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3TMR Integrative Nursing  2019, Vol. 3 Issue (5): 151-158    DOI: 10.12032/TMRIN20181210
Review     
Effects of interventions with mindfulness-breathing-stretching components on physiological and mental function of lung cancer patients: a mata-analysis
Meng-Jie Lei1, Ting-Ting Liu1, Ya-Qian Liu1, Hui-Ping Wang1, Yan-Qiu Huang1, Chang-De Ji2,*()
1Graduate College, Tianjin University of Traditional Chinese Medicine, Tianjin, China
2School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
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Highlights

This review introduced the effect of mindfulness-breathing-stretching interventions on the physiological and psychological aspects of lung cancer patients. And the meta-analyses were executed to clarify the effect of mindfulness-breathing-stretching interventions in lung cancer patients.

Editor’s summary

Lung cancer was the main cause of cancer-related death in the world, which will cause several psychological issues. However, how to address it is still challenge. It is exciting that the findings from this study will promote the application of mindfulness-breathing-stretching intervention in lung cancer patients.

ABSTRACT

Objective: To systematically evaluate the effects of interventions with mindfulness-breathing-stretching components on lung neoplasms. Methods: Multiple electronic databases were used to search for research on the effects of interventions with mindfulness-breathing-stretching components on lung neoplasms. The randomized controlled trails and self-control trails were included. Electronic databases include: Cochrane library, Pub Med, EMBASE, Web of Science, China Biology Medicine disc (CBM), VIP, WANFANG and CNKI. Studies were selected according to certain inclusion and exclusion criteria, and data were analyzed by Rev Man 5.3. Results: 10 randomized controlled trials and 5 self-control trails were included. The results of meta-analysis were as follows: There was statistically significant difference between two groups in self-perceived burden, quality of life, sleep quality of patients and caregivers, medical coping modes and catecholamine; there was no statistically significant difference between two groups in psychological pressure, mental well-being, fatigue of patients and caregivers, cortisol, endorphins, immunological indexes and complement regulatory proteins. Conclusion: Compared with conventional treatment and nursing, interventions with mindfulness-breathing-stretching components can decrease improve the state of mind, quality of life, quality of sleep, medical coping style and some hormone indexes. However, because of the heterogeneity of indicators and inadequate included studies, larger sample size and high-quality studies are needed.



Key wordsMindfulness-breathing-stretching Components      Lung Neoplasms      Meta-analysis     
Published: 24 October 2019
Corresponding Authors: Ji Chang-De   
E-mail: jcd1886@sina.cn.
Cite this article:

Meng-Jie Lei, Ting-Ting Liu, Ya-Qian Liu, Hui-Ping Wang, Yan-Qiu Huang, Chang-De Ji. Effects of interventions with mindfulness-breathing-stretching components on physiological and mental function of lung cancer patients: a mata-analysis. 3TMR Integrative Nursing, 2019, 3(5): 151-158. doi: 10.12032/TMRIN20181210

URL:

https://www.tmrjournals.com/in/EN/10.12032/TMRIN20181210     OR     https://www.tmrjournals.com/in/EN/Y2019/V3/I5/151

