预的证据图谱[J].护理学杂志,2026,41(13):104-109

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  • 收稿日期:2026-02-20
  • 最后修改日期:2026-04-26
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  • 在线发布日期: 2026-08-07