癌症患者夫妻自我表露干预效果的系统评价
Effect of marital self-disclosure intervention in cancer patients:a systematic review
艾艳芳 1杨旭颖 1许端雅 1祝雪花 1张爔1
作者信息
- 1. 310053,杭州市,浙江中医药大学护理学院
- 折叠
摘要
目的 系统评价癌症患者夫妻自我表露干预效果.方法 计算机检索Cochrane Library、PubMed、Embase、Web of Sci-ence、中国生物医学文献数据库、中国知网(CNKI)、万方数据知识服务平台和维普中文科技期刊数据库中关于癌症患者夫妻自我表露干预效果的随机对照试验和类实验研究,检索时限为建库至 2023 年 7 月 28 日,使用RevMan 5.4 软件进行Meta分析.结果 最终共纳入11篇文献,包括700例患者.Meta分析结果显示,夫妻自我表露干预可以减轻癌症患者的焦虑[SMD=-1.14,95%CI(-2.10,-0.18),P=0.020]和抑郁[SMD=-0.81,95%CI(-1.50,-0.13),P=0.020]情绪,改善患者的生活质量[SMD=0.73,95%CI(0.48,0.97),P＜0.001]和自我表露[MD=5.36,95%CI(3.84,6.88),P＜0.001]水平,降低患者的癌症复发恐惧[MD=-2.47,95%CI(-3.57,-1.37),P＜0.001],但在改善亲密关系方面效果不明显[SMD=0.25,95%CI(-0.31,0.82),P=0.380].结论 夫妻自我表露干预能够有效提高癌症患者的生活质量和自我表露水平,降低患者癌症复发恐惧,但在改善焦虑、抑郁情绪和亲密关系方面还需要进一步研究.
Abstract
Objective To systematically evaluate the effect of marital self-disclosure intervention in cancer patients.Methods Data-bases including Cochrane Library PubMed,Embase,Web of Science,CBM,CNKI,Wanfang and VIP were retrieved to recruit randomized con-trolled trials and quasi-experimental studies from the establishment of the database to July 28,2023.Meta-analysis was performed by RevMan 5.4 software.Results A total of 11 studies involving 700 patients were finally included.Meta-analysis results showed that marital self-disclo-sure intervention could reduce the anxiety[SMD=-1.14,95%CI(-2.10,-0.18),P=0.020]and depression[SMD=-0.81,95%CI(-1.50,-0.13),P=0.020]of cancer patients,improve patients'quality of life[SMD=0.73,95%CI(0.48,0.97),P＜0.001]and levels of self-disclo-sure[MD=5.36,95%CI(3.84,6.88),P＜0.001],decrease patients'fear of cancer recurrence[MD=-2.47,95%CI(-3.57,-1.37),P＜0.001],but the effect on improving intimate relationships is not significant[SMD=0.25,95%CI(-0.31,0.82),P=0.380].Conclusion Marital self-disclosure intervention can effectively enhance the quality of life and level of self-disclosure of cancer patients,reduce patients'fear of cancer recurrence,but further research is needed to improve anxiety,depression,and intimate relationships.
关键词
癌症/配偶/自我表露/系统评价Key words
cancer/spouses,self-disclosure/systematic review引用本文复制引用
基金项目
国家级大学生创业训练项目(2023)(202310344061X)
出版年
2024
NETL
NSTL
维普
万方数据