Table_1_Mind-Body Therapies From Traditional Chinese Medicine: Evidence Map.XLSX
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Background: The mind-body therapies of traditional Chinese medicine include several intervention types and combine physical poses with conscious relaxation and breathing techniques. The purpose of this Evidence Map is to describe these different interventions and report related health outcomes.
Methods: This evidence map is based on the 3iE Evidence Gap Map methodology. We searched seven electronic databases (BVS, PUBMED, EMBASE, PEDro, ScienceDirect, Web of Sciences, and PschyInfo) from inception to November 2019 and included systematic reviews only. Systematic reviews were analyzed based on AMSTAR 2. We used Tableau to graphically display quality assessment, the number of reviews, outcomes, and effects.
Results: The map is based on 116 systematic reviews and 44 meta-analyses. Most of the reviews were published in the last 5 years. The most researched interventions were Tai Chi and Qi Gong. The reviews presented the following quality assessment: 80 high, 43 moderate, 23 low, and 14 critically low. Every 680 distinct outcome effect was classified: 421 as potential positive; 237 as positive; 21 as inconclusive/mixed; one potential negative and none no effect. Positive effects were related to chronic diseases; mental indicators and disorders; vitality, well-being, and quality of life. Potential positive effects were related to balance, mobility, Parkinson's disease, hypertension, joint pain, cognitive performance, and sleep quality. Inconclusive/mixed-effects justify further research, especially in the following areas: Acupressure as Shiatsu and Tuiná for nausea and vomiting; Tai Chi and Qi Gong for acute diseases, prevention of stroke, stroke risk factors, and schizophrenia.
Conclusions: The mind-body therapies from traditional Chinese medicine have been applied in different areas and this Evidence Map provides a visualization of valuable information for patients, professionals, and policymakers, to promote evidence-based complementary therapies.
背景:传统中医心身疗法包含多种干预形式,将躯体姿势与有意识放松及呼吸技巧相结合。本证据地图(Evidence Map)旨在对上述各类干预手段进行描述,并报告其相关健康结局。
方法:本证据地图基于3iE证据缺口地图研究方法开展。研究检索了建库至2019年11月的7个电子数据库,包括BVS、PubMed、EMBASE、PEDro、ScienceDirect、Web of Science及PsycINFO,且仅纳入系统评价。采用AMSTAR 2量表对纳入的系统评价进行质量分析,并使用Tableau可视化展示质量评价结果、综述数量、健康结局及效应情况。
结果:本证据地图共纳入116篇系统评价与44篇Meta分析,其中绝大多数综述发表于近5年。研究最为广泛的干预手段为太极拳(Tai Chi)与气功(Qi Gong)。纳入综述的质量评价结果如下:80篇为高质量,43篇为中等质量,23篇为低质量,14篇为极低质量。共计680项独立结局效应被分类:421项为潜在阳性效应,237项为阳性效应,21项为不确定/混合效应,1项为潜在阴性效应,无无效效应。阳性效应关联慢性病、精神指标与精神障碍、活力、幸福感及生活质量;潜在阳性效应关联平衡能力、活动能力、帕金森病、高血压、关节疼痛、认知功能及睡眠质量。不确定/混合效应提示需开展进一步研究,尤其聚焦于以下领域:以指压(Shiatsu)与推拿(Tuiná)形式开展的穴位按压疗法用于恶心呕吐;太极拳与气功用于急性疾病、脑卒中预防、脑卒中危险因素干预及精神分裂症治疗。
结论:传统中医心身疗法已在多个领域得到应用,本证据地图可为患者、专业从业者与政策制定者提供具有参考价值的可视化信息,以推动基于证据的补充疗法发展。
创建时间:
2021-12-10



