Abstract
Objective To investigate the effect of Traditional Chinese Medicine (TCM) nursing techniques on improving insomnia symptoms in cancer patients. Methods A literature search was conducted through CNKI, VIP, Wanfang Data, PubMed, Web of Science, Cochrane Library, and Embase databases to collect randomized controlled trials on TCM nursing techniques for improving insomnia symptoms in cancer patients from database inception to December 2024. Literature screen and data extraction in accordance with the inclusion and exclusion criteria were conducted. Quality assessment and meta-analysis were performed using RevMan 5. 3 and Stata 16. 0. Results Twenty-five studies involving 2316 patients were included. Meta-analysis revealed that TCM nursing techniques could significantly improve the insomnia symptoms of cancer patients, reduce the Pittsburgh Sleep Quality Index (PSQI) score (SMD=-1. 79, 95%CI: -2. 26~-1. 32, Z=7. 44, P＜0. 01), and enhance the effective rate of insomnia treatment (OR=7. 14, 95%CI: 5. 00~10. 00, Z=10. 82, P＜0. 01). Conclusion TCM nursing techniques can effectively relieve insomnia in cancer patients and enhance the treatment response rate. (目的 评价中医护理技术对肿瘤患者失眠症状的干预效果。方法 检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(Wanfang Data)、PubMed、Web of Science、Embase、Cochrane Library数据库关于中医护理技术治疗肿瘤患者失眠症状的随机对照试验, 检索时限为建库至2024年12月。按照纳入和排除标准筛选文献并提取资料, 采用Cochrane手册评估文献质量, 采用RevMan 5. 3和Stata16. 0软件进行Meta分析。结果 共纳入文献25篇, 包括2316例患者。Meta分析结果显示: 中医护理技术可显著改善肿瘤患者失眠症状, 降低匹兹堡睡眠质量指数(PSQI)评分［SMD= -1. 79, 95%CI(-2. 26, -1. 32), Z=7. 44, P＜0. 01］, 提高失眠治疗有效率［OR=7. 14, 95%CI(5. 00, 10. 00), Z=10. 82, P＜0. 01］。结论 中医护理技术可有效改善肿瘤相关性失眠, 提高治疗有效率。)