Figure 1: Flow chart detailing search of potential systematic reviews and selection process of included reviews. CNKI, China National Knowledge Infrastructure.
Author Design SS Interventions Outcomes
T C
Schellekens 2017[12] RCT 22 22 a, b, c, d, e l1, m, n, o1, l3, p, l4, l5
Wang R 2013[13] RCT 13 14 g T1/T2, T1, T2, TH1, TH2, TH1/TH2, Tc1, Tc2, Tc1/Tc2, Cortisol, Catecholamines, Endorphins
Zhang YQ 2013[14] RCT 13 14 g, h, i, j, k CD4, CD8, CD4/CD8, CD55, CD59
Zhang LL 2016[15] RCT 38 36 g, k r
Jiang MY 2013 [16] RCT 30 30 g r, s
Zhu HX 2016 [17] RCT 51 51 a, b, i, k o2, t, m, l2, l6, l7
Zhao YLa 2016 [18] RCT 31 31 a, b, i, k l8, o2, t
Zhao Ylb 2016 [19] RCT 35 33 a, b, i, k l2, o2, t
Chen G 2016 [20] RCT 25 25 a, i, k m, t
Schellekens M 2015 [21] SC 13 13 a l1, l5, l9, l10, m, o2, r, t
Milbury Ka 2015 [22] SC 10 14 a, e, k l4, l6, l7, m, r, u
Milbury Kb 2015 [23] SC 9 15 a, b, e, i l4, l6, l7, n, q, r, s, u
Zhang YJ 2010 [24] SC 10 10 g, k biochemical indicators
Xue XY 2015[25] SC 75 75 b, e, k m, s
Schellekens 2017 [12] RCT 22 22 a, b, c, d, e l1, m, n, o1, l3, p, l4, l5
Table 1: Characteristics of included literatures
Figure 2: Risk of bias graph of all eligible studies.
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10.   Hulett JM, Armer JM. A Systematic Review of Spiritually Based Interventions and Psychoneuroimmunological Outcomes in Breast Cancer Survivorship. Integrative Cancer Therapies 2016, 15: 405-423.
11.   Schellekens MP, Dg VDH, Prins JB, et al. Mindfulness-Based Stress Reduction added to care as usual for lung cancer patients and/or their partners: A multi-centre randomized controlled trial. Psycho-oncology 2017, 26: 2118-2126.
12.   Lehto RH, Wyatt G, Sikorskii A, et al. Home-based mindfulness therapy for lung cancer symptom management: a randomized feasibility trial. Psycho-oncology 2015, 24: 1208-1212.
13.   Wang R, Liu J, Chen P, et al. Regular tai chi exercise decreases the percentage of type 2 cytokine-producing cells in postsurgical non-small cell lung cancer survivors. Cancer Nursing 2013, 36: E27.
14.   Zhang YJ, Wang R, Chen PJ, et al. Effects of Tai Chi Chuan training on cellular immunity in post-surgical non-small cell lung cancer survivors: A randomized pilot trial. Journal of Sport & Healthence, 2013, 2:104-108.
15.   Zhang LL, Wang SZ, Chen HL, et al. Tai Chi Exercise for Cancer-Related Fatigue in Patients with Lung Cancer Undergoing Chemotherapy: A Randomized Controlled Trial. J Pain Symptom Manage 2016, 51: 504-511.
16.   Jiang MY, Wang M, Song CA. Influence of shadowboxing on improving cancer-related fatigue and sleeping quality of patients with advanced lung cancer. Chinese Nursing Research 2013, 27: 420-421.
17.   Zhu HX, Ding ZH. Influence of Mindfulness Behavior Training and Family Affective Caring for Self-perceived Burden and Coping Styles in Patients with Lung Cancer. Chinese and Foreign Medical Research 2016, 14: 74-76.
18.   Zhao YL, Hao ZW, Li JN. Effect of the combination of mindfulness training and information support on the uncertainty of illness and coping style in patients with lung cancer. Guizhou Medical Journal 2016, 40: 1110-1112.
19.   Zhao YL, Hao ZW, Li JN. Effect of the combination of mindfulness training and information support on the self-perceived burden and coping style in patients with lung cancer. Chinese Nursing Research 2016, 30: 1163-1166.
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21.   Hurk DGMVD, Schellekens MPJ, Molema J, et al. Mindfulness-Based Stress Reduction for lung cancer patients and their partners: Results of a mixed methods pilot study. Palliative Medicine 2015, 29: 652-660.
22.   Milbury K, Chaoul A, Engle R, et al. Couple-Based Tibetan Yoga Program for Lung Cancer Patients and their Caregivers. Psycho-oncology 2015, 24: 117-120.
23.   Kathrin M, Smitha M, Gabriel L, et al. Vivekananda Yoga Program for Patients with Advanced Lung Cancer and Their Family Caregivers. Integrative Cancer Therapies 2015, 14: 446-51.
